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用于气道手术的双相胸甲通气：全面综述

Biphasic Cuirass Ventilation for Airway Surgeries: A Comprehensive Review.

作者信息

Bodhey Abhay, Bodhey Manjusha, Shallik Nabil A, Al Nadhari Mansour, Griess Hany F, Al Ani Osama, Sainuddin Shaji, Thomas Kurian P, ElHanfi Osama, Jose Suraj, Nair Abhijit

机构信息

Anesthesiology, Rashid Hospital and Trauma Centre, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, ARE.

Anesthesiology, Dubai Hospital, Dubai, ARE.

出版信息

Cureus. 2024 Dec 10;16(12):e75477. doi: 10.7759/cureus.75477. eCollection 2024 Dec.

DOI:10.7759/cureus.75477
PMID:39791051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11717378/
Abstract

Airway surgeries pose great challenges for the anesthesiologists as the airway is shared by them and the surgeon. It is of paramount importance to have control of the airway during such surgeries. Many techniques have been employed to provide uninterrupted oxygenation to the patient with or without the presence of a definitive airway. Recently, biphasic cuirass ventilation (BCV) has been used effectively to provide tubeless airway management in patients undergoing airway surgeries. This article discusses the feasibility and viability of using BCV for various airway surgeries and also reviews the existing literature regarding its use in the perioperative period for such indications.

摘要

气道手术给麻醉医生带来了巨大挑战，因为气道由他们和外科医生共同使用。在这类手术中控制气道至关重要。已经采用了许多技术，无论是否建立确定性气道，都要为患者提供持续的氧合。最近，双相胸甲通气（BCV）已有效地用于为接受气道手术的患者提供无管气道管理。本文讨论了在各种气道手术中使用BCV的可行性和实用性，并回顾了有关其在围手术期用于此类适应症的现有文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b3e/11717378/c4d36669dd83/cureus-0016-00000075477-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b3e/11717378/1ff59388b183/cureus-0016-00000075477-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b3e/11717378/aaefb91b8f70/cureus-0016-00000075477-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b3e/11717378/c4d36669dd83/cureus-0016-00000075477-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b3e/11717378/1ff59388b183/cureus-0016-00000075477-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b3e/11717378/aaefb91b8f70/cureus-0016-00000075477-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b3e/11717378/c4d36669dd83/cureus-0016-00000075477-i03.jpg

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本文引用的文献

1
Modern cuirass ventilation for airway surgery: unlimited access to the larynx and trachea in anaesthetised patients.用于气道手术的现代胸甲通气：在麻醉患者中可无限制地暴露喉和气管。
Br J Anaesth. 2023 Oct;131(4):e106-e109. doi: 10.1016/j.bja.2023.07.010. Epub 2023 Aug 14.
2
Tube or tubeless: an anesthetic strategy for upper airway surgery.气管插管或无管化：一种用于上气道手术的麻醉策略。
Anesth Pain Med (Seoul). 2023 Apr;18(2):123-131. doi: 10.17085/apm.23014. Epub 2023 Apr 4.
3
Biphasic cuirass ventilation in the escalation of non-invasive ventilation in COVID-19: Case report and review.
双相胸甲通气在COVID-19无创通气升级中的应用：病例报告与综述
Monaldi Arch Chest Dis. 2023 Jan 19;93(4). doi: 10.4081/monaldi.2023.2510.
4
Negative Pressure Is the Positive Way to Breathe!负压呼吸是积极有效的呼吸方式！
Am J Respir Crit Care Med. 2023 Mar 1;207(5):505-506. doi: 10.1164/rccm.202210-1862ED.
5
Management of critical tracheal stenosis with a straw sized tube (Tritube): Case report.使用麦管大小的气管导管（Tritube）治疗严重气管狭窄：病例报告
Qatar Med J. 2021 Jan 28;2020(3):48. doi: 10.5339/qmj.2020.48. eCollection 2020.
6
Biphasic Cuirass Ventilation During Anesthesia for Tracheobronchial Stent Insertion or Removal by a Rigid Bronchoscope: A Case Report.硬质支气管镜插入或取出气管支气管支架麻醉期间的双相胸甲通气：病例报告
A A Pract. 2018 Apr 15;10(8):198-200. doi: 10.1213/XAA.0000000000000660.
7
Biphasic cuirass ventilation is better than bag-valve mask ventilation for resuscitation following organophosphate poisoning.在有机磷中毒后的复苏过程中，双相胸甲通气比袋阀面罩通气效果更好。
Toxicol Rep. 2014 Nov 24;2:40-45. doi: 10.1016/j.toxrep.2014.11.001. eCollection 2015.
8
Spontaneous Respiration Using Intravenous Anesthesia and High-Flow Nasal Oxygen (STRIVE Hi) Management of Acute Adult Epiglottitis: A Case Report.成人急性会厌炎采用静脉麻醉和高流量鼻导管给氧的自主呼吸（STRIVE Hi）管理：一例报告
A A Pract. 2018 Feb 15;10(4):73-75. doi: 10.1213/XAA.0000000000000635.
9
Anaesthesia for microlaryngeal and laser laryngeal surgery: impact of subglottic jet ventilation.显微喉镜及激光喉镜手术的麻醉：声门下喷射通气的影响
J Laryngol Otol. 2010 Jun;124(6):641-5. doi: 10.1017/S0022215109992532. Epub 2010 Jan 6.
10
Cuirass ventilation: a review and update.胸甲通气：综述与更新
Crit Care Resusc. 2005 Mar;7(1):22-8.