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右侧胸部按压用于喉罩气道及气管内导管位置和功能的补充评估

Right Chest Compression for Supplemental Assessment of Laryngeal Mask Airway and Endotracheal Tube Positioning and Functionality.

作者信息

Lanier William L

机构信息

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.

出版信息

Mayo Clin Proc Innov Qual Outcomes. 2025 May 5;9(3):100626. doi: 10.1016/j.mayocpiqo.2025.100626. eCollection 2025 Jun.

Abstract

The described supplemental airway management technique rapidly facilitates the assessment of proper positioning and functionality of a laryngeal mask airway or traditional endotracheal tube without the need of specialized equipment, such as a positive pressure gas-delivery device, stethoscope, capnograph, or pulse oximeter. The technique also avoids the risk of filling the stomach with gas. After airway placement, the assessor compresses the right upper chest with the heel of the hand, and-with the proximal end of the airway device held to the ear-functionality of the device-patient unit is appreciated primarily by sound and secondarily by airflow against the assessor's skin.

摘要

所描述的辅助气道管理技术能够迅速便于评估喉罩气道或传统气管内导管的正确位置和功能,而无需诸如正压气体输送装置、听诊器、二氧化碳监测仪或脉搏血氧仪等专门设备。该技术还避免了胃内充气的风险。气道放置后,评估者用手掌根部按压右上胸部,同时将气道装置的近端贴近耳朵,通过声音初步评估装置与患者连接的功能,其次通过气流吹在评估者皮肤上的感觉来评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/430e/12127613/8cf17cdf6ce0/gr1.jpg

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