Критерии оценки качества медицинской помощи.

№	Критерии качества	Уровень достоверности доказательств	Уровень убедительности рекомендаций
1.	Проведена оценка ВДП и прогнозирование «трудных дыхательных путей». Результаты оценки риска трудной масочной вентиляции, трудной установки НВУ, трудной интубации зафиксированы в истории болезни.	3	В-С
2.	При выявлении факторов риска ТДП анестезиолог зафиксировал высокий риск ТДП в истории болезни, сформулировал основной и резервный план действий, организовал присутствие необходимых специалистов и обеспечил наличие необходимого оборудования в операционной.	3	В
3.	Анестезиолог провел преоксигенацию 100% О2 через лицевую маску в течение не менее 3-х минут или до достижения EtO2 > 90% (при наличии мониторинга).	3	В
4.	После безуспешных попыток интубации трахеи с помощью прямой ларингоскопии (не более 2-х попыток) анестезиолог выполнил третью попытку интубации с помощью оборудования для непрямой ларингоскопии (при наличии): видеоларингоскопов со специальными клинками с высокой кривизной для трудной интубации; оптических стилетов; гибкого интубационного эндоскопа.	1-2	А-В
5.	После трех неудачных попыток интубации трахеи анестезиолог выполнил установку НВУ (оптимально – с дренажным каналом), обеспечил надежную защиту ВДП, эффективную вентиляцию.	3	В
6.	В случае безуспешной интубации, безуспешной вентиляции с помощью лицевой маски и/или НВУ анестезиолог незамедлительно, не дожидаясь развития нарушений газообмена, выполнил или организовал выполнение инвазивного доступа к верхним дыхательным путям в варианте экстренной крикотиреотомии.	3	В
7.	Перед выполнением экстубации пациента анестезиолог оценил риск развития во время анестезии нарушений проходимости ВДП и трахеи - выполнил «тест с утечкой», при наличии показаний и условий провел УЗ-исследование ВДП и трахеи, осмотр рото- и гортаноглотки (с помощью ВЛ, ФБС).	3	С

 

 

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