Kulkarni Ketan Sakharam, Dave Nandini, Saran Shriyam, Garasia Madhu, Parelkar Sandesh
Department of Anesthesiology, Seth GS Medical College and KEM Hospital, Islampur, Dist-Sangli, India.
Freelance Anaesthesiologist, Islampur, Dist-Sangli, India.
Indian J Anaesth. 2018 Apr;62(4):310-313. doi: 10.4103/ija.IJA_536_17.
During positive pressure ventilation, gastric inflation and subsequent pulmonary aspiration can occur. Rapid sequence induction (RSI) technique is an age-old formula to prevent this. We adopted a novel approach of RSI for patients with high risk of aspiration and evaluated it further in patients undergoing laparoscopic surgeries. We believe that, in patients with risk of gastric insufflation and pulmonary aspiration, transnasal humidified rapid-insufflation ventilatory exchange can be useful in facilitating pre- and apnoeic oxygenation till tracheal isolation is achieved.
在正压通气期间，可能会发生胃充气及随后的肺误吸。快速顺序诱导（RSI）技术是预防这种情况的一种古老方法。我们对有误吸高风险的患者采用了一种新颖的RSI方法，并在接受腹腔镜手术的患者中进一步评估了它。我们认为，对于有胃充气和肺误吸风险的患者，经鼻湿化快速充气通气交换在促进直至实现气管隔离前的预给氧和呼吸暂停期间给氧方面可能是有用的。
