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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.

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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