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清醒气管插管的气道麻醉：文献综述

Airway Anesthesia for Awake Tracheal Intubation: A Review of the Literature.

作者信息

Kostyk Piotr, Francois Karen, Salik Irim

机构信息

Anesthesiology, Westchester Medical Center, Valhalla, USA.

出版信息

Cureus. 2021 Jul 11;13(7):e16315. doi: 10.7759/cureus.16315. eCollection 2021 Jul.

DOI:10.7759/cureus.16315
PMID:34405073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8354742/
Abstract

Airway topicalization is frequently utilized by anesthesiologists to facilitate open airway procedures, aid intubation for a difficult airway, and prevent adverse respiratory events. This review article summarizes the techniques available for airway topicalization for a patient who is deemed to be difficult to intubate. We focus on the indications for use, local anesthetic maximum dosages and safety profiles, sedation techniques, and trials and pitfalls during airway topicalization for difficult intubation.

摘要

气道局部麻醉常被麻醉医生用于辅助气道开放操作、帮助困难气道插管以及预防不良呼吸事件。本文综述了针对预计插管困难患者的气道局部麻醉技术。我们重点关注其使用指征、局部麻醉药最大剂量及安全性、镇静技术以及困难插管气道局部麻醉过程中的试验和陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/890666df1c08/cureus-0013-00000016315-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/b27edaeb79ff/cureus-0013-00000016315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/dec53d4f3db3/cureus-0013-00000016315-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/69ea47f4854a/cureus-0013-00000016315-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/72776cc2055f/cureus-0013-00000016315-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/c0413445f63e/cureus-0013-00000016315-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/48a4e70a75f6/cureus-0013-00000016315-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/e713698bdc90/cureus-0013-00000016315-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/890666df1c08/cureus-0013-00000016315-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/b27edaeb79ff/cureus-0013-00000016315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/dec53d4f3db3/cureus-0013-00000016315-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/69ea47f4854a/cureus-0013-00000016315-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/72776cc2055f/cureus-0013-00000016315-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/c0413445f63e/cureus-0013-00000016315-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/48a4e70a75f6/cureus-0013-00000016315-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/e713698bdc90/cureus-0013-00000016315-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b89a/8354742/890666df1c08/cureus-0013-00000016315-i08.jpg

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