【麻醉学精品教学课件】 快速诱导插管 (RSI)在急诊室的运用教学资料讲义教学资料讲义.pptVIP

所以快速诱导前须评估 插管是否有把握 如何评估是否有困难气道呢 ? 当颈椎活动度减低时 (比如须固定颈椎时) 颈短/ 短下巴/ 肥胖 张口 / 口咽空间受限 呼吸道结构扭曲 / 创伤 口咽呼吸道梗阻 可能会造成困难气道 一到二分级病人站大多数, 插管应该没问题 三到四分级病人频率低 如过常见到, 可能是直接 喉镜检查 技术问题 The ASA calls a Failed/Difficult Laryngoscopy an: Any airway that takes more than 3 attempts Any airway that takes more than 10 minutes to secure an airway No wonder they say they have a 90% success rate If we had those standards our Pt’s would be dead. Seriously, our field patients are often compromised to begin with – they have very little reserve, and deteriorate rapidly. 5. 气道保护及摆位—与第4步同时进行； 用食指压迫环状软骨，防止胃内容物反流误吸 做直接