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在麻醉快速顺序诱导期间患者应该接受手动通气吗?

Should patients be manually ventilated during rapid sequence induction of anaesthesia?

作者信息

Clements Paul, Washington Stephen J, McCluskey Anthony

机构信息

Department of Anesthesia, Stepping Hill Hospital, Stockport, UK.

出版信息

Br J Hosp Med (Lond). 2009 Jul;70(7):424. doi: 10.12968/hmed.2009.70.7.43138.

DOI:10.12968/hmed.2009.70.7.43138
PMID:19584792
Abstract

Pulmonary aspiration of gastric contents has been recognized as a cause of significant morbidity and mortality during anaesthesia since the classic publication by Mendelson in 1946. The introduction of suxamethonium 5 years later allowed tracheal intubation to be achieved under complete muscle relaxation within 1 minute of induction of anaesthesia. In 1961 Sellick described the use of cricoid pressure to prevent gastric regurgitation.

摘要

自1946年门德尔松发表经典论文以来,胃内容物的肺误吸一直被认为是麻醉期间导致严重发病和死亡的原因。5年后琥珀胆碱的引入,使得在麻醉诱导后1分钟内即可在完全肌肉松弛的状态下完成气管插管。1961年,塞利克描述了使用环状软骨压迫法来防止胃反流。

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Should patients be manually ventilated during rapid sequence induction of anaesthesia?在麻醉快速顺序诱导期间患者应该接受手动通气吗?
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The efficacy of cricoid pressure in preventing gastro-oesophageal reflux in rapid sequence induction of anaesthesia.环状软骨压迫在快速顺序诱导麻醉中预防胃食管反流的效果。
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Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 1: Cricoid pressure in emergency rapid sequence induction.循证急救医学:曼彻斯特皇家医院最佳临床实践。BET1:急诊快速序贯诱导时环状软骨压迫。
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Gastric reflux and pulmonary aspiration in anaesthesia.麻醉中的胃反流与肺误吸
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[Prevention of regurgitation and aspiration during emergency care of patients under general anesthesia].[全身麻醉下患者急救期间反流与误吸的预防]
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[Induction of anaesthesia and intubation in children with a full stomach. Time to rethink!].[饱胃儿童的麻醉诱导与插管。是时候重新思考了!]
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Thiopentone-suxamethonium mixture. A method for reducing the aspiration hazard during induction of anaesthesia.硫喷妥钠-琥珀胆碱合剂。一种降低麻醉诱导期间误吸风险的方法。
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Cricoid pressure: indications and complications.环状软骨压迫:适应症与并发症
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Assessment of effectiveness of cricoid pressure in preventing gastric insufflation during bag and mask ventilation: A randomized controlled trial.环状软骨压迫在面罩通气时预防胃胀气效果的评估:一项随机对照试验
Saudi J Anaesth. 2018 Oct-Dec;12(4):606-611. doi: 10.4103/sja.SJA_240_18.