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Executive Summary of the Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for Difficult Airway Management

ACTA OTORRINOLARINGOLOGICA ESPANOLA(2024)

Complexo Hosp Univ A Coruna | Complejo Asistencial Univ Salamanca | Hosp Dr Peset | Hosp Univ Infanta Leonor | Hosp Univ Infanta Elena | Hosp Barbanza | Hosp Univ & Politecn La Fe | Complejo Hosp Univ Ourense | Hosp Clin Univ Navarra | Hosp Infanta Elena | Hosp Clin Univ | Complejo Hosp Univ Ferrol CHUF | Hosp Univ Puerta Hierro Majadahonda | SUMMA 112 | SAMUR Protecc Civil | Emergencias SAMUR Protecc Civil | SUMA 112 | Complexo Hosp Univ Coruna | Soc Espanola Med Urgencias & Emergencias SEMES | Univ Santiago de Compostela | Hosp Univ Donostia | Univ Barcelona

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Abstract
The Airway section of the Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) present the Guidelines for the integral management of difficult airway in adult patients. This document provides recommendations based on current scientific evidence, theoretical-educational tools and implementation tools, mainly cognitive aids, applicable to the treatment of the airway in the field of anesthesiology, critical care, emergencies and prehospital medicine. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations and optimization in the progression of the application of strategies to preserve adequate alveolar oxygenation in order to improve safety and quality of care.
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Airway management,Practice guideline,General anesthesia,Endotracheal intubation,Laryngeal mask,Tracheostomy,Monitoring,Rapid sequence induction,Airway extubation,Teaching
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要点】:该论文是西班牙三个专业学会联合发布的困难气道管理指南的第二部分,强调了在成人患者中进行困难气道管理时关注人因、决策过程中的认知过程以及优化策略应用以保持足够的肺泡氧合,从而提高安全和护理质量的原则。

方法】:通过遵循PRISMA-R指南进行广泛的文献搜索,并使用GRADE方法进行分析。根据GRADE方法制定建议,低质量证据部分的推荐基于通过Delphi问卷达成的专家共识。

实验】:该指南提供了基于证据的建议、理论教育工具和实施工具,主要适用于麻醉学、重症监护、急诊和院前医学领域的气道管理。