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[间接喉镜检查:气道保护的替代方法]

[Indirect laryngoscopy : Alternatives to securing the airway].

作者信息

Noppens R R, Werner C, Piepho T

机构信息

Klinik für Anästhesiologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Deutschland.

出版信息

Anaesthesist. 2010 Feb;59(2):149-61. doi: 10.1007/s00101-009-1656-3.

Abstract

Endotracheal intubation remains the gold standard for securing the airway in emergency medicine. However, difficult endotracheal intubation and complications are common during emergency intubation. In contrast to conventional direct laryngoscopy, the new generation of devices does not require direct visualization of the vocal cords for endotracheal tube placement. These devices allow a better glottic view and successful endotracheal placement of the tube, especially if direct laryngoscopy is difficult. Recent studies showed that utilization of these devices can be easily learned. The technique of indirect laryngoscopy is currently used for securing the airway in daily anesthesia routine as well as for managing the difficult airway in the operating room. This article gives an overview of available devices for indirect endotracheal intubation as well as the current literature.

摘要

气管插管仍然是急诊医学中确保气道安全的金标准。然而,困难气管插管及并发症在急诊插管过程中很常见。与传统直接喉镜检查不同,新一代设备在放置气管导管时不需要直接观察声带。这些设备能提供更好的声门视野,并成功放置气管导管,尤其是在直接喉镜检查困难的情况下。最近的研究表明,这些设备的使用很容易掌握。间接喉镜技术目前在日常麻醉操作中用于确保气道安全,以及在手术室处理困难气道。本文概述了可用的间接气管插管设备以及当前的文献。

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