心肺复苏英 文教学幻灯1经典教程.pptVIP

Cardiopulmonary Resuscitation;Indications;Equipments ;a low pressure ,high-volume cuff :designed to accommodate a relatively large volume of inflation before pressure rises. High pressure in the cuff is transmitted to the tracheal mucosa where it can cause ischemic injury. ;a connector :the connection between the tube and ventilator(anesthesia machine). ;a one-way valve :has a sealing function -After insertion, the cuff should be inflated so that there is no air leak on positive-pressure inspiration. -This will allow for reasonable airway protection from aspiration without excessive lateral wall pressure. -Cuff pressures that afford good protection (20-25mmHg) are just below perfusion pressure of the tracheal mucosa(25-35mmHg). ;The formula to predict the required tube size and the distance of insertion ; laryngoscope ;Clinical use of the laryngoscope generally has three sizes: the large, intermediate and small laryngoscopes. The large and intermediate size of laryngoscopes are suit for adult patients. The small size of laryngoscope is used for pediatric patients. ;Methods;;After visualization of the epiglottis, the distal end of the curved blade is inserted into the vallecula (the space between the base of the tongue and pharyngeal surface of the epiglottis) The laryngoscope is pulled forward and upward to expose the glottis. ;;Auscultation of the lungs and stomach will determine whether the tube is in the trachea or in the esophagus. ;Cautions !;Cardiopulmonary resuscitation ;Diagnosis;We can diagose it based on the following signs:;Reasons;His heart has started fibrillating. ;Treatment;;;A. check his airway;Has he regurgitated? ;B. breathe him ;Self-inflating bag;Extend his head fully, with one hand on his forehead, and the other one behind his neck. ;Take a deep breath, and seal your mouth round his mouth with a wide open circle and blow forcefully. To prevent air leaking, pinch his nostrils. As you do so, press on his forehead to keep his head