Strategies to improve first attempt success at intubation in critically ill patients.

Autor:	Natt BS; Division of Pulmonary, Critical Care, Allergy and Sleep, Department of Medicine, University of Arizona College of Medicine, 1501 N. Campbell Ave, Tucson, AZ 85724., Malo J; Division of Pulmonary, Critical Care, Allergy and Sleep, Department of Medicine, University of Arizona College of Medicine, 1501 N. Campbell Ave, Tucson, AZ 85724., Hypes CD; Division of Pulmonary, Critical Care, Allergy and Sleep, Department of Medicine, University of Arizona College of Medicine, 1501 N. Campbell Ave, Tucson, AZ 85724 Department of Emergency Medicine, University of Arizona College of Medicine, 1609 N. Warren Ave, Tucson, AZ 85724, USA., Sakles JC; Department of Emergency Medicine, University of Arizona College of Medicine, 1609 N. Warren Ave, Tucson, AZ 85724, USA., Mosier JM; Division of Pulmonary, Critical Care, Allergy and Sleep, Department of Medicine, University of Arizona College of Medicine, 1501 N. Campbell Ave, Tucson, AZ 85724 Department of Emergency Medicine, University of Arizona College of Medicine, 1609 N. Warren Ave, Tucson, AZ 85724, USA jmosier@aemrc.arizona.edu.
Jazyk:	angličtina
Zdroj:	British journal of anaesthesia [Br J Anaesth] 2016 Sep; Vol. 117 Suppl 1, pp. i60-i68. Date of Electronic Publication: 2016 May 24.
DOI:	10.1093/bja/aew061
Abstrakt:	Tracheal intubation in critically ill patients is a high-risk procedure. The risk of complications increases with repeated or prolonged attempts, making expedient first attempt success the goal for airway management in these patients. Patient-related factors often make visualization of the airway and placement of the tracheal tube difficult. Physiologic derangements reduce the patient's tolerance for repeated or prolonged attempts at laryngoscopy and, as a result, hypoxaemia and haemodynamic deterioration are common complications. Operator-related factors such as experience, device selection, and pharmacologic choices affect the odds of a successful intubation on the first attempt. This review will discuss the 'difficult airway' in critically ill patients and highlight recent advances in airway management that have been shown to improve first attempt success and decrease adverse events associated with the intubation of critically ill patients. (© The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu