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教授一种兔子插管的新方法。

Teaching a new method of rabbit intubation.

作者信息

Morgan Thamus J, Glowaski Maria M

机构信息

Division of Veterinary and Animal Health, Becker College, Leicester, MA, USA.

出版信息

J Am Assoc Lab Anim Sci. 2007 May;46(3):32-6.

PMID:17487950
Abstract

Veterinary technology students were asked to participate in a study comparing 2 methods of teaching endotracheal intubation of rabbits. The first group of students was taught to intubate rabbits by the classic 'sblind' method. This method entailed holding a sternally recumbent rabbit by its head while the intubator listened to breath sounds through a partially passed endotracheal tube inserted through the rabbit's oral cavity. When the rabbit inhaled, the intubator introduced the endotracheal tube to the lower respiratory tract, timing the movement of the endotracheal tube with the opening of the laryngeal inlet. A second technique, based on the blind method of intubation of horses, was taught to a second set of students. In this method, the operator visualizes the condensation of exhalation from the respiratory tract in the transparent silicon endotracheal tube positioned at the rostral larynx. The operator uses this information to advance the endotracheal tube into the airway. All students were successful with both techniques. Although students intubated the rabbits more quickly with the classic blind technique, they expressed unanimous preference for the lateral recumbency method.

摘要

兽医技术专业的学生被要求参与一项研究,该研究比较了两种给兔子进行气管插管的教学方法。第一组学生通过经典的“盲插”方法学习给兔子插管。这种方法需要在兔子仰卧时握住其头部,同时插管者通过一根经兔子口腔部分插入的气管内导管听呼吸音。当兔子吸气时,插管者将气管内导管插入下呼吸道,根据喉入口张开的时间来移动气管内导管。第二种技术是基于马的盲插方法,教授给了另一组学生。在这种方法中,操作者通过位于喉前部的透明硅胶气管内导管观察呼吸道呼出气体的凝结情况。操作者利用这些信息将气管内导管推进气道。所有学生使用这两种技术都取得了成功。尽管学生们用经典盲插技术给兔子插管更快,但他们一致表示更喜欢侧卧位方法。

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