视频喉镜在气道管理中应用的进展 |
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引用本文: | 薛富善,王强,廖旭,熊军,袁玉静.视频喉镜在气道管理中应用的进展[J].麻醉与监护论坛,2010(6):418-425. |
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作者姓名: | 薛富善 王强 廖旭 熊军 袁玉静 |
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作者单位: | 中国医学科学院中国协和医科大学整形外科医院麻醉科,北京市100144 |
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摘 要: | 视频喉镜是能够提供上呼吸道间接视野的新型气管插管设备。在困难气道管理处理方面.与直接喉镜相比.视频喉镜能够改善声门显露的Cormack—Lehane分级,并能在较短时间内达到相同或更高的气管插管成功率。尽管视频喉镜可获得非常好的声门显露.但是应用视频喉镜时插入和推进气管导管有时可发生失败。到目前为止,尚无确切证据表明在正常或困难气道患者视频喉镜应取代直接喉镜。
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关 键 词: | 视频喉镜 气道管理 困难气道 气管插管 |
Advances on Use of Video - Laryngoscopes in Airway Management |
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Authors: | Fu-shan Xue Qiang Wang Xu Liao Jun Xiong Yu-Jing Yuan |
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Institution: | (Department of Anesthesiology, Plostic Surgery Hospital, Chinese Acoclemy of Medical Sciences end Peking Union Mectical College, Beijing 100144, China) |
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Abstract: | Video-laryngoscopes are new intubation devices, which provide an indirect view of the upper airway. In difficult airway management, they improve Cormack-Lehane grade and achieve the same or a higher intubation success rate in less time, compared with direct laryngoscopes. Despite the very good visualization of the glottis, the insertion and advancement of the endotracheal tube with video-laryngoscopes may occasionally fail. So far, there is inconclusive evidence indicating that video-laryngoscopy should replace direct laryngoscopy in patients with normal or difficult airways. |
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Keywords: | video-laryngoscopes airway management difficult airway tracheal intubation |
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