天津医药 ›› 2025, Vol. 53 ›› Issue (10): 1098-1104.doi: 10.11958/20251687

• 综述 • 上一篇    下一篇

人工智能在气道管理方面的研究进展

李佳蓉1(), 朱晓敏1, 赵晓赟2,()   

  1. 1 天津大学医学院(邮编 300072)
    2 天津大学胸科医院呼吸与危重症医学科
  • 收稿日期:2025-04-22 修回日期:2025-07-10 出版日期:2025-10-15 发布日期:2025-10-12
  • 通讯作者: E-mail:zxydoctor@163.com
  • 作者简介:李佳蓉(1998),女,硕士在读,主要从事气道管理、人工智能方面研究。E-mail:doctorl98@163.com
  • 基金资助:
    国家临床重点专科建设项目;天津市医学重点学科(专科)项目(TJYXZDXK-049A);天津市卫生健康科技临床重点专项(TJWJ2024ZK003)

Advances in artificial intelligence for airway management of intubated patients

LI Jiarong1(), ZHU Xiaomin1, ZHAO Xiaoyun2,()   

  1. 1 Medical School of Tianjin University, Tianjin 300072, China
    2 Department of Respiratory and Critical Care Medicine, Tianjin University Chest Hospital
  • Received:2025-04-22 Revised:2025-07-10 Published:2025-10-15 Online:2025-10-12
  • Contact: E-mail:zxydoctor@163.com

摘要:

气道管理是危重患者救治的关键环节,尽管传统的气道管理方法在一定程度上有效,但仍面临诸多挑战,如困难气道、气管插管延迟、气管导管移位、难以预测的气道并发症以及机械通气撤机失败等。人工智能(AI)不但可用于患者生命体征的实时监测、呼吸机参数的动态调整、气道并发症的监测与评估以及辅助机器人插管等领域,还能够基于大数据建立预测模型,帮助降低机械通气患者的损伤风险,并辅助临床医生及时作出决策。该文综述了AI在气道管理中的研究进展,探讨了AI使用过程中可能面临的问题,并对AI在未来气道管理中发挥的作用进行了展望。

关键词: 人工智能, 气道管理, 插管法, 气管内, 呼吸, 人工, 困难气道, 机器人气管插管

Abstract:

Airway management is a critical component of critical patient care. Although traditional methods of airway management are effective to some extent, they still face many challenges, such as difficult airways, delayed endotracheal intubation, endotracheal tube migration, unpredictable airway complications and failure to mechanical ventilation weaning. Artificial intelligence (AI), a technological tool with advanced algorithms, offers important innovations to improve the safety and efficiency of airway management with its multimodal data integration and real-time decision support capabilities. For example, AI can be used in areas such as real-time monitoring of patients' vital signs, dynamic adjustment of ventilator parameters, monitoring and assessment of airway complications, and assisted robotic tracheal intubation. In addition, AI is able to build predictive models based on big data to help reduce the risk of injury in mechanically ventilated patients and assist clinicians in making timely decisions. This paper reviews the research progress of AI in airway management and discusses issues of privacy and security, ethics, model performance and interpretability that may be faced during the use of AI, and looks forward to a more active role for AI in airway management in future.

Key words: artificial intelligence, airway management, intubation, intratracheal, respiration, artificial, difficult airway, robotic endotracheal intubation

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