Saddawi-Konefka Daniel, Hung Susan L, Kacmarek Robert M, Jiang Yandong
Department of Anesthesia, Critical Care and Pain Medicine.
Westchester Anesthesiologists, White Plains Hospital, White Plains, New York.
Respir Care. 2015 Dec;60(12):1834-40. doi: 10.4187/respcare.04183. Epub 2015 Oct 20.
Mask ventilation is lifesaving, especially in cases of difficult intubation. Many publications have offered distinct techniques for optimizing mask ventilation. This article reviews currently available difficult mask ventilation literature and theory. We divide difficult mask ventilation into 3 broad categories based on etiology: inadequate mask seal, increased airway resistance, and decreased respiratory compliance. Published strategies for overcoming difficulty are presented and organized by etiology.
面罩通气是挽救生命的重要手段,尤其是在困难插管的情况下。许多出版物都提供了优化面罩通气的独特技术。本文回顾了目前关于困难面罩通气的文献和理论。我们根据病因将困难面罩通气分为三大类:面罩密封不足、气道阻力增加和呼吸顺应性降低。针对克服困难的已发表策略按病因进行了介绍和整理。