国际麻醉学与复苏杂志   2018, Issue (4): 0-0
    
产科困难气道管理与视频喉镜
刘庆, 薛富善, 温超, 刘亚洋1()
1.中国医学科学院整形外科医院
Obstetric difficult airway management and videolaryngoscopy
 全文:
摘要:

背景:产科患者气道管理安全中可发生意外性困难。目前的产科麻醉趋势已导致麻醉医师很少能够接触产科困难气道处理,尤其是初级受训者。最近视频喉镜已被列入困难气道管理操作流程。目的:综述产科困难气道管理的一些问题以及视频喉镜在产科气道管理中的应用。内容:产科困难气道常常归因于患者和麻醉方面的原因。成功的产科气道管理需要满意的气道评估和准备、最佳的体位和麻醉实施以及在困难气道情况时如何处理的详细流程。目前的证据表明,视频喉镜是产科困难气道管理的有效工具,尤其是在直接喉镜气管插管困难或失败的情况下。困难气道管理指南建议应给所有麻醉医师提供可用的视频喉镜,而且所有的麻醉医师均应接受如何应用视频喉镜的培训。趋势:视频喉镜在产科气道管理中的潜在作用越来越受到人们的关注。

关键词: 困难气道;困难气管插管;气管插管失败;视频喉镜;产科
Abstract:

Background: The pitfalls may occur when securing the airway in the obstetric patient. Current trends in obstetric anesthesia have resulted in a significant decrease in exposure of anesthetists to difficult airway management of obstetric patient, especially trainees. Videolaryngoscopes have recently appeared in the algorithms for difficult airway management. Object: This review aims to induce some issues regarding difficult airway management of obstetric patient and the use of videolaryngoscopy in obstetric airway management. Contents: Obstetric difficult airways are attributable to patient and anesthetic factors. Successful airway management of obstetric patient requires adequate airway assessment and preparation, optimal position and anesthetic procedure and detailed algorithms as to how to do in case of difficult airway. The available evidence shows that videolaryngoscopy is a useful tool for obstetric airway management, especially when difficult or failed intubation with direct laryngoscopy occurs. The guidelines for difficult airway management recommend that videolaryngoscopes should be available to all anesthetists and that all anesthetists should be trained in how to use them. Trend: There is growing interest in the potential use of videolaryngoscopy in the obstetric airway management.

Key words: Difficult airway;Difficult intubation;Failed;Videolaryngoscopy;Obstetrics