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Array ( [id] => 1572 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1572.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => We recommend performing gastric ultrasound to evaluate the likelihood of aspiration in high-risk patients Strong recommendation; low level of evidence [laiyuan] => 我们建议进行胃超声检查来评估高危患者误吸的可能性。 （强烈推荐；证据水平低） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
我们建议进行胃超声检查来评估高危患者误吸的可能性。 （强烈推荐；证据水平低）

We recommend performing gastric ultrasound to evaluate the likelihood of aspiration in high-risk patients Strong recommendation; low level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1573 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1573.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => In obese patients, we recommend using the ramp position or a 30◦ head-up tilt to improve tracheal intubation conditions Strong recommendation; low level of evidence [laiyuan] => 对于肥胖患者，我们建议采用抬高体位或将头部抬高30°的倾斜体位，以改善气管插管条件。（强烈推荐；证据水平低） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
对于肥胖患者，我们建议采用抬高体位或将头部抬高30°的倾斜体位，以改善气管插管条件。（强烈推荐；证据水平低）

In obese patients, we recommend using the ramp position or a 30◦ head-up tilt to improve tracheal intubation conditions Strong recommendation; low level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1574 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1574.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => Ramping prolongs the safe apnoea time in this population (1B). Strong recommendation; moderate level of evidence [laiyuan] => 采用抬高体位可以延长该人群的安全无呼吸时间（1B）。 （强烈推荐；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
采用抬高体位可以延长该人群的安全无呼吸时间（1B）。 （强烈推荐；证据水平中等）

Ramping prolongs the safe apnoea time in this population (1B). Strong recommendation; moderate level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1575 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1575.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => We recommend performing apnoeic oxygenation with high-flow nasal cannulas (NO DESAT/HFNO) Strong recommendation; low level of evidence [laiyuan] => 我们建议使用高流量鼻吸氧进行呼吸暂停氧合（NO DESAT/ HFNO）。（强烈推荐；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
我们建议使用高流量鼻吸氧进行呼吸暂停氧合（NO DESAT/ HFNO）。（强烈推荐；证据水平中等）

We recommend performing apnoeic oxygenation with high-flow nasal cannulas (NO DESAT/HFNO) Strong recommendation; low level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1576 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1576.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => We recommend HFNO as first-line preoxygenation technique for patients with mild hypoxaemia. Strong recommendation; low level of evidence [laiyuan] => 我们推荐高流量鼻吸氧（HFNO）作为轻度缺氧症患者的一线预充氧技术。（强烈推荐；证据水平低） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
我们推荐高流量鼻吸氧（HFNO）作为轻度缺氧症患者的一线预充氧技术。（强烈推荐；证据水平低）

We recommend HFNO as first-line preoxygenation technique for patients with mild hypoxaemia. Strong recommendation; low level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1577 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1577.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => We recommend NIV over conventional oxygen therapy for anaesthesia induction in obese patients. Strong recommendation; moderate level of evidence [laiyuan] => 我们建议在肥胖患者中使用无创通气（NIV）而不是传统氧疗来进行麻醉诱导。（强烈建议；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在肥胖患者中使用无创通气（NIV）而不是传统氧疗来进行麻醉诱导。（强烈建议；证据水平中等）

We recommend NIV over conventional oxygen therapy for anaesthesia induction in obese patients. Strong recommendation; moderate level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1578 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1578.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => We recommend performing neuromuscular blockadeto improve TI conditions and reduce the incidence of intubation-related adverse events in the general population. Strong recommendation; moderate level of evidene [laiyuan] => 我们建议使用神经阻滞以改善气管插管（TI）状况并减少普通人群中插管相关不良事件的发生率。（强烈建议；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
我们建议使用神经阻滞以改善气管插管（TI）状况并减少普通人群中插管相关不良事件的发生率。（强烈建议；证据水平中等）

We recommend performing neuromuscular blockadeto improve TI conditions and reduce the incidence of intubation-related adverse events in the general population. Strong recommendation; moderate level of evidene

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1579 [catid] => 105 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1579.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => The combination rocuronium + sugammadex is not inferior to succinylcholine in RSI Strong recommendation; moderate level of evidence [laiyuan] => 在快速序列诱导（RSI）中罗库溴铵+舒更葡糖的组合并不亚于琥珀胆碱。（强烈建议；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
在快速序列诱导（RSI）中罗库溴铵+舒更葡糖的组合并不亚于琥珀胆碱。（强烈建议；证据水平中等）

The combination rocuronium + sugammadex is not inferior to succinylcholine in RSI Strong recommendation; moderate level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1580 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1580.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => The routine use of VL is recommended over DL as the first-choice TI device. Strong recommendation; moderate level of evidence [laiyuan] => 推荐常规使用视频喉镜而不是直喉镜作为气管插管的首选设备 。（强烈建议；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
推荐常规使用视频喉镜而不是直喉镜作为气管插管的首选设备 。（强烈建议；证据水平中等）

The routine use of VL is recommended over DL as the first-choice TI device. Strong recommendation; moderate level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读
Array ( [id] => 1581 [catid] => 101 [title] => 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. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1581.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => A dynamic or articulating introducer (flex-tip or fibreoptic bronchoscope) is recommended instead of a conventional stylet for TI in patients with difficult airway. Strong recommendation; Low level of evidence [laiyuan] => 对于气管插管困难的患者，推荐使用导丝或插管引导器（尖端弯曲或纤维支气管镜）代替传统的方式。（强烈建议；证据水平低等） [znzldj] => B级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
对于气管插管困难的患者，推荐使用导丝或插管引导器（尖端弯曲或纤维支气管镜）代替传统的方式。（强烈建议；证据水平低等）

A dynamic or articulating introducer (flex-tip or fibreoptic bronchoscope) is recommended instead of a conventional stylet for TI in patients with difficult airway. Strong recommendation; Low level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 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. Part I
原文链接
阅读

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