院外心脏骤停期间的气管插管：近期临床试验的新见解。
Endotracheal intubation during out-of-hospital cardiac arrest: New insights from recent clinical trials.
作者信息
Wang Henry E, Benger Jonathan R
机构信息
Department of Emergency Medicine The University of Texas Health Science Center at Houston Houston Texas.
Faculty of Health and Applied Sciences University of the West of England Bristol UK.
出版信息
J Am Coll Emerg Physicians Open. 2019 Dec 16;1(1):24-29. doi: 10.1002/emp2.12003. eCollection 2020 Feb.
Abstract
Airway management is an important intervention during resuscitation of out-of-hospital cardiac arrest (OHCA). Endotracheal intubation is commonly used by emergency medical services paramedics in the advanced airway management of OHCA, but numerous studies question its safety and effectiveness. Furthermore, there is now increasing use of supraglottic airway devices. In this review, we provide an overview of 3 recent randomized clinical trials of advanced airway management (Pragmatic Airway Resuscitation Trial [PART], AIRWAYS-2, and Cardiac Arrest Airway Management [CAAM]) and highlight new information that is available to guide OHCA airway management practices.
摘要
气道管理是院外心脏骤停（OHCA）复苏过程中的一项重要干预措施。在OHCA的高级气道管理中，气管插管是紧急医疗服务护理人员常用的方法，但众多研究对其安全性和有效性提出质疑。此外，声门上气道装置的使用现正日益增加。在本综述中，我们概述了3项近期关于高级气道管理的随机临床试验（实用气道复苏试验[PART]、AIRWAYS-2和心脏骤停气道管理[CAAM]），并强调了可用于指导OHCA气道管理实践的新信息。
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