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小儿麻醉中的气道装置

Airway devices in paediatric anaesthesia.

作者信息

Swaika Sarbari, Ghosh Sujata, Bhattacharyya Chiranjib

机构信息

Department of Anaesthesiology and Critical Care, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

出版信息

Indian J Anaesth. 2019 Sep;63(9):721-728. doi: 10.4103/ija.IJA_550_19.

Abstract

Airway devices were first used in children since 1940 and thereafter an increasingly large number of paediatric airway devices have come into our armamentarium. To control and protect the airway in children during anaesthesia, in intensive care unit or in emergency department either tracheal intubation is performed under direct or indirect visualization of vocal cords with the help of laryngoscopes or video-laryngoscopes respectively or it can be done blindly or by using special instruments such as fiberoptic laryngoscope, lighted stylet or Bullard laryngoscope to name a few. Airway also can be maintained with the help of Laryngeal mask airways, oropharyngeal and nasopharyngeal airways. Updating our information and knowledge regarding these developments is pivotal to our practice of paediatric anaesthesia. With a thorough search of books, MEDLINE, MEDNET, clinical trials.gov.in, this article aims at focusing and understanding a brief basis of paediatric devices and their use.

摘要

自1940年起,气道装置开始应用于儿童,此后越来越多的儿科气道装置进入了我们的设备库。在麻醉期间、重症监护病房或急诊科,为了控制和保护儿童气道,要么分别借助喉镜或视频喉镜在直视或间接直视声带的情况下进行气管插管,要么可以盲目操作,或者使用诸如纤维喉镜、光棒或Bullard喉镜等特殊器械(仅举几例)来完成。气道也可借助喉罩气道、口咽气道和鼻咽气道来维持。更新我们关于这些进展的信息和知识对于我们的儿科麻醉实践至关重要。通过全面检索书籍、MEDLINE、MEDNET、clinicaltrials.gov.in,本文旨在聚焦并理解儿科设备及其使用的简要基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6e0/6761777/1fbff8d0d377/IJA-63-721-g001.jpg

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