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[guojia] => German Society for Anesthesiology and Intensive Ca
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[lyyw] => The number of direct laryngoscopy attempts shall be limited to a maximum of two. Alter_x005Fnative methods shall be used early.
[laiyuan] => 直接喉镜检查的次数应限制在最多两次。应及早采用替代方法。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
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)
推荐意见
直接喉镜检查的次数应限制在最多两次。应及早采用替代方法。（推荐强度：强）
The number of direct laryngoscopy attempts shall be limited to a maximum of two. Alter_x005Fnative methods shall be used early.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
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[lyyw] => If the airway is unexpectedly difficult after unsuccessful direct laryngoscopy, measures to improve the airway shall be considered first, and another attempt at direct laryn_x005Fgoscopy shall be made only if these measures can increase the chances of success.
[laiyuan] => 如果直接喉镜检查失败后气道意外困难，应首先考虑改善气道的措施，只有当这些措施可以增加成功的机会时，才应再次尝试直接喉镜检查。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果直接喉镜检查失败后气道意外困难，应首先考虑改善气道的措施，只有当这些措施可以增加成功的机会时，才应再次尝试直接喉镜检查。（推荐强度：强）
If the airway is unexpectedly difficult after unsuccessful direct laryngoscopy, measures to improve the airway shall be considered first, and another attempt at direct laryn_x005Fgoscopy shall be made only if these measures can increase the chances of success.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
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[title] => German guidelines for airway management 2023
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[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => If direct laryngoscopy is unsuccessful, a video laryngoscope shall be used.
[laiyuan] => 如果直接喉镜检查不成功，应使用视频喉镜。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果直接喉镜检查不成功，应使用视频喉镜。（推荐强度：强）
If direct laryngoscopy is unsuccessful, a video laryngoscope shall be used.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
Array
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[catid] => 303
[title] => German guidelines for airway management 2023
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => A video laryngoscope shall be available at every anesthesia workstation.
[laiyuan] => 每个麻醉工作站均应配备视频喉镜。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
每个麻醉工作站均应配备视频喉镜。（推荐强度：强）
A video laryngoscope shall be available at every anesthesia workstation.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
Array
(
[id] => 1812
[catid] => 293
[title] => German guidelines for airway management 2023
[thumb] =>
[keywords] =>
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[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => If the airway is unexpectedly difficult, a second-generation SGA should be used.
[laiyuan] => 如果意外困难气道，应使用第二代声门上气道装置。（推荐强度：推荐）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果意外困难气道，应使用第二代声门上气道装置。（推荐强度：推荐）
If the airway is unexpectedly difficult, a second-generation SGA should be used.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
Array
(
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[title] => German guidelines for airway management 2023
[thumb] =>
[keywords] =>
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[hits] =>
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => If problems persist, a change to a different size or a different SGA model shall be considered.
[laiyuan] => 如果意外困难气道，应使用第二代声门上气道装置。如果问题仍然存在，应考虑更换不同的尺寸或不同的声门上气道装置模型。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果意外困难气道，应使用第二代声门上气道装置。如果问题仍然存在，应考虑更换不同的尺寸或不同的声门上气道装置模型。（推荐强度：强）
If problems persist, a change to a different size or a different SGA model shall be considered.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
Array
(
[id] => 1814
[catid] => 293
[title] => German guidelines for airway management 2023
[thumb] =>
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[tjqd] =>
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[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => If securing the airway with adequate oxy_x005Fgenation (e.g., mask ventilation possible) remains frustrating, the possibility to return to spontaneous breathing shall be valuated.Depending on the drugs used to induce general anesthesia, antagonism or reversal shall also be considered.
[laiyuan] => 如果用足够的氧合(例如,面罩通气是可能的)来保护气道仍然是令人沮丧的，则应评估恢复自主呼吸的可能性。根据用于诱导全身麻醉的药物不同，也应考虑拮抗或逆转。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果用足够的氧合(例如,面罩通气是可能的)来保护气道仍然是令人沮丧的，则应评估恢复自主呼吸的可能性。根据用于诱导全身麻醉的药物不同，也应考虑拮抗或逆转。（推荐强度：强）
If securing the airway with adequate oxy_x005Fgenation (e.g., mask ventilation possible) remains frustrating, the possibility to return to spontaneous breathing shall be valuated.Depending on the drugs used to induce general anesthesia, antagonism or reversal shall also be considered.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
Array
(
[id] => 1815
[catid] => 293
[title] => German guidelines for airway management 2023
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[status] => 9
[url] => https://www.anes-guide.com/show/1815.html
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => If airway management fails at the first three levels, oxygenation shall be provided via a translaryngeal or transtracheal approach if asphyxia is imminent.
[laiyuan] => 如果气道管理在前三个水平失败，如果窒息即将发生，应通过经喉的或经气管途径提供氧合。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果气道管理在前三个水平失败，如果窒息即将发生，应通过经喉的或经气管途径提供氧合。（推荐强度：强）
If airway management fails at the first three levels, oxygenation shall be provided via a translaryngeal or transtracheal approach if asphyxia is imminent.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
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[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => If mask ventilation is adequate, an alterna_x005Ftive device shall be used that has the greatest chance of success in the situation, is readily available, and the practitioner is experienced with.
[laiyuan] => 如果面罩通气充足，应使用在这种情况下最有可能成功的替代装置，该装置易于获得，且操作者经验丰富。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果面罩通气充足，应使用在这种情况下最有可能成功的替代装置，该装置易于获得，且操作者经验丰富。（推荐强度：强）
If mask ventilation is adequate, an alterna_x005Ftive device shall be used that has the greatest chance of success in the situation, is readily available, and the practitioner is experienced with.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
Array
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[zjfj] =>
[tjqd] =>
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[guojia] => German Society for Anesthesiology and Intensive Ca
[pdf] =>
[tjyjyw] =>
[lyyw] => If mask ventilation is adequate and there is no prospect of success or a risk of airway ob_x005Fstruction, no further attempts to secure the airway shall be made and a return to spontaneous breathing shall be considered. Once spontaneous breathing and/or arousal has been achieved, an alternative procedure can be selected, like that for an anticipated difficult airway.
[laiyuan] => 如果面罩通气足够，且没有成功的前景或气道阻塞的风险，则不应进一步尝试保护气道，应考虑恢复自主呼吸。一旦实现了自主呼吸和/或唤醒，就可以选择替代程序，如预期的困难气道。（推荐强度：强）
[znzldj] => B级
[_inputtime] => 1733973657
[_updatetime] => 1733973657
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果面罩通气足够，且没有成功的前景或气道阻塞的风险，则不应进一步尝试保护气道，应考虑恢复自主呼吸。一旦实现了自主呼吸和/或唤醒，就可以选择替代程序，如预期的困难气道。（推荐强度：强）
If mask ventilation is adequate and there is no prospect of success or a risk of airway ob_x005Fstruction, no further attempts to secure the airway shall be made and a return to spontaneous breathing shall be considered. Once spontaneous breathing and/or arousal has been achieved, an alternative procedure can be selected, like that for an anticipated difficult airway.
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：German Society for Anesthesiology and Intensive Ca
