Emergency Airway Management.pdf

Emergency Airway Management.pdf

ID:34747540

大小:546.86 KB

页数:10页

时间:2019-03-10

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1、SymposiumPapersEmergencyAirwayManagementVadymGudzenkoMD,EdwardABittnerMDPhD,andUlrichHSchmidtMDPhDIntroductionEvaluationofthePatientPre-oxygenationPharmacologyofAirwayManagementInductionAgentsMuscleRelaxantsRapid-SequenceIntubationPersonnelTrainingandSupervis

2、ionEmergencyAirwayApproachImmediatePost-IntubationCareSummaryEmergencyairwaymanagementisassociatedwithahighcomplicationrate.Evaluatingthepatientpriortoairwaymanagementisimportanttoidentifypatientswithincreasedriskoffailedairways.Pre-oxygenationofcriticallyill

3、patientsislesseffectiveincomparisontolesssickpatients.Inductionagentsareoftenrequired,butmostinductionagentsareassociatedwithhypotensionduringemer-gencyintubation.Useofmusclerelaxantsiscontroversialforemergencyintubation,buttheyarecommonlyusedintheemergencyde

4、partment.Supervisionofemergencyairwaymanagementbyattendingphysicianssignificantlydecreasescomplications.Standardizedalgorithmsmayincreasethesuccessofemergencyintubation.Attentionshouldbepaidtocardiopulmonarystabilityintheimmediatepost-intubationperiod.Keyword

5、s:airwaymanagement;intubation;intensivecareunit;ICU;hypoxemia;respiratoryfailure.[RespirCare2010;55(8):1026–1035.©2010DaedalusEnterprises]Introductioncians,andnurses.Commonly,theyhavetosecureairwaysincriticallyillpatientsonthevergeofrespiratoryand/orEmergency

6、intubationpresentssubstantialchallengesforhemodynamiccollapse.Indicationsforemergencyintuba-healthcareproviderswithdifferenttrainingbackgroundstionincluderespiratoryfailureofvariousetiologies,air-andexperience.Dependingonthepracticesetting,emer-wayprotection,

7、neurologicalemergencies,trauma,andcar-gencyintubationsareperformedbyavarietyofhealthcarediacarrest.Emergencyintubationoutsideoftheoperatingproviders,includingrespiratorytherapists(RTs),physi-roomoremergencydepartmentcarriesahighriskofcom-plications,reportedto

8、be14–28%.1-3Themostcommonproblemsencounteredduringemergencyintubationareair-VadymGudzenkoMD,EdwardABittnerMDPhD,andUlrichHSchmidtMDPhDareaffiliatedwiththeDepartmentofAnesthesiology,Critic

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