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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