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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Outcomes of emergency surgical airway procedures in a hospital-wide setting.
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Outcomes of emergency surgical airway procedures in a hospital-wide setting.

机译：在医院范围内紧急手术气道手术的结果。

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摘要

OBJECTIVE: To review the circumstances, complications, and outcomes of emergency surgical airway procedures and to compare the relative merits of cricothyroidotomy and tracheotomy for airway control in a hospital-wide patient population. STUDY DESIGN: Retrospective review. METHODS: Patient data were obtained from the inpatient charts and electronic patient records of 35 patients who required an emergency surgical airway over a 6-year period at an urban medical center. RESULTS: Emergency cricothyroidotomy and tracheotomy were successfully performed in 34 of 35 patients (97%). Orotracheal intubation was successfully achieved in one patient with a failed cricothyroidotomy. The overall complication rates for emergency cricothyroidotomy and tracheotomy were similar (20% and 21%, respectively). Inpatients requiring an emergency surgical airway had a higher complication rate (32% vs. 0%) but better overall survival (91% vs. 46%) than patients treated in the emergency department. No long-term complications were observed from emergency cricothyroidotomies that were not converted to tracheotomies. CONCLUSION: The establishment of an emergency surgical airway by either tracheotomy or cricothyroidotomy is effective with low overall morbidity. The need to convert every emergency cricothyroidotomy to a tracheotomy should be reevaluated.
机译：目的：回顾全院患者急诊气道手术的情况，并发症和结果，并比较环甲切开术和气管切开术控制气道的相对优点。研究设计：回顾性审查。方法：从35例在城市医疗中心需要紧急手术气道的患者的住院图表和电子患者记录中获得患者数据。结果：35例患者中有34例（97％）成功进行了紧急环切术和气管切开术。一名环颈切开术失败的患者成功完成了气管插管。紧急环行甲状腺切开术和气管切开术的总并发症发生率相似（分别为20％和21％）。与急诊科患者相比，需要急诊手术气道的住院患者并发症发生率更高（32％vs. 0％），但总生存率更高（91％vs. 46％）。紧急环甲切开术未发现未转化为气管切开术的长期并发症。结论：通过气管切开术或环行甲状腺切开术建立急诊手术气道是有效的，总体发病率较低。应该重新评估将每种急诊环甲切开术转换为气管切开术的必要性。

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