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耳鼻咽喉头颈外科围术期气道管理专家共识

2019-09-30 中国临床麻醉/疼痛相关专家组(统称) 中国耳鼻咽喉头颈外科.2019,26(9):463-471.

围术期气道管理是加速康复外科的重要组成部分,可有效减少气道并发症、缩短住院时间、降低再入院率及死亡风险、改善患者预后、节约医疗资源。耳鼻咽喉头颈外科疾病因解剖位置与气道密切相关,疾病本身与手术操作均可对气道产生影响,尤其是鼻部和咽喉部的全麻手术,手术本身及麻醉插管均可导致局部组织水肿、气道炎症反应,甚至出现喉痉挛、急性喉阻塞等危急情况,气道并发症风险极高,因此,围术期气道管理尤为重要。近年来,胸外

中文标题:

耳鼻咽喉头颈外科围术期气道管理专家共识

发布日期:

2019-09-30

简要介绍:

围术期气道管理是加速康复外科的重要组成部分,可有效减少气道并发症、缩短住院时间、降低再入院率及死亡风险、改善患者预后、节约医疗资源。耳鼻咽喉头颈外科疾病因解剖位置与气道密切相关,疾病本身与手术操作均可对气道产生影响,尤其是鼻部和咽喉部的全麻手术,手术本身及麻醉插管均可导致局部组织水肿、气道炎症反应,甚至出现喉痉挛、急性喉阻塞等危急情况,气道并发症风险极高,因此,围术期气道管理尤为重要。近年来,胸外科、神经外科等均已制定相应专科的围术期气道管理共识,而耳鼻咽喉头颈外科在此领域仍是空白。因此,我们结合耳鼻咽喉头颈外科疾病特点,根据临床实践及国内外研究证据,制定《耳鼻咽喉头颈外科围术期气道管理专家共识》,旨在进一步规范并促进围术期气道管理在本领域的临床应用。

 

拓展指南:气道相关指南:

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[AttachmentFileName(sort=100, fileName=耳鼻咽喉头颈外科围术期气道管理专家共识)] GetToolGuiderByIdResponse(projectId=1, id=73a801c0018352fb, title=耳鼻咽喉头颈外科围术期气道管理专家共识, enTitle=, guiderFrom=中国耳鼻咽喉头颈外科.2019,26(9):463-471., authorId=null, author=, summary=围术期气道管理是加速康复外科的重要组成部分,可有效减少气道并发症、缩短住院时间、降低再入院率及死亡风险、改善患者预后、节约医疗资源。耳鼻咽喉头颈外科疾病因解剖位置与气道密切相关,疾病本身与手术操作均可对气道产生影响,尤其是鼻部和咽喉部的全麻手术,手术本身及麻醉插管均可导致局部组织水肿、气道炎症反应,甚至出现喉痉挛、急性喉阻塞等危急情况,气道并发症风险极高,因此,围术期气道管理尤为重要。近年来,胸外, cover=, journalId=null, articlesId=null, associationId=1264, associationName=中国临床麻醉/疼痛相关专家组(统称), associationIntro=, copyright=0, guiderPublishedTime=Mon Sep 30 00:00:00 CST 2019, originalUrl=, linkOutUrl=, content=<P>围术期气道管理是加速康复外科的重要组成部分,可有效减少气道并发症、缩短住院时间、降低再入院率及死亡风险、改善患者预后、节约医疗资源。耳鼻咽喉头颈外科疾病因解剖位置与气道密切相关,疾病本身与手术操作均可对气道产生影响,尤其是鼻部和咽喉部的全麻手术,手术本身及麻醉插管均可导致局部组织水肿、气道炎症反应,甚至出现喉痉挛、急性喉阻塞等危急情况,气道并发症风险极高,因此,围术期气道管理尤为重要。近年来,胸外科、神经外科等均已制定相应专科的围术期气道管理共识,而耳鼻咽喉头颈外科在此领域仍是空白。因此,我们结合耳鼻咽喉头颈外科疾病特点,根据临床实践及国内外研究证据,制定《耳鼻咽喉头颈外科围术期气道管理专家共识》,旨在进一步规范并促进围术期气道管理在本领域的临床应用。 </P> <P> </P>拓展指南:<strong>与<font color=red>气道</font>相关指南:</strong><br><ul><li><a href="//m.sandwebs.com/guideline/show_article.do?id=d008d1c001e986ea" title="2019 专家意见:麻醉实践中所有年龄段儿童意外困难气道的管理" target=_blank>2019 专家意见:麻醉实践中所有年龄段儿童意外困难气道的管理</a></li> <li><a href="//m.sandwebs.com/guideline/show_article.do?id=329811c001e8591c" title="基于快速康复的小儿外科围手术期气道管理专家共识" target=_blank>基于快速康复的小儿外科围手术期气道管理专家共识</a></li> <li><a href="//m.sandwebs.com/guideline/show_article.do?id=fc6da1c001e3187c" title="中国专家建议:经支气管镜介入治疗恶性中心气道狭窄-英文版" target=_blank>中国专家建议:经支气管镜介入治疗恶性中心气道狭窄-英文版</a></li> <li><a href="//m.sandwebs.com/guideline/show_article.do?id=0357b1c001e120a4" title="2019 法国指南:在麻醉情况下儿童气道管理" target=_blank>2019 法国指南:在麻醉情况下儿童气道管理</a></li> <li><a href="//m.sandwebs.com/guideline/show_article.do?id=29c8a1c001e06603" title="2019 AASM临床实践指南:应用气道正压治疗成人阻塞性睡眠呼吸暂停" target=_blank>2019 AASM临床实践指南:应用气道正压治疗成人阻塞性睡眠呼吸暂停</a></li> 更多信息请点击:<a href="//m.sandwebs.com/guideline/list.do?q=%E6%B0%94%E9%81%93" target=_blank>有关气道更多指南</a></ul>, tagList=[TagDto(tagId=41479, tagName=耳鼻咽喉头颈外科), TagDto(tagId=12840, tagName=围术期), TagDto(tagId=29274, tagName=气道管理)], categoryList=[CategoryDto(categoryId=29, categoryName=麻醉疼痛科, tenant=100), CategoryDto(categoryId=30, categoryName=耳鼻咽喉科, tenant=100), CategoryDto(categoryId=73, categoryName=头颈外科, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=11663, appHits=367, showAppHits=3, pcHits=3556, showPcHits=9323, likes=57, shares=21, comments=6, approvalStatus=1, publishedTime=Wed Dec 04 00:12:19 CST 2019, publishedTimeString=2019-09-30, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Wed Dec 04 00:12:19 CST 2019, updatedBy=null, updatedName=null, updatedTime=Sat Jan 06 20:29:32 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=耳鼻咽喉头颈外科围术期气道管理专家共识)])
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  1. [GetPortalCommentsPageByObjectIdResponse(id=1076498, encodeId=f45d10e649881, content=及时有用,帮助临床工作开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1e75529455, createdName=离陌, createdTime=Fri Dec 03 10:34:58 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051255, encodeId=63ea105125500, content=非常感谢专家组的意见和建议,受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d5e5605739, createdName=ms5000000188607441, createdTime=Tue Sep 14 20:45:51 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1015577, encodeId=a6ce10155e7b9, content=及时有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c87c5386681, createdName=ms6000001353423294, createdTime=Wed Sep 08 09:22:47 CST 2021, time=2021-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=971490, encodeId=ddfa9e149036, content=好指南,规范了耳鼻喉的雾化, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpfet83Wib7iajHfTjso7wLLMKgM6YTjEwco6Qg8u1xxODLAgBBAvB2X9QZv6MwrcKlXLstGpAAelw/132, createdBy=ae222308949, createdName=ms9301079641376696, createdTime=Mon Jun 07 12:12:17 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920362, encodeId=6c69920362ca, content=指南涉及面广泛,讲解生动, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210117/dcf1ab8de0ad4fdebbb81da7b96c0a66/7cafcf46965e4df0a1da0b5e959abfaf.jpg, createdBy=25282541486, createdName=悠游小鱼儿, createdTime=Wed Jan 27 18:52:31 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-12-03 离陌

    及时有用,帮助临床工作开展

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1076498, encodeId=f45d10e649881, content=及时有用,帮助临床工作开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1e75529455, createdName=离陌, createdTime=Fri Dec 03 10:34:58 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051255, encodeId=63ea105125500, content=非常感谢专家组的意见和建议,受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d5e5605739, createdName=ms5000000188607441, createdTime=Tue Sep 14 20:45:51 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1015577, encodeId=a6ce10155e7b9, content=及时有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c87c5386681, createdName=ms6000001353423294, createdTime=Wed Sep 08 09:22:47 CST 2021, time=2021-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=971490, encodeId=ddfa9e149036, content=好指南,规范了耳鼻喉的雾化, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpfet83Wib7iajHfTjso7wLLMKgM6YTjEwco6Qg8u1xxODLAgBBAvB2X9QZv6MwrcKlXLstGpAAelw/132, createdBy=ae222308949, createdName=ms9301079641376696, createdTime=Mon Jun 07 12:12:17 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920362, encodeId=6c69920362ca, content=指南涉及面广泛,讲解生动, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210117/dcf1ab8de0ad4fdebbb81da7b96c0a66/7cafcf46965e4df0a1da0b5e959abfaf.jpg, createdBy=25282541486, createdName=悠游小鱼儿, createdTime=Wed Jan 27 18:52:31 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-09-14 ms5000000188607441

    非常感谢专家组的意见和建议,受益匪浅

    0

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    2021-09-08 ms6000001353423294

    及时有用

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1076498, encodeId=f45d10e649881, content=及时有用,帮助临床工作开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1e75529455, createdName=离陌, createdTime=Fri Dec 03 10:34:58 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051255, encodeId=63ea105125500, content=非常感谢专家组的意见和建议,受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d5e5605739, createdName=ms5000000188607441, createdTime=Tue Sep 14 20:45:51 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1015577, encodeId=a6ce10155e7b9, content=及时有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c87c5386681, createdName=ms6000001353423294, createdTime=Wed Sep 08 09:22:47 CST 2021, time=2021-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=971490, encodeId=ddfa9e149036, content=好指南,规范了耳鼻喉的雾化, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpfet83Wib7iajHfTjso7wLLMKgM6YTjEwco6Qg8u1xxODLAgBBAvB2X9QZv6MwrcKlXLstGpAAelw/132, createdBy=ae222308949, createdName=ms9301079641376696, createdTime=Mon Jun 07 12:12:17 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920362, encodeId=6c69920362ca, content=指南涉及面广泛,讲解生动, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210117/dcf1ab8de0ad4fdebbb81da7b96c0a66/7cafcf46965e4df0a1da0b5e959abfaf.jpg, createdBy=25282541486, createdName=悠游小鱼儿, createdTime=Wed Jan 27 18:52:31 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-06-07 ms9301079641376696

    好指南,规范了耳鼻喉的雾化

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1076498, encodeId=f45d10e649881, content=及时有用,帮助临床工作开展, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1e75529455, createdName=离陌, createdTime=Fri Dec 03 10:34:58 CST 2021, time=2021-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1051255, encodeId=63ea105125500, content=非常感谢专家组的意见和建议,受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d5e5605739, createdName=ms5000000188607441, createdTime=Tue Sep 14 20:45:51 CST 2021, time=2021-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1015577, encodeId=a6ce10155e7b9, content=及时有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c87c5386681, createdName=ms6000001353423294, createdTime=Wed Sep 08 09:22:47 CST 2021, time=2021-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=971490, encodeId=ddfa9e149036, content=好指南,规范了耳鼻喉的雾化, beContent=null, objectType=guider, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpfet83Wib7iajHfTjso7wLLMKgM6YTjEwco6Qg8u1xxODLAgBBAvB2X9QZv6MwrcKlXLstGpAAelw/132, createdBy=ae222308949, createdName=ms9301079641376696, createdTime=Mon Jun 07 12:12:17 CST 2021, time=2021-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=920362, encodeId=6c69920362ca, content=指南涉及面广泛,讲解生动, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210117/dcf1ab8de0ad4fdebbb81da7b96c0a66/7cafcf46965e4df0a1da0b5e959abfaf.jpg, createdBy=25282541486, createdName=悠游小鱼儿, createdTime=Wed Jan 27 18:52:31 CST 2021, time=2021-01-27, status=1, ipAttribution=)]
    2021-01-27 悠游小鱼儿

    指南涉及面广泛,讲解生动

    0

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