Abstract：
The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factors, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care. The document provides evidence-based recommendations, theoretical-educational tools, and implementation tools, mainly cognitive aids, applicable to airway management in the fields of anesthesiology, critical care, emergencies, and prehospital medicine. For this purpose, an extensive literature search was conducted following PRISMA-R guidelines and was analyzed using the GRADE methodology. Recommendations were formulated according to the GRADE methodology. Recommendations for sections with low-quality evidence were based on expert opinion through consensus reached via a Delphi questionnaire.
摘要：
西班牙麻醉学学会的气道管理部门，复苏,疼痛治疗（SEDAR）西班牙急诊医学学会（SEMES），西班牙耳鼻咽喉头颈外科学会（SEORL-CCC）提出了成人患者困难气道综合管理指南。它的原则集中在人的因素上，在危急情况下决策的认知过程，以及优化策略应用的进展，以保持充足的肺泡氧合，以提高安全性和护理质量。该文件提供了基于证据的建议，理论教育工具，和实施工具，主要是认知辅助，适用于麻醉领域的气道管理，重症监护,紧急情况,和院前医学。为此,我们遵循PRISMA-R指南进行了广泛的文献检索,并使用GRADE方法进行了分析.建议是根据GRADE方法制定的。针对低质量证据部分的建议基于专家意见，通过Delphi问卷达成共识。
