全面评估、充分准备、合理决策、重视氧合——《2022年美国麻醉医师协会困难气道管理实践指南》解读

困难气道是麻醉管理中常见的问题之一, 与麻醉安全和质量密切相关。规范困难气道患者的管理, 是麻醉工作的重要内容。多个国际学术组织先后发布了多部临床实践指南或专家共识, 使医务人员对困难气道的处理能力不断提高。2022年1月, 《2022年美国麻醉医师协会困难气道管理实践指南》发布, 从困难气道的评估、准备、管理等多个方面更新了内容。本文将从麻醉学角度, 对此版指南的重点内容进行详细解读, 以期为困难气道的规范化管理提供借鉴和参考。

Evaluation,Preparation, Decision,and Oxygenation: Interpretation on 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

A difficult airway is one of the common clinical problems in anesthesia management, which is closely related to the safety and quality of anesthesia. Standardizing the management of patients with difficult airways is an important part of anesthesia. As many international academic organizations have successively issued a number of practice guidelines or expert consensuses, the ability to deal with difficult airways by medical staff is constantly improving. In January 2022, the 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway was released, which updated the contents of the evaluation, preparation, management and other aspects of difficult airways. With a view to providing clinical reference for the standardized management of difficult airways, this paper makes a detailed interpretation on the key points of the guideline from the perspective of anesthesiology.