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首页> 外文期刊>Equine Veterinary Education >Mitigating the risk of airway obstruction during recovery from anaesthesia: The way is far from clear
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Mitigating the risk of airway obstruction during recovery from anaesthesia: The way is far from clear

机译：减轻麻醉恢复过程中气道阻塞的风险：方法尚不清楚

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摘要

All equine anaesthetists should take steps to mitigate the risk of anaesthetic-related morbidities and mortalities where they can, and whilst some interventions against some of these are widely practiced, the number of approaches adopted by equine anaesthetists to mitigate the risk of airway obstruction suggests not only that the causes and severity of airway obstruction vary, but also that evidence for the superiority of any approach over another is limited. The limited evidence available suggests that the prevalence of severe airway obstruction in both the general and upper respiratory tract surgical equine populations is likely to be low, and that when cases do occur, rapid recognition and intervention often results in successful treatment. The above evidence considered with the understanding that pre-emptively placing endotracheal or nasotracheal tubes in situ for recovery may only delay the recognition of some causes (e.g. laryngeal) of airway obstruction, alongside an awareness that this approach is not a benign risk-free intervention, may lead some anaesthetists to re-evaluate the perceived risk of respiratory obstruction and whether their chosen intervention will reduce that risk, potentially exacerbate it or introduce a further risk.
机译：所有马麻醉师应采取措施减轻与麻醉有关的发病率和死亡率的风险，并且尽管已广泛实施针对其中一些的某些干预措施，但马麻醉剂为减轻呼吸道阻塞风险而采取的方法数量众多不仅气道阻塞的原因和严重程度有所不同，而且还证明了任何一种方法优于另一种方法的证据。有限的证据表明，普通和上呼吸道手术马人群中严重气道阻塞的患病率很低，而且一旦确诊，快速识别和干预通常会导致成功的治疗。以上证据的理解是，先行置入气管插管或鼻气管插管以恢复原位，可能只会延迟对气道阻塞的某些原因（例如喉部）的识别，并意识到这种方法不是无风险的良性干预措施可能会导致某些麻醉师重新评估所感知的呼吸道梗阻风险，以及他们选择的干预措施是否会降低该风险，可能加剧该风险或引入其他风险。

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