困难气管插管（Difficult tracheal intubation）.docVIP

困难气管插管（Difficult tracheal intubation） Men in TXT should thank the women in their 20s who accompany them. Because 20 is the lowest point of a mans life, no money, no career. At 20, it is the most brilliant season in a womans life. As long as the hoe is good, which has a corner? Anesthesia for patients with difficult tracheal intubation Units: Abstract: anesthesia for patients with difficult tracheal intubation ` keywords: patients with difficult endotracheal intubation anesthesia A concept, 1. The definition of difficult airway: in 1993, ASA was designated (1) difficult airway -- the normal trained anesthesiologist encountered difficult clinical situations in the mask ventilation and/or airway intubation; (2) difficult endotracheal intubation - when a trained anesthesiologist USES a regular laryngoscope to correctly intuit the tracheal intubation, the three attempts still cannot be completed; (3) mask ventilation - the anesthesiologist cannot maintain proper oxygenation and/or proper ventilation without the help of others. 2. Classification of difficult airway: (1) difficulty in ventilation and intubation; (2) emergency airway and non-emergency airway; (3) the expected difficult airway and the unanticipated difficulty of the airway; 3. Stable airway and transitional airway: autonomic breathing (natural airway), endotracheal intubation and tracheal incision of the patients waking state are the stable airway. Other such as the mandibular, oropharyngeal airway, laryngeal mask, esophageal airway combined catheter and the ring nail piercing are all transitional airway. 4. Mallampati grade: patients open mouth check. Ⅰ see pharynx gorge bow, the soft palate and uvula level; Level Ⅱ pharynx gorge bow, the soft palate, uvula is blocked by the tongue; I saw the soft palate Ⅲ level; The soft palate also see Ⅳ level. 5. Cormack grading: Cormack and Lehane have four levels of difficulty with laryngoscopy. Fully exposed the glottis Ⅰ level; Ⅱ level joint exposed part of the glott