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环状软骨压迫对喉罩气道插入难易程度的影响。

Effect of cricoid pressure on ease of insertion of the laryngeal mask airway.

作者信息

Brimacombe J, White A, Berry A

机构信息

Department of Anaesthetics, Royal Perth Hospital, Australia.

出版信息

Br J Anaesth. 1993 Dec;71(6):800-2. doi: 10.1093/bja/71.6.800.

DOI:10.1093/bja/71.6.800
PMID:8280541
Abstract

We have evaluated the effects of cricoid pressure on laryngeal mask airway (LMA) insertion after an elective rapid sequence induction in 100 patients allocated randomly to two groups. An attempt was made to insert the LMA after application of cricoid pressure in one group and with no pressure in the other. The anaesthetist was blinded to the application of cricoid pressure. Insertion was successful in 45 of 50 patients in the cricoid pressure group and in 49 of 50 patients in the non-cricoid group (P < 0.1) We discuss the implications of these findings for failed intubation in the nonfasted patient.

摘要

我们对100例择期快速顺序诱导后行喉罩气道(LMA)置入术的患者进行了评估,这些患者被随机分为两组。一组在施加环状软骨按压后尝试置入LMA,另一组不施加按压。麻醉医生对是否施加环状软骨按压不知情。环状软骨按压组50例患者中有45例置入成功,非环状软骨按压组50例患者中有49例置入成功(P<0.1)。我们讨论了这些发现对于未禁食患者插管失败的意义。

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1
Effect of cricoid pressure on ease of insertion of the laryngeal mask airway.环状软骨压迫对喉罩气道插入难易程度的影响。
Br J Anaesth. 1993 Dec;71(6):800-2. doi: 10.1093/bja/71.6.800.
2
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引用本文的文献

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Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics.产科麻醉医师协会与困难气道协会关于产科困难和失败气管插管管理的指南。
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[Cricoid pressure].
[环状软骨压迫]
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Cricoid pressure impedes positioning and ventilation through the laryngeal mask airway.环状软骨压迫会妨碍通过喉罩气道进行的定位和通气。
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The laryngeal mask airway: its features, effects and role.喉罩气道:其特点、作用及角色。
Can J Anaesth. 1994 Oct;41(10):930-60. doi: 10.1007/BF03010937.
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The laryngeal mask airway in critical care medicine.
Intensive Care Med. 1995 Apr;21(4):361-4. doi: 10.1007/BF01705417.