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喉罩气道会影响环状软骨压迫吗?

Does the laryngeal mask airway compromise cricoid pressure?

作者信息

Strang T I

机构信息

Department of Anaesthetics, Royal Albert Edward Infirmary, Wigan.

出版信息

Anaesthesia. 1992 Oct;47(10):829-31. doi: 10.1111/j.1365-2044.1992.tb03138.x.

DOI:10.1111/j.1365-2044.1992.tb03138.x
PMID:1443470
Abstract

The laryngeal mask airway was inserted in 10 cadavers. At postmortem the chest was opened and an infusion set primed with a dilute barium solution was inserted into the oesophagus and ligated in place. A cricoid force of 43 N was then applied and the infusion set was positioned so that when the clamp was opened it generated a pressure of 7.8 kPa within the oesophagus. The cricoid pressure was able to stop the flow of fluid into the oesophagus. This demonstrates that cricoid pressure is effective in preventing reflux at intragastric pressures which are encountered clinically and the presence of the laryngeal mask airway does not compromise this.

摘要

在10具尸体上插入喉罩气道。尸检时打开胸腔,将预先用稀释钡剂溶液灌注的输液器插入食管并结扎固定。然后施加43 N的环状软骨压力,并将输液器放置好,以便在打开夹子时在食管内产生7.8 kPa的压力。环状软骨压力能够阻止液体流入食管。这表明环状软骨压力在临床上遇到的胃内压力下能有效防止反流,且喉罩气道的存在不会影响这一效果。

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1
Does the laryngeal mask airway compromise cricoid pressure?喉罩气道会影响环状软骨压迫吗?
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Cricoid pressure impedes placement of the laryngeal mask airway.环状软骨压迫会妨碍喉罩气道的放置。
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Airway difficulties caused by improperly applied cricoid pressure.不当应用环状软骨压迫导致的气道困难。
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Laryngeal mask airway insertion using cricoid pressure and manual in-line neck stabilisation.使用环状软骨压迫法和手动轴向颈部固定法插入喉罩气道。
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Cricoid pressure may prevent insertion of the laryngeal mask airway.环状软骨压迫可能会妨碍喉罩气道的插入。
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Cricoid pressure impedes placement of the laryngeal mask airway and subsequent tracheal intubation through the mask.环状软骨压迫会妨碍喉罩气道的放置以及随后通过喉罩进行气管插管。
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Regurgitation and oesophageal rupture with cricoid pressure: a cadaver study.环状软骨加压导致的反流与食管破裂:一项尸体研究
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Cricoid pressure applied after placement of the laryngeal mask prevents gastric insufflation but inhibits ventilation.喉罩置入后施加环状软骨压迫可防止胃内充气,但会抑制通气。
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