Surgical Airways

본 내용은 " Surgical Airways " 의 원문 자료에서 일부 인용된 것입니다. 2024.01.29

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• 1. Surgical Airways

  수술적 기도 확보 방법에는 cricothyrotomy, tracheostomy, needle cricothyrotomy 등이 있습니다. 이러한 방법은 구강/비강 기관내 삽관이 불가능한 경우, 경직, 부종, 관절염, 감염/외상/종양/화상, 고정 장치, 아나필락시스/혈종/말단비대증, 경화증, 당뇨, 기침/호흡정지/후두경련/역류성 타액 분비, 변형 등의 적응증이 있습니다. 또한 임신부, 소아 환자에서도 적응증이 됩니다. 기관절개관 삽입이 선호되며, 적절한 튜브 선택과 해부학적 구조 확인, 합병증 예방 등이 중요합니다.

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• 1. Surgical Airways

  Surgical airways are a critical emergency medical procedure that can be life-saving in certain situations. They involve creating an artificial opening in the patient's neck to bypass an obstructed airway and allow for direct ventilation. This procedure is typically performed when other less invasive airway management techniques, such as intubation or bag-valve-mask ventilation, have failed or are not feasible. The decision to perform a surgical airway is a complex one, as it carries significant risks, including bleeding, infection, and potential damage to surrounding structures. However, in cases of severe airway obstruction, such as from trauma, swelling, or foreign body aspiration, a surgical airway may be the only option to maintain oxygenation and prevent respiratory arrest. Proper training and experience are essential for healthcare providers performing this procedure. They must be able to quickly and accurately identify the appropriate anatomical landmarks, make the incision, and secure the airway. Ongoing practice and simulation training can help maintain these critical skills, as surgical airways are relatively uncommon in many clinical settings. Overall, surgical airways are a valuable tool in the emergency airway management arsenal, but they should be used judiciously and only when other options have been exhausted. Continuous research and innovation in this area can help improve outcomes and reduce the risks associated with this procedure.