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成人硬质支气管镜检查的麻醉

Anesthesia for adult rigid bronchoscopy.

作者信息

Dincq A S, Gourdin M, Collard E, Ocak S, D'Odémont J P, Dahlqvist C, Lacrosse D, Putz L

出版信息

Acta Anaesthesiol Belg. 2014;65(3):95-103.

Abstract

Rigid bronchoscopy under general anesthesia enables performing diagnostic and/or therapeutic procedures in the tracheobronchial tree. This technique is characterized by specific technical problems, insofar as the anesthesiologist and the operators share the same space, namely the airway. Several potential complications (hemorrhage inside the airway, threat to ventilation ...) may arise. These challenges render the ability to use the variable available techniques essential, as well as knowledge of the complications they could entail, and the ability to rapidly solve them. General anesthesia is usually total intravenous anesthesia, using short acting agents. Ventilation can be spontaneous, but more often insured using high-frequency jet ventilation. The hospital infrastructure and staff must have the expertise to perform this particular procedure, in order to limit the complication rate.

摘要

全身麻醉下的硬质支气管镜检查可在气管支气管树中进行诊断和/或治疗操作。该技术存在特定的技术问题,因为麻醉医生和操作人员共用同一空间,即气道。可能会出现一些潜在并发症(气道内出血、通气威胁……)。这些挑战使得掌握各种可用技术以及了解它们可能引发的并发症并能够迅速解决这些问题变得至关重要。全身麻醉通常采用全静脉麻醉,使用短效药物。通气可以是自主通气,但更常见的是采用高频喷射通气。医院的基础设施和工作人员必须具备进行这一特殊操作的专业知识,以降低并发症发生率。

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