Nitrous oxide on tracheal tube and laryngeal mask sets of intracapsular pressure.doc

 PAGE \* MERGEFORMAT 10 Nitrous oxide on tracheal tube and laryngeal mask sets of intracapsular pressure Nitrous oxide (N2O), as a general anesthetic medication has been 150 years of history. N2O has little influence on the circulatory function, blood pressure does not cause changes in heart rate, non-irritating to the respiratory tract, and throat secretions without increasing reflection and so on. N2O can significantly reduce the consumption of other anesthetic agents significantly reduce the surgery patients in the incidence of awareness is still commonly used in clinical inhalation anesthetics. However, nitrous oxide during anesthesia through the dispersion tube into the trachea or laryngeal mask set of capsule, so that sets of intracapsular pressure gradually increased, when the sets of intracapsular pressure is increased more than the average of airway mucosal capillary perfusion pressure can be caused when the ischemic injury in the airway mucosa, resulting in sore throat, hoarseness, difficulty swallowing and other postoperative complications. A tracheal tube and laryngeal mask airway cuff (A) tracheal tube 1. The role of tracheal tube cuff addition to infants and young children, in general, only use with a cuff of the endotracheal tube. Endotracheal tube cuff has the following effect: ① to ensure no leakage of respiratory tract; ② to prevent the inhalation of vomitus and secretions of lower respiratory tract wrong; ③ to prevent anesthesia gas outside the Plaza, to maintain stable anesthesia. 2. Endotracheal tube cuff of the tracheal mucous membrane of the adult, placed in front of the correct endotracheal tube position should be about 5cm above the tracheal carina Office. Cuff inflated to meet the leakage and anti-aspiration effect. Inflatable cuff too large sets of intracapsular pressure exceeding the normal tracheal mucosa capillary perfusion pressure (32mmHg) may cause partial airway mucosa and cilia oppressive is