烧伤患者气管切开置管全国专家共识(2018版)

National experts consensus on tracheotomy and intubation for burn patients (2018 version)

大面积烧伤、头面颈部深度烧伤、吸入性损伤等易出现气道水肿、狭窄、梗阻甚至窒息,危及生命,及时行气管切开置管是重要的救治措施,而部分医院存在认识不足与处理不当,导致患者气道梗阻发生。经皮穿刺气管切开置管技术为危重症烧伤急救与成批烧伤的救治提供了便利,中国老年医学学会烧创伤分会组织国内部分专家,就烧伤患者气管切开置管的指征、时机、方法、拔管及注意事项进行讨论,撰写了《烧伤患者气管切开置管全国专家共识(2018版)》,为临床治疗提供参考标准。

Airway edema,stenosis,obstruction and even asphyxia are easy to occur in patients with extensive burn,deep burn of head,face,and neck area,inhalation injuries,etc.,which threaten life.Timely tracheotomy and intubation is an important treatment measure,but lack of knowledge and improper handling in some hospitals resulted in airway obstruction.The technique of percutaneous tracheotomy and intubation provides convenience for emergency treatment of critical burns and mass burn.The Chinese Geriatrics Society organized some experts in China to discuss the indications,timing,methods,extubation,and precautions of tracheotomy and intubation for burn patients.The national experts consensus on tracheotomy and intubation for burn patients(2018version)was written to provide a reference standard for clinical treatment.