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发表时间 阅读量
Array ( [id] => 3264 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3264.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => Delphi [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => A cricotracheal puncture should be preferred in paediatric patients less than 5 years of age for performing emergency surgical airway as a rescue technique, if surgical help for performing a tracheostomy is not available. [laiyuan] => 对于5至12岁的儿科患者，在无法进行气管切开术的情况下，应优先考虑环甲膜穿刺以建立紧急外科气道进行抢救（专家共识：100％） [znzldj] => A [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
对于5至12岁的儿科患者，在无法进行气管切开术的情况下，应优先考虑环甲膜穿刺以建立紧急外科气道进行抢救（专家共识：100％）

A cricotracheal puncture should be preferred in paediatric patients less than 5 years of age for performing emergency surgical airway as a rescue technique, if surgical help for performing a tracheostomy is not available.

证据评价方法：Delphi

指南质量等级：A

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia
原文链接
阅读
Array ( [id] => 3265 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3265.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Quantitative cuff leak test may be considered before extubation when airway oedema is suspected. [laiyuan] => 当怀疑气道水肿时，拔管前可考虑行定量气囊漏气试验。（证据等级：有限数据，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
当怀疑气道水肿时，拔管前可考虑行定量气囊漏气试验。（证据等级：有限数据，推荐强度：弱推荐）

Quantitative cuff leak test may be considered before extubation when airway oedema is suspected.

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3266 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3266.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Quantitative neuromuscular monitoring (TOF ratio>0.9) is recommended before extubation when the equipment is available [laiyuan] => 若具备相关设备，拔管前推荐行定量神经肌肉监测，确保成串刺激（TOF）比值＞0.9。（证据等级：高质量，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
若具备相关设备，拔管前推荐行定量神经肌肉监测，确保成串刺激（TOF）比值＞0.9。（证据等级：高质量，推荐强度：强推荐）

Quantitative neuromuscular monitoring (TOF ratio>0.9) is recommended before extubation when the equipment is available

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3267 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3267.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Alkalinised lignocaine may be considered to reduce the haemodynamic response during extubation. [laiyuan] => 拔管时可考虑使用碱化利多卡因减轻血流动力学反应。（证据等级：随机对照研究，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
拔管时可考虑使用碱化利多卡因减轻血流动力学反应。（证据等级：随机对照研究，推荐强度：弱推荐）

Alkalinised lignocaine may be considered to reduce the haemodynamic response during extubation.

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3268 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3268.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Alkalinised lignocaine can be beneficial to reduce cough and laryngopharyngeal symptoms after extubation. [laiyuan] => 碱化利多卡因有助于减少拔管后咳嗽及咽喉部症状。（证据等级：随机对照研究，推荐强度：中等推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
碱化利多卡因有助于减少拔管后咳嗽及咽喉部症状。（证据等级：随机对照研究，推荐强度：中等推荐）

Alkalinised lignocaine can be beneficial to reduce cough and laryngopharyngeal symptoms after extubation.

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3269 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3269.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Alkalinised lignocaine can be beneficial to attenuate the haemodynamic response and reduce laryngopharyngeal symptoms after extubation in paediatric patients. [laiyuan] => 碱化利多卡因有助于减轻儿童拔管时的血流动力学反应，并减少拔管后咽喉部症状。（证据等级：随机对照研究，推荐强度：中等推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
碱化利多卡因有助于减轻儿童拔管时的血流动力学反应，并减少拔管后咽喉部症状。（证据等级：随机对照研究，推荐强度：中等推荐）

Alkalinised lignocaine can be beneficial to attenuate the haemodynamic response and reduce laryngopharyngeal symptoms after extubation in paediatric patients.

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3270 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3270.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => It is not well established whether extubation should be performed awake or in deeper planes of anaesthesia in paediatric patients. [laiyuan] => 目前尚无充分证据确定儿童拔管应选择清醒拔管还是深麻醉拔管。（证据等级：随机对照研究，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
目前尚无充分证据确定儿童拔管应选择清醒拔管还是深麻醉拔管。（证据等级：随机对照研究，推荐强度：弱推荐）

It is not well established whether extubation should be performed awake or in deeper planes of anaesthesia in paediatric patients.

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3271 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3271.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Lung recruitment manoeuvres may be considered before extubation in adults. [laiyuan] => 成人拔管前可考虑实施肺复张手法。（证据等级：随机对照研究，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
成人拔管前可考虑实施肺复张手法。（证据等级：随机对照研究，推荐强度：弱推荐）

Lung recruitment manoeuvres may be considered before extubation in adults.

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3272 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3272.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => The use of an AEC can be beneficial to facilitate reintubation in adult patients at risk of extubation failure. [laiyuan] => 气道交换导管有助于为拔管失败高风险的成人患者实施再次气管插管。（证据等级：非随机对照研究，推荐强度：中等推荐） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
气道交换导管有助于为拔管失败高风险的成人患者实施再次气管插管。（证据等级：非随机对照研究，推荐强度：中等推荐）

The use of an AEC can be beneficial to facilitate reintubation in adult patients at risk of extubation failure.

证据评价方法：AHC

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读
Array ( [id] => 3273 [catid] => 293 [title] => All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3273.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:50 [updatetime] => 2026-04-14 11:42:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => All India Difficult Airway Association 2025 guidelines for extubation of the “at-risk” airway - PMC [demo_url] => [zjpjff] => Delphi [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Nebulisation with adrenaline may be considered to reduce post-extubation laryngeal oedema in adults (96% consensus). [laiyuan] => 当怀疑成人拔管后喉水肿时，可考虑行肾上腺素雾化治疗以减轻喉水肿。（专家共识：96％） [znzldj] => B [_inputtime] => 1776138170 [_updatetime] => 1776138170 [_nrjc] => [_nrsh] => )
推荐意见
当怀疑成人拔管后喉水肿时，可考虑行肾上腺素雾化治疗以减轻喉水肿。（专家共识：96％）

Nebulisation with adrenaline may be considered to reduce post-extubation laryngeal oedema in adults (96% consensus).

证据评价方法：Delphi

指南质量等级：B

年份：2025

国家：All India Difficult Airway Association (AIDAA) 

来源 All India Difficult Airway Association 2025 guidelines for extubation of the “at‑risk” airway
原文链接
阅读

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