Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology
The following key questions and recommendations are presented herein: when is airway intubation initiated in severe trauma? Airway intubation must be initiated in severe trauma patients with a GCS of 8 or lower (1B). Should rapid sequence intubation (RSI) be performed in trauma patients? RSI should...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2020-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0050.pdf |
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| author | Chan Yong Park O Hyun Kim Sung Wook Chang Kang Kook Choi Kyung Hak Lee Seong Yup Kim Maru Kim Gil Jae Lee Korean Society of Traumatology (KST) Clinical Research Group |
| author_facet | Chan Yong Park O Hyun Kim Sung Wook Chang Kang Kook Choi Kyung Hak Lee Seong Yup Kim Maru Kim Gil Jae Lee Korean Society of Traumatology (KST) Clinical Research Group |
| author_sort | Chan Yong Park |
| collection | DOAJ |
| description | The following key questions and recommendations are presented herein: when is airway intubation initiated in severe trauma? Airway intubation must be initiated in severe trauma patients with a GCS of 8 or lower (1B). Should rapid sequence intubation (RSI) be performed in trauma patients? RSI should be performed in trauma patients to secure the airway unless it is determined that securing the airway will be problematic (1B). What should be used as an induction drug for airway intubation? Ketamine or etomidate can be used as a sedative induction drug when RSI is being performed in a trauma patient (2B). If cervical spine damage is suspected, how is cervical protection achieved during airway intubation? When intubating a patient with a cervical spine injury, the extraction collar can be temporarily removed while the neck is fixed and protected manually (1C). What alternative method should be used if securing the airway fails more than three times? If three or more attempts to intubate the airway fail, other methods should be considered to secure the airway (1B). Should trauma patients maintain normal ventilation after intubation? It is recommended that trauma patients who have undergone airway intubation maintain normal ventilation rather than hyperventilation or hypoventilation (1C). When should resuscitative thoracotomy be considered for trauma patients? Resuscitative thoracotomy is recommended for trauma patients with penetrating injuries undergoing cardiac arrest or shock in the emergency room (1B). |
| format | Article |
| id | doaj-art-368963a5400f448facf165475189c7e3 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-368963a5400f448facf165475189c7e32025-01-08T08:08:32ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-09-0133319520310.20408/jti.2020.00501036Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of TraumatologyChan Yong Park0O Hyun Kim1Sung Wook Chang2Kang Kook Choi3Kyung Hak Lee4Seong Yup Kim5Maru Kim6Gil Jae Lee7Korean Society of Traumatology (KST) Clinical Research Group Department of Trauma Surgery, Wonkwang University Hospital, Iksan, Korea Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Traumatology, Gachon University College of Medicine, Incheon, Korea Department of Orthopedic Surgery, National Medical Center, Seoul, Korea Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Trauma Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea Department of Traumatology, Gachon University College of Medicine, Incheon, KoreaThe following key questions and recommendations are presented herein: when is airway intubation initiated in severe trauma? Airway intubation must be initiated in severe trauma patients with a GCS of 8 or lower (1B). Should rapid sequence intubation (RSI) be performed in trauma patients? RSI should be performed in trauma patients to secure the airway unless it is determined that securing the airway will be problematic (1B). What should be used as an induction drug for airway intubation? Ketamine or etomidate can be used as a sedative induction drug when RSI is being performed in a trauma patient (2B). If cervical spine damage is suspected, how is cervical protection achieved during airway intubation? When intubating a patient with a cervical spine injury, the extraction collar can be temporarily removed while the neck is fixed and protected manually (1C). What alternative method should be used if securing the airway fails more than three times? If three or more attempts to intubate the airway fail, other methods should be considered to secure the airway (1B). Should trauma patients maintain normal ventilation after intubation? It is recommended that trauma patients who have undergone airway intubation maintain normal ventilation rather than hyperventilation or hypoventilation (1C). When should resuscitative thoracotomy be considered for trauma patients? Resuscitative thoracotomy is recommended for trauma patients with penetrating injuries undergoing cardiac arrest or shock in the emergency room (1B).http://www.jtraumainj.org/upload/pdf/jti-2020-0050.pdfairway managementthoracotomypractice guidelinewounds and injuries |
| spellingShingle | Chan Yong Park O Hyun Kim Sung Wook Chang Kang Kook Choi Kyung Hak Lee Seong Yup Kim Maru Kim Gil Jae Lee Korean Society of Traumatology (KST) Clinical Research Group Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology Journal of Trauma and Injury airway management thoracotomy practice guideline wounds and injuries |
| title | Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology |
| title_full | Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology |
| title_fullStr | Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology |
| title_full_unstemmed | Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology |
| title_short | Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology |
| title_sort | part 3 clinical practice guideline for airway management and emergency thoracotomy for trauma patients from the korean society of traumatology |
| topic | airway management thoracotomy practice guideline wounds and injuries |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0050.pdf |
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