Protocol for Chinese guidelines for perioperative airway management in thoracic surgery (2026 edition)
- VernacularTitle:中国胸外科围手术期气道管理指南（2026版）计划书
- Author:
Xiuyi ZHI
1
;
Lunxu LIU
2
;
Jianxing HE
3
;
Guowei CHE
2
,
4
;
Jian HU
5
Author Information
1. Department of Thoracic Surgery, Xuanwu Hospital of Capital Medical University, Beijing, 100053, P. R. China
2. Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu, 610041, P. R. China
3. Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, P. R. China
4. Lung Cancer Center, West China Hospital of Sichuan University, Chengdu, 610041, P. R. China
5. Department of Thoracic Surgery, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310003, P. R. China
- Collective Name:Writing Committee of Chinese Guidelines for Perioperative Airway Management in Thoracic Surgery (2026 edition), Lung Cancer Medical Education Committee of China Medical Education Association
- Publication Type:Journal Article
- Keywords:
Thoracic surgery;
perioperative;
airway management;
enhanced recovery after surgery;
guidelines;
protocol;
non-intubated minimally invasive;
pulmonary rehabilitation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(06):894-899
- CountryChina
- Language:Chinese
-
Abstract:
Driven by the widespread adoption of minimally invasive thoracic surgical techniques and the deepening integration of enhanced recovery after surgery (ERAS) protocols, evidence-based perioperative airway management has emerged as a pivotal determinant of surgical safety, pulmonary functional recovery, and long-term prognosis. Currently, substantial regional disparities in thoracic surgical expertise persist across China, manifesting as heterogeneity in preoperative assessment standardization, inconsistent airway preparation strategies, divergent approaches to complication prevention, and limited penetration of advanced anesthetic technologies. To promote the standardization of clinical practices in this domain among hospitals at all levels, a multidisciplinary expert consortium has initiated the development of the Chinese Guidelines for Perioperative Airway Management in Thoracic Surgery (2026 edition). This protocol systematically delineates the methodological framework and structural blueprint underpinning the guideline’s formulation. Compared to the 2020 edition, the updated guideline places specific emphasis on refining stratified criteria for preoperative cardiopulmonary reserve assessment, establishing standardized management pathways for non-intubated spontaneous-ventilation techniques, formulating individualized multimodal perioperative pulmonary rehabilitation regimens, and defining precise intervention workflows for persistent postoperative cough. Collectively, these measures aim to further reduce the baseline incidence of perioperative pulmonary complications and to provide robust support for the clinical translation of enhanced recovery principles within the field of thoracic surgery.
