Author/Editor		Prosen, Gregor
Title		Oskrba dihalne poti v predbolnišničnem okolju
Translated title		Airway management in prehospital environment
Type		članek
Source		In: Zbornik predavanj Ljubljana : Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Sekcija reševalcev v zdravstvu
Publication year		2011
Volume		str. 7-18
Language		slv
Abstract		Oskrba dihalne poti ter zadostna oksigenacija in ventilacija sta prva nujna koraka pri oskrbi kritično bolnega (ABCDE pristop). Za pravočasno oskrbo dihalne poti je potrebna takojšnja prepoznava ogroženosti ter hitro, usklajeno ter predvsem uspešno ukrepanje. Za zagotovitev dihalne poti imamo na voljo osnovne in napredne postopke/pripomočke. Vsak reševalec mora biti brezpogojno usposobljen za oskrbo dihalne poti z osnovnimi postopki/pripomočki in poznati zaporedje pri naprednih metodah oskrbe dihalne poti. Zlati standard in končna metoda je endotrahealna intubacija, ki jo v urgentni medicini opravimo po metodi RSI oz. kateri od primernih modifikacij le-te. Ker gre pri RSI za globoko sedacijo in mišično paralizo za uspešnejšo vstavitev endotrahealnega tubusa, ni možnega nobenega popravnega izpita - ob neuspešni oskrbi dihalne poti oz. vsaj oksigenaciji sledi smrt. Zato se je na RSI postopek intubacije potrebno pripraviti, predvsem pa biti sposoben dihalno pot oskrbeti tudi z drugimi rešujočimi postopki oz. pripomočki (plan B in plan C!).Airway management and adequate oxygenation and ventilation are first essential steps in resuscitation (ABCDE approach). Timely airway manegement demands immediate assesment and quick, coordinated and successful actions. There are basic and advanced airway management techniques at our disposal. Every rescuer should be unequivocally versed at basic basic airway management tools and techniques and familiar with advanced airway management techniques. Golden standard and ultimate method of airway securment is endotracheal intubation by RSI or one of it;s established modifications. Due to deep sedation and muscular paralysis that RSI entails, there is no room for failureof airway establishment of at least some sort - with unsuccessful oxygenation, death is imminent! Due to high stakes involved with airway management in prehospital area, whole terms must be thorougly prepared for initial and rescue techniques (plan B and plan C!).
Descriptors		Respiration Dihanje Intubation, Intratracheal Intratrahealna intubacija Airway Management Dihalna pot, oskrba Emergency Medicine Nujna medicina