Challenges in Intensive Care Airway Management: A Comprehensive Review

Joana Berger-Estilita; Ekin Köselerli; Mustafa Kemal Bayar; Başak Ceyda Meço

doi:10.4274/atfm.galenos.2024.16769

EN TR

Challenges in Intensive Care Airway Management: A Comprehensive Review

Abstract

Bu derleme, yoğun bakım ünitelerinde (YBÜ) zor havayolu yönetiminin zorluklarını ele almaktadır. Amerikan Anestezi Uzmanları Derneği kılavuzlarına göre zor havayolu yönetimini beş sınıfa ayırıyoruz. Derleme, zor havayolu olgularının YBÜ’lerde operasyon odalarına kıyasla daha yüksek oluşunu vurgulamakta; bu durumun nedenleri arasında yoğun bakım hastalarının kritik durumu, sıvı terapisi komplikasyonları ve birçok entübasyonun acil niteliği bulunmaktadır. Geleneksel anatomik indekslerin zor havayollarını tahmin etmedeki etkinliğini tartışıp, bunların sınırlı tahmin değerlerine dikkat çekmeyi amaçlıyoruz. Ayrıca, YBÜ için üç potansiyel senaryoya uyum sağlayan bir zor havayolu algoritması öneriyoruz; öngörülen, beklenmeyen ve kritik “Entübe Edememe-Havalandıramama” durumları. Bu algoritma, zor havayolu senaryolarında karar almayı kolaylaştırmak için tasarlanmış bilişsel bir araç olan Vortex Yaklaşımı ile tamamlanmaktadır. YBÜ havayolu yönetiminde uzmanlaşmış eğitim, ekipman hazırlığı ve işbirlikçi ekip yaklaşımı ihtiyacını vurgulayan Ulusal Denetim Projesi 4’ten uyarlanan en iyi uygulama önerileriyle sonuca varıyoruz.

Keywords

Airway management, intensive care, intubation

Ethical Statement

J.B.-E., B.C.M., Concept: M.K.B., B.C.M., Design: J.B.-E., B.C.M., Data Collection and/or Processing: E.K., M.K.B., Analysis and/or Interpretation: J.B.-E., M.K.B., Literature Search: E.K., B.C.M., Writing: J.B.-E., E.K.

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Details

Primary Language

English

Subjects

Anaesthesiology

Journal Section

Review

Authors

Joana Berger-Estilita ^* This is me
0000-0002-8695-4264
Switzerland

Ekin Köselerli This is me
0009-0002-5570-5983
Türkiye

Mustafa Kemal Bayar This is me
0000-0002-0506-4869
Türkiye

Başak Ceyda Meço
0000-0003-2951-9634
Türkiye

Publication Date

October 10, 2024

Submission Date

March 21, 2024

Acceptance Date

July 30, 2024

Published in Issue

Year 2024 Volume: 77 Number: 3

DOI

https://doi.org/10.4274/atfm.galenos.2024.16769

IZ

https://izlik.org/JA98RP46CG

APA

Berger-Estilita, J., Köselerli, E., Bayar, M. K., & Meço, B. C. (2024). Challenges in Intensive Care Airway Management: A Comprehensive Review. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 77(3), 231-238. https://doi.org/10.4274/atfm.galenos.2024.16769

AMA

1.Berger-Estilita J, Köselerli E, Bayar MK, Meço BC. Challenges in Intensive Care Airway Management: A Comprehensive Review. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2024;77(3):231-238. doi:10.4274/atfm.galenos.2024.16769

Chicago

Berger-Estilita, Joana, Ekin Köselerli, Mustafa Kemal Bayar, and Başak Ceyda Meço. 2024. “Challenges in Intensive Care Airway Management: A Comprehensive Review”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 77 (3): 231-38. https://doi.org/10.4274/atfm.galenos.2024.16769.

EndNote

Berger-Estilita J, Köselerli E, Bayar MK, Meço BC (October 1, 2024) Challenges in Intensive Care Airway Management: A Comprehensive Review. Ankara Üniversitesi Tıp Fakültesi Mecmuası 77 3 231–238.

IEEE

[1]J. Berger-Estilita, E. Köselerli, M. K. Bayar, and B. C. Meço, “Challenges in Intensive Care Airway Management: A Comprehensive Review”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 77, no. 3, pp. 231–238, Oct. 2024, doi: 10.4274/atfm.galenos.2024.16769.

ISNAD

Berger-Estilita, Joana - Köselerli, Ekin - Bayar, Mustafa Kemal - Meço, Başak Ceyda. “Challenges in Intensive Care Airway Management: A Comprehensive Review”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 77/3 (October 1, 2024): 231-238. https://doi.org/10.4274/atfm.galenos.2024.16769.

JAMA

1.Berger-Estilita J, Köselerli E, Bayar MK, Meço BC. Challenges in Intensive Care Airway Management: A Comprehensive Review. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2024;77:231–238.

MLA

Berger-Estilita, Joana, et al. “Challenges in Intensive Care Airway Management: A Comprehensive Review”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 77, no. 3, Oct. 2024, pp. 231-8, doi:10.4274/atfm.galenos.2024.16769.

Vancouver

1.Joana Berger-Estilita, Ekin Köselerli, Mustafa Kemal Bayar, Başak Ceyda Meço. Challenges in Intensive Care Airway Management: A Comprehensive Review. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2024 Oct. 1;77(3):231-8. doi:10.4274/atfm.galenos.2024.16769

Challenges in Intensive Care Airway Management: A Comprehensive Review

Challenges in Intensive Care Airway Management: A Comprehensive Review

Abstract

Keywords

Ethical Statement

Yoğun Bakım Havayolu Yönetimindeki Zorluklar: Kapsamlı Bir Derleme

Abstract

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

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