Perioperatives Atemwegsmanagement in der Mund-Kiefer-Gesichts-Chirurgie

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• 作者：Dr. M. Flondor ; M. Jacob ; S. Otto ; C.-P. Cornelius
• 关键词：SchlüsselwörterAtemwegskontrolle ; Anästhesie ; Intubation ; Ventilation ; Laryngoskope
• 刊名：Der MKG-Chirurg
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：10
• 期：1
• 页码：47-59
• 全文大小：
• 刊物主题：Oral and Maxillofacial Surgery; Plastic Surgery; Otorhinolaryngology; Head and Neck Surgery; Dentistry;
• 出版者：Springer Medizin
• ISSN：1865-9667
• 卷排序：10

文摘

Airway management in oral and maxillofacial surgery with the patient under general anesthesia is especially demanding. The anatomical airway structures can be compromised by congenital malformations and acquired pathologies. Therefore, a thorough preoperative patient evaluation by an experienced anesthesiologist is mandatory in order to find the safest strategy for securing the airway. Airway management is only successful with trained interdisciplinary cooperation and a differentiated application of the various techniques. Fiberoptic intubation of the awake patient remains the gold standard for difficult airways. In cases of an unexpected difficult airway, an experienced anesthesiologist can in most cases establish a secure airway by using modern devices, such as video laryngoscopes.