Array
(
[id] => 1536
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
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[description] =>
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[author] => 甘肃中医院
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend the use of apnoeic oxygenation during tracheal intubation in neonates (1B).
[laiyuan] => 建议在新生儿气管插管时使用窒息氧合（1B）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在新生儿气管插管时使用窒息氧合（1B）。
We recommend the use of apnoeic oxygenation during tracheal intubation in neonates (1B).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1537
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
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[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => Cuffed and uncuffed tubes can both be safely used (cuffed tubes in children >3 kg) (1C).
[laiyuan] => 在困难插管时，带套囊导管和无套囊导管均可安全使用，（体重>3 kg的婴幼儿使用带套囊导管）（1C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在困难插管时，带套囊导管和无套囊导管均可安全使用，（体重>3 kg的婴幼儿使用带套囊导管）（1C）。
Cuffed and uncuffed tubes can both be safely used (cuffed tubes in children >3 kg) (1C).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1538
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
[status] => 9
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest defining unanticipated difficult intu_x005fbation as: ‘two failed tracheal intubation attempts’ to facilitate(i) comparison between studies and (ii) assessment of the effectiveness of interventions (2C).
[laiyuan] => 建议将意外插管困难定义为：“两次失败的气管插管尝试”，以便于(i)比较不同研究，(ii)评估干预措施的有效性 （2C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议将意外插管困难定义为：“两次失败的气管插管尝试”，以便于(i)比较不同研究，(ii)评估干预措施的有效性 （2C）。
We suggest defining unanticipated difficult intu_x005fbation as: ‘two failed tracheal intubation attempts’ to facilitate(i) comparison between studies and (ii) assessment of the effectiveness of interventions (2C).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1539
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend use of a supraglottic airway device for rescue oxygenation and ventilation when tracheal intubation has failed or if face mask ventilation is inadequate (1B).
[laiyuan] => 当气管插管失败或面罩通气不足时，建议使用声门上气道设备进行抢救性吸氧和通气（1B）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当气管插管失败或面罩通气不足时，建议使用声门上气道设备进行抢救性吸氧和通气（1B）。
We recommend use of a supraglottic airway device for rescue oxygenation and ventilation when tracheal intubation has failed or if face mask ventilation is inadequate (1B).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1540
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/38065762/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend development of a multi_x005fdisciplinary consensus based tracheal intubation cognitive aid for neonates and infants to harmonise clinical practices and potentially reduce tracheal intubation related morbidity and mortality and to enable assessment of long term outcomes(1C).
[laiyuan] => 建议开发基于多学科共识的新生儿和婴儿气管插管认知辅助设备，以协调临床实践，降低气管插管相关的发病率和死亡率，并能够评估长期结果（1C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议开发基于多学科共识的新生儿和婴儿气管插管认知辅助设备，以协调临床实践，降低气管插管相关的发病率和死亡率，并能够评估长期结果（1C）。
We recommend development of a multi_x005fdisciplinary consensus based tracheal intubation cognitive aid for neonates and infants to harmonise clinical practices and potentially reduce tracheal intubation related morbidity and mortality and to enable assessment of long term outcomes(1C).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1541
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1541.html
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend limiting the number of tracheal intubation attempts by reassessing the clinical con_x005fdition and by considering a change to a different technique,different provider, or both after each attempt (1C).
[laiyuan] => 我们建议限制气管插管尝试的次数，方法是重新评估临床情况，并考虑在每次尝试后改用不同的技术、不同的医疗服务提供者或两者兼而有之（1C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议限制气管插管尝试的次数，方法是重新评估临床情况，并考虑在每次尝试后改用不同的技术、不同的医疗服务提供者或两者兼而有之（1C）。
We recommend limiting the number of tracheal intubation attempts by reassessing the clinical con_x005fdition and by considering a change to a different technique,different provider, or both after each attempt (1C).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1542
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1542.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend use of a stylet to rein_x005fforce and preshape tracheal tubes when a hyperangulated laryngoscope blade is used or when the larynx is anatomically anterior (1C).
[laiyuan] => 当使用高角度喉镜片或前位喉时，建议使用管芯加固和预成型气管导管（1C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当使用高角度喉镜片或前位喉时，建议使用管芯加固和预成型气管导管（1C）。
We recommend use of a stylet to rein_x005fforce and preshape tracheal tubes when a hyperangulated laryngoscope blade is used or when the larynx is anatomically anterior (1C).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1543
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1543.html
[link_id] => 0
[tableid] => 0
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/38065762/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend flexible bronchoscopy by the nasal route in case of restricted mouth opening (1C).
[laiyuan] => 在开口受限的情况下建议通过鼻腔进行柔性支气管镜检查（1C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在开口受限的情况下建议通过鼻腔进行柔性支气管镜检查（1C）。
We recommend flexible bronchoscopy by the nasal route in case of restricted mouth opening (1C).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1544
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1544.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest use of a rigid bronchoscope as an advanced technique when the laryngeal inlet is obstructed by swelling and in cases of upper airway stenosis or compression or in congenital or postsurgical tracheal constriction or tor_x005ftuosity (2C). If necessary, a multidisciplinary team (including an otolaryngologist) should be involved.
[laiyuan] => 当喉入口因肿胀阻塞、上气道狭窄或压迫、先天性或术后气管狭窄或扭曲时，建议使用刚性支气管镜作为一种先进技术（2C）。如有必要，应由一个多学科小组（包括耳鼻喉科医生）参与。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当喉入口因肿胀阻塞、上气道狭窄或压迫、先天性或术后气管狭窄或扭曲时，建议使用刚性支气管镜作为一种先进技术（2C）。如有必要，应由一个多学科小组（包括耳鼻喉科医生）参与。
We suggest use of a rigid bronchoscope as an advanced technique when the laryngeal inlet is obstructed by swelling and in cases of upper airway stenosis or compression or in congenital or postsurgical tracheal constriction or tor_x005ftuosity (2C). If necessary, a multidisciplinary team (including an otolaryngologist) should be involved.
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1545
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1545.html
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[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend immediate verification of successful intubation with both clinical assessment (bilateral and symmetrical breath sounds) and end-tidal carbon dioxide (EtCO2) with sustained EtCO2 waveforms. In cases of difficult intubation or complex patients, use of videolaryngoscopy for a second look, in combination with EtCO2 waveforms and ul-_x005ftrasonography, should be considered to confirm successful tracheal intubation (1C).
[laiyuan] => 建议立即通过临床评估双侧和对称呼吸音和持续呼气末二氧化碳分压（EtCO2）波形来验证插管成功。对于插管困难或情况复杂的患者，应考虑使用视频喉镜进行二次检查，并结合EtCO2波形和超声检查，以确认气管插管成功（1C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议立即通过临床评估双侧和对称呼吸音和持续呼气末二氧化碳分压（EtCO2）波形来验证插管成功。对于插管困难或情况复杂的患者，应考虑使用视频喉镜进行二次检查，并结合EtCO2波形和超声检查，以确认气管插管成功（1C）。
We recommend immediate verification of successful intubation with both clinical assessment (bilateral and symmetrical breath sounds) and end-tidal carbon dioxide (EtCO2) with sustained EtCO2 waveforms. In cases of difficult intubation or complex patients, use of videolaryngoscopy for a second look, in combination with EtCO2 waveforms and ul-_x005ftrasonography, should be considered to confirm successful tracheal intubation (1C).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
