安全气道管理是麻醉医师的永恒主题:第二届世界气道管理大会热点的解读与剖析

Safe airway management is the eternal theme of anesthesiologists:interpretation and analysis of the hot issues of the second World Airway Management Meeting

安全气道管理是麻醉医师的重要任务,要求其具备良好的气道管理技能,及时有效地处理各种困难气道,以确保患者的通气和氧合,避免反流误吸。2019年11月在荷兰举办的第二届世界气道管理大会对14个气道管理相关专题进行了讨论。本文解读和剖析本届大会的六个热点主题:1.人为因素和安全气道管理;2.饱胃患者的处理;3.英国困难气道管理协会(Difficult Airway Society,DAS)清醒气管插管术指南;4.清醒气管插管术是否可以解决困难气道,琥珀酰胆碱是否过时;5.国际通用气道管理指南;6.经鼻湿化快速充气交换通气(Transnasal Humidified Rapid-Insufflation Ventilatory Exchange,THRIVE),为广大麻醉医师更新气道管理知识、提高困难气道处理技能提供参考。

Safe airway management is the primary task of anesthesiologists.Anesthesiologists must have good airway management skills including dealing with all kinds of difficult airway in time and effectively to ensure the ventilation and oxygenation of patients and to avoid regurgitation and aspiration.The second World Airway Management Meeting held in Netherlands in November 2019 discussed fourteen topics related to airway management.This article will focus on six hot issues in this session,namely,1.Human factors and safe airway management;2.Management of patients with full stomach;3.Difficult Airway Society(DAS)Awake Tracheal Intubation(ATI)guidelines;4.Whether awake tracheal intubation can solve all the difficult airway,and whether succinylcholine is out of date;5.The Universal Management of Airways Guidelines;6.Transnasal Humidified Rapid-Insufflation Ventilatory Exchange(THRIVE).The purpose of interpreting and analyzing the above hot issues is to timely update the knowledge of airway management for anesthesiologists,and to improve the understanding and mastery of airway management,especially difficult airway management.