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高频喷射通气在外科手术中的应用。

Application of SHFJV for surgical procedures.

作者信息

Donner A, Lanzenberger-Schragl E, Kashanipour A, Zimpfer M, Aloy A

机构信息

University of Vienna, Department of Anesthesia and General Intensive Care Medicine, Wien, Austria.

出版信息

Acta Anaesthesiol Scand Suppl. 1996;109:153-7.

PMID:8901990
Abstract

Using SHFJV in combination with the jet laryngoscope it is possible to ventilate patients for laryngeal surgery with out the necessity for any kind of endotracheal tube or catheters. This technique can also safely be applied in patients with underlying pulmonary or cardiac disease or in obese patients. Patients with laryngeal stenosis can be ventilated from above the stenosis eliminating the danger of barotrauma. The laser can be used at any time the surgeon desires without any additional protective measures. The SHFJV can be used for tracheobronchial stent insertion. Only in cases were the glottis can not be visualized through the jet laryngoscope sufficient ventilation is not ensured and therefore transtracheal high frequency ventilation is the technique of choice.

摘要

将高频喷射通气(SHFJV)与喷射喉镜联合使用,可以在无需任何气管内导管或导管的情况下为喉部手术患者进行通气。该技术也可安全应用于患有潜在肺部或心脏疾病的患者或肥胖患者。喉狭窄患者可在狭窄上方进行通气,消除气压伤的危险。外科医生可在任何需要的时候使用激光,无需任何额外的保护措施。SHFJV可用于气管支气管支架置入。仅在通过喷射喉镜无法充分观察到声门的情况下,无法确保充分通气,因此经气管高频通气是首选技术。

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