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[超声引导下气道穿刺]

[Ultrasound guided airway access].

作者信息

Lages Neusa, Vieira Diana, Dias Joana, Antunes Cláudia, Jesus Tiago, Santos Telmo, Correia Carlos

机构信息

Centro Hospitalar do Alto Ave, Guimarães, Portugal.

Centro Hospitalar do Alto Ave, Guimarães, Portugal.

出版信息

Braz J Anesthesiol. 2018 Nov-Dec;68(6):624-632. doi: 10.1016/j.bjan.2018.06.014. Epub 2018 Sep 20.

Abstract

Ultrasound has increasingly growing applications in anesthesia. This procedure has proven to be a novel, non-invasive and simple technique for the upper airway management, proving to be a useful tool, not only in the operating room but also in the intensive care unit and emergency department. Indeed, over the years mounting evidence has showed an increasing role of ultrasound in airway management. In this review, the authors will discuss the importance of ultrasound in the airway preoperative assessment as a way of detecting signs of difficult intubation or to define the type and/or size of the endotracheal tube as well as to help airway procedures such as endotracheal intubation, cricothyrotomy, percutaneous tracheal intubation, retrograde intubation as well as the criteria for extubation.

摘要

超声在麻醉领域的应用日益广泛。该技术已被证明是一种用于上气道管理的新颖、无创且简便的技术,不仅在手术室,而且在重症监护病房和急诊科都是一种有用的工具。事实上,多年来越来越多的证据表明超声在气道管理中的作用日益增强。在本综述中,作者将讨论超声在气道术前评估中的重要性,它可用于检测困难插管的迹象、确定气管内导管的类型和/或尺寸,以及辅助诸如气管内插管、环甲膜切开术、经皮气管插管、逆行插管等气道操作,还有拔管标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a7d/9391688/830176dbcf5c/gr1.jpg

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