Tracheal intubation in the lateral position in emergency medicine:a narrative review and clinical protocol  

作　　者：Ping Cui Tingting Wen Bingduo Wang Shuijing Wu Shiyu Chen Xiangming Fang TILP consortium 

机构地区：[1]Department of Anesthesiology,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310058,China [2]The members of the TILP consortium are listed at the end of the manuscript and should be granted the group authorship

出　　处：《World Journal of Emergency Medicine》2025年第2期103-112,共10页世界急诊医学杂志(英文)

基　　金：National Natural Science Foundation of China(U24A20714 to XMF and 82102238 to PC)。

摘　　要：BACKGROUND:Tracheal intubation(TI)is a fundamental procedure for securing the airway or assisting ventilation in emergency medicine.Tracheal intubation in the lateral position(TILP)has been utilized in clinical practice,demonstrating potential advantages in specific scenarios,including emergency settings.However,there is a lack of comprehensive reviews and practical protocols on TILP application.To address this gap,we performed a narrative review,and provided evidence-based recommendations to formulate a practice protocol,to assist clinicians to effectively apply TILP.METHODS:We conducted a narrative review of TILP applications and developed recommendations based on clinical research evidence and clinical experience.Delphi method was used among the TILP consortium to grade the strength of the recommendations and to help reach consensus.The practice protocols were formulated as warranted by advancements in medical knowledge,technology,and practice.RESULTS:This narrative review summarized the current evidence on TILP application,highlighting its safety,efficacy,challenges,and potential complications.In total,24 recommendations and a clinical protocol for TILP application in emergency patients were established.CONCLUSION:TILP is a valuable technique in emergency medicine.We reviewed its application in emergency settings and formulated recommendations along with a clinical practice protocol.Future studies are needed to evaluate the safety and efficacy of TILP,broaden its scope of application,and explore effective training protocols.

关 键 词：Tracheal intubation Lateral position Emergency medicine Critical care 

分 类 号：R459.7[医药卫生—急诊医学]