| 标题： | 成人侧卧位气管插管专家共识 |
| title： | Expert consensus on adult tracheal intubation in the lateral decubitus position |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 专家共识 |
| classification： | Experts consensus |
| 领域： | 管理 |
| field： | Administration |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 麻醉科医师、急诊科医师、收治适用侧卧位气管插的患者的重症医学及相关科室医师 |
| Guide users： | Anesthesiologists, emergency physicians, and intensive care medicine and related department physicians who treat patients suitable for lateral position tracheal intubation. |
| 证据分级方法： | 牛津证据等级系统 |
| Evidence grading method： | OCEBM Levels of Evidence |
| 制定单位： | 浙江大学医学院附属第一医院 |
| Formulating unit： | The First Affiliated Hospital, School of Medine, Zhejiang University |
| 注册时间： | 2024-10-13 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN810 |
| Registration number： | |
| 指南制订的目的： | 侧卧位气管插管技术在维持气道通畅、及时有效地进行人工或机械控制通气、防止返流误吸、减轻体位翻动引起的血流动力学波动和肢体牵拉损伤等方面的优势不断被广大麻醉医生、外科医生、手术室护士的认可并应用于日常临床工作。因此，进一步完善侧卧位麻醉诱导气管插管技术的理论知识，建立侧卧位气管插管技术规范和流程，帮助更多的麻醉医生掌握侧卧位气管插管技术，更好地为围术期患者的生命安全保驾护航显得尤为重要。本专家共识涵盖了侧卧位气管插管的相关解剖特点、血流动力学特点、不同侧卧位气管插管方法的适应症、禁忌症、操作要点\并发症以及困难气道、插管失败处理等，为侧卧位气管插管在围术期的安全有效应用提供参考。 |
| Purpose of the guideline： | Lateral position tracheal intubation technique has been increasingly recognized by a wide range of anesthesiologists, surgeons, and operating room nurses for its advantages in maintaining airway patency, promptly and effectively performing artificial or mechanical controlled ventilation, preventing reflux and aspiration, and reducing hemodynamic fluctuations and limb traction injuries caused by position changes. Therefore, it is particularly important to further improve the theoretical knowledge of lateral position anesthesia induction tracheal intubation techniques, establish standards and procedures for lateral position tracheal intubation, help more anesthesiologists master the lateral position tracheal intubation technique, and better safeguard the life safety of patients during the perioperative period. This expert consensus covers the relevant anatomical characteristics, hemodynamic characteristics, indications, contraindications, operational points, complications, and management of difficult airways and intubation failure of lateral position tracheal intubation, providing a reference for the safe and effective application of lateral position tracheal intubation during the perioperative period. |
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