The 1991 Fraser Gurd Lecture: evolution of airway control in the management of injured patients.

摘要: The evolution of methods for airway control has been an important factor in improving overall trauma care. Many advances have made technique, tubes, and timing. Current are listed Table 2 categorized as emergency or elective. It is always assumed that basic life support techniques will be place before this hierarchic scheme used. Unfortunately, hypoxemia continues to a preventable deaths. There much done the future further improve management injured patients. immediate need assess pre-hospital phase using randomized clinical trial. ideal tube cricothyroidotomy, tracheostomy, endotracheal intubation remains designed. multicenter trials on timing tracheostomy critical care unit. role differential ventilators unilateral pulmonary parenchymal injury requires validation. Intravascular membrane oxygenators proposed advanced insufficiency ventilated patient. Thus, while many strides following trauma, there remain great challenges addressing persistent problem systemic after multiple injuries.