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[声门下气道通路:环甲膜切开术]

[Subglottic airway access: cricothyrotomy].

作者信息

Cortiñas Díaz J, López-de Abajo Rodríguez B, Costa Mourullo J

机构信息

Servicio de Anestesiología, Hospital Clínico Universitario de Santiago de Compostela.

出版信息

Rev Esp Anestesiol Reanim. 2011 Dec;58(10):595-601.

Abstract

The anesthesiologist's chief responsibility is to ensure ventilation of the patient who is undergoing surgery or to apply resuscitation measures in life-threatening situations. Cricothyrotomy is one among many options available for maintaining airway patency. Usually it is the last resort but can be a lifesaving maneuver in the cannot-intubate, cannot-ventilate patient. The various types include cannula insertion, percutaneous puncture and dilatation, and surgical cricothyrotomy; techniques may be combined, as in the case of surgically inserting a cannula over a trocar.

摘要

麻醉医生的主要职责是确保正在接受手术的患者通气,或在危及生命的情况下采取复苏措施。环甲膜切开术是维持气道通畅的众多选择之一。通常它是最后的手段,但对于无法插管、无法通气的患者来说,它可能是一种挽救生命的操作。其类型包括套管插入、经皮穿刺扩张和外科环甲膜切开术;技术可以结合使用,比如通过套管针外科插入套管的情况。

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