[Ventilatory management in shared airway surgery: current status, challenges, and future directions]

Autor: S Y, Chi, Y, Han, W X, Li, Guyan, Wang
Rok vydání: 2022
Předmět:
Zdroj: Zhonghua yi xue za zhi. 102(21)
ISSN: 0376-2491
Popis: A shared airway during anesthesia refers to maintaining the airway and ventilation of the patient by the anesthesiologist as the surgeon performs the procedures in the same anatomic space. Due to the narrow airway space in shared airway surgery, the difficulty lies both in the exposure of surgery field and implementation of the optimized airway management strategy and maintaining the airway safety in clinical practice. In recent years, many new visualized airway management tools and supraglottic ventilation devices have been invented and verified in clinical settings. Especially, the development of tubeless supraglottic oxygenation and ventilation technique provides new insights into the airway management. This review intends to provide a reference for future innovations in airway management tools and ventilation techniques by summarizing previous airway management strategies of shared airway surgery to benefit more patients.共享气道手术是一类外科医生与麻醉医生在同一解剖空间进行手术操作与气道管理的手术。因气道空间狭小,在保证术野暴露的前提下,如何实施最佳气道管理策略、维护通气安全是临床实践的难点问题。近年来,新型可视化气道管理工具与声门上通气技术,尤其是声门上无管化及喷射通气技术的出现,为气道管理策略选择提供了新思路。本文通过总结共享气道手术的管理难点、最新通气管理技术及工具的研究进展和培训要点,以期为读者提供一定参考。.
Databáze: OpenAIRE