Прогнозирование трудных дыхательных путей в практике врача – анестезиолога-реаниматолога

Трудные дыхательные пути (ТДП) являются причиной развития опасных, порой жизнеугрожающих осложнений в практике анестезиологии и интенсивной медицины. Тщательное выявление предикторов является залогом раннего распознавания этой ситуации.

Рассмотрены различные методы выявления предикторов ТДП, связанных с выполнением как отдельных прогностических тестов, так и комплексного подхода, основанного на сочетании методов оценки дыхательных путей. Представлены наиболее известные шкалы: Wilson, LEMON, El-Ganzouri. Отдельный раздел статьи направлен на ознакомление с объективными методами, связанными с применением инструментальной техники (рентгенография, ультразвуковое исследование, компьютерная томография), отмечены ультразвуковые и радиологические признаки, ассоциируемые с развитием ТДП.

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