困难气道管理(国外英文资料).doc

困难气道管理 Difficult airway management expert opinion Group of experts in anesthesiology of the Chinese medical association Tian Ming (pen) deng xiaoming, li shitong wu xinmin in zuo Ming The 2009-3-2 Before the speech The Difficult Airway treatment is closely related to the safety and quality of anesthesia, and more than 50 percent of the complications associated with severe anesthesia are caused by Airway management. Since 1993, the United States, Germany, Britain, Canada and other countries have adopted the guidelines for the management of airway management. The professional societies of these countries agree that according to different national conditions, the choice of practical guidelines can reduce the incidence of airway complications. Anesthesiology branch of Chinese medical organization expert group, in reference to abroad in recent years, on the basis of difficult airway management guidelines, combined with national conditions and the domestics clinical experience in the drafting and formulation of the difficult airway management expertise, purpose is for our country in the clinical anesthesia difficult airway processing put forward guidance, norm for the processing of difficult airway, convenient and accurate, and is beneficial to reduce the brain damage, respiratory cardiac arrest, unnecessarily tracheotomy, airway damage and tooth damage, etc. The incidence of adverse consequences. The definition of a difficult airway Is the definition of a difficult airway: has five years experience in clinical anesthesia anesthesiologists encountered difficulties in mask ventilation (upper respiratory tract obstruction), the difficulties or endotracheal intubation, or both a clinical situations. Difficult Mask Ventilation Anesthesiologists in without the help of others can not maintain normal oxygenation and/or appropriate ventilation, make pure oxygen mask positive pressure ventilation cannot maintain SpO2 in more than 92% of patients. 1) Because one or more of the foll