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喉镜检查期间的充气导管通气技术。

The inflation-catheter technique of ventilation during laryngoscopy.

作者信息

Gillick J S

出版信息

Can Anaesth Soc J. 1976 Sep;23(5):534-44. doi: 10.1007/BF03005982.

DOI:10.1007/BF03005982
PMID:971461
Abstract

Over the past three years the inflation-catheter technique (ICT) of controlled ventilation during general anaesthesia has proved a safe and useful method for use with laryngoscopy and other trans-oral endoscopies (most notably flexible fiberoptic bronchoscopy). The ICT allows full control of the patient's airway for the anaesthetist and exceptionally good exposure for the surgeon. In this technique ventilation of the patient is accomplished by intermittent high flow (10 ml/kg/sec) inflation of the lungs through a small (2 to 6 mm diameter) plastic orotracheal catheter. The inflation-catheter is stiffened by fixation of an intralumenal wire. Exhalation is passive around the catheter through the open airway. The Inflation Catheter Technique is readily adaptable for patients ranging from large adults to small babies by variation of catheter sizes. It can be used safely with nitrous oxide-oxygen as the ventilating gas(i.e., Bird N2O/O2 Blender) since air entrainment is not a feature. It is also readily adaptable for use with mechanical ventilation (i.e., Wolf Injectomat).

摘要

在过去三年中,全身麻醉期间用于控制通气的充气导管技术(ICT)已被证明是一种安全且有用的方法,可用于喉镜检查及其他经口内镜检查(最显著的是纤维支气管镜检查)。充气导管技术使麻醉师能够完全控制患者气道,并为外科医生提供极佳的视野。在此技术中,通过一根小口径(直径2至6毫米)的塑料口气管导管以间歇性高流量(10毫升/千克/秒)对肺部进行充气来实现患者的通气。充气导管通过管腔内金属丝固定而变硬。呼气通过开放气道在导管周围被动进行。通过改变导管尺寸,充气导管技术很容易适用于从成年大个体到小婴儿等各类患者。它可以安全地与一氧化二氮 - 氧气作为通气气体(即Bird N2O/O2混合器)配合使用,因为不存在空气夹带现象。它也很容易适用于机械通气(即Wolf Injectomat)。

相似文献

1
The inflation-catheter technique of ventilation during laryngoscopy.喉镜检查期间的充气导管通气技术。
Can Anaesth Soc J. 1976 Sep;23(5):534-44. doi: 10.1007/BF03005982.
2
[Hundred cases of general anesthesia for laryngoscopy and/or bronchoscopy, in children under five years age (author's transl)].五岁以下儿童喉镜检查和/或支气管镜检查的全身麻醉一百例(作者译)
Anesth Analg (Paris). 1981;38(9-10):463-7.
3
A technique of ventilation during laryngoscopy and bronchoscopy.一种在喉镜检查和支气管镜检查期间的通气技术。
Br J Anaesth. 1975 Mar;47(3):382-4. doi: 10.1093/bja/47.3.382.
4
Jet ventilation for fiberoptic bronchoscopy under general anesthesia.
Acta Anaesthesiol Scand. 1976;20(2):111-6. doi: 10.1111/j.1399-6576.1976.tb05017.x.
5
The value of capnography during jet ventilation for suspension laryngoscopy.喷射通气用于支撑喉镜检查时二氧化碳监测图的价值。
Acta Anaesthesiol Belg. 1980;31 Suppl:255-64.
6
[General anesthesia with pulsed oxygen in suspension laryngoscopy. Equipment, indications, results, limitations].
JFORL J Fr Otorhinolaryngol Audiophonol Chir Maxillofac. 1976 Mar;25(3):217-20.
7
An improved percutaneous jetting system for use during microlaryngeal operations.一种用于显微喉镜手术的改良经皮喷射系统。
Can Anaesth Soc J. 1977 Jan;24(1):118-25. doi: 10.1007/BF03006819.
8
Jet ventilation for operative laryngoscopy.用于手术喉镜检查的喷射通气
Laryngoscope. 1982 Oct;92(10 Pt 1):1194-5.
9
Suspension laryngoscopy under general anaesthesia. A technique using an injector.全身麻醉下悬吊喉镜检查。一种使用注射器的技术。
Anaesthesia. 1977 Sep;32(8):803-6. doi: 10.1111/j.1365-2044.1977.tb10087.x.
10
Fiberoptic-guided airway exchange of the esophageal-tracheal Combitube in spontaneously breathing versus mechanically ventilated patients.在自主呼吸患者与机械通气患者中,经纤维支气管镜引导进行食管气管联合导管的气道更换
Anesth Analg. 1999 Jan;88(1):193-6. doi: 10.1097/00000539-199901000-00036.

本文引用的文献

1
The Albert-Sanders adaptor for ventilating anaesthetized patients for micro-laryngeal surgery.用于为接受微喉手术的麻醉患者通气的阿尔伯特 - 桑德斯适配器。
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A ventilating laryngoscope.一种通气喉镜。
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Transtracheal ventilation.经气管通气
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The inflation-catheter technique for ventilation during bronchoscopy.支气管镜检查期间用于通气的充气导管技术。
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A method for ventilating patients during laryngoscopy.一种在喉镜检查期间为患者通气的方法。
Laryngoscope. 1974 Apr;84(4):553-9. doi: 10.1288/00005537-197404000-00006.
6
Anaesthesia for microsurgery of the larynx (a new method).喉显微外科手术的麻醉(一种新方法)。
Can Anaesth Soc J. 1973 May;20(3):378-89. doi: 10.1007/BF03027175.
7
Technique of ventilation during endolaryngeal surgery under general anaesthesia.全身麻醉下喉内手术期间的通气技术
Can Anaesth Soc J. 1973 May;20(3):369-77. doi: 10.1007/BF03027174.
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A new technique for micro-laryngeal surgery in infants.
Laryngoscope. 1973 May;83(5):691-9. doi: 10.1288/00005537-197305000-00005.
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Jet ventilation for microlaryngoscopic procedures: a further simplified technic.用于显微喉镜手术的喷射通气:一种进一步简化的技术。
Anesth Analg. 1974 Sep-Oct;53(5):797-804.
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Catheter inflation ventilation in tracheal stenosis.
Br J Anaesth. 1975 Nov;47(11):1225-7. doi: 10.1093/bja/47.11.1225.