产科气道管理进展——第一部产科麻醉医师协会／困难气道协会产科困难气道管理指南解读

Recent advances in obstetric airway management--the interpretation of the first guideline for Obstetric Anesthetists Airway Society obstetric difficult airway management

背景产科气道管理和气管插管失败需要考虑特殊因素。产科影响气道管理的因素包括妊娠期间的解剖和生理改变、环境因素和气道管理相关的培训问题。而且产科手术通常是急诊手术，需要考虑母亲和胎儿安全。目的解读英国产科麻醉医师协会（Obstetric Anaesthetists Association，OAA）／困难气道学会（Difficult Airway Society，DAS）最近发布的第一部困难气道管理指南。内容该指南强调了良好的麻醉计划、麻醉准备和快速序贯麻醉诱导在产科气道管理方面的重要性，而且介绍了气管插管失败时的救援处理方案。趋向产科困难气道管理指南的建议可为产科气道管理和气管插管失败提供教学和培训框架，解决临床操作实践的一致性，减少不良事件，规范临床培训和教学。

Background Airway management and failed intubation in obstetric patients require unique consideration. In obstetric patients, the factors affecting airway management include anatomical and physiological changes during pregnancy, environmental factors and training matters. Furthermore, obstetric operations usually are emergency surgeries, which require further attention on the safety of mother and baby. Objective To unscramble the first national UK obstetric difficult airway guideline that is recently published by the Obstetric Anesthetists Association （OAA）/Difficuh Airway Society （DAS）. Content This practice guideline emphasizes the importance of careful anesthesia planning, preparation, and rapid sequence induction in obstetric airway management. The management strategy to rescue intubation failure in obstetric patients is also introduced. Trend The recommendations included in the practice guideline for obstetric difficult airway management can provide a structure for teaching and training on airway management and rescuing failed intubation, with aims to bring consistency of clinical practice, reduce adverse events, and standardize clinical training and teaching.