困难气道管理（Difficult airway management）.doc

困难气道管理（Difficult airway management） Difficult airway management expert opinion Expert group of anesthesiology of Chinese medical association Tian Ming (pen) deng xiaoming zhu and li shi-tong wu xinmin The 2009-3-2 Before the speech The treatment of Difficult Airway is closely related to the safety and quality of anesthesia. More than 50% of the serious complications related to severe anesthesia are caused by improper Airway management. Since 1993, the United States, Germany, the United Kingdom, Canada and other countries have adopted the practice guide 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 related 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 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. 1. Difficult Mask Ventilation The anesthesiologist can not maintain normal oxygenation and/or proper ventilation without the help of others, so that the patient with pure oxygen is unable to maintain SpO2 above 92%. 1) Because one or more of the following