无通气氧合模式.ppt

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2019-08-31 发布于天津
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无通气氧合模式.ppt

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Alekseev A.V., Vyzhigina M.A., Parshin V.D., Fedorov D.S. Apneic oxygenation. Anesteziol Reanimatol. 2013 Sept-Oct;(5):69-74. (Review in Russian) Titov V.A., Parshin V.D., Rusakov M.A., Alekseev A.V., Kozhevnikov V.A. Case report of transesophageal tracheal intubation in patient with tracheoesophageal fistula and cicatricial tracheal stenosis. Anesteziol Reanimatol. 2014 (4):74-77. (in Russian) Jiménez, M.J. Sadurní, M. Tió, M. Rovira, I. Fita, G. Martínez, E. Gimferrer, J.M. Gomar, C. Macchiarini, P. Apnoeic oxygenation in complex tracheal surgery: O-58. Eur J Anaesthesiol. 2006 May; Vol. 23 – suppl. 38: p. 20. Kolettas AA, Tsaousi GG, Grosomanidis V, Karakoulas KA, Thomareis O, Kotzampassi K, Vasilakos DG. Influence of apneic oxygenation on cardiorespiratory system homeostasis. J Anesth. 2013 Sep 24. References http://www.medlit.ru/en/journal/197/ http://elibrary.ru/contents.asp?issueid=1287945 * Respiratory Support for Tracheal Surgery prof. Vyzhigina M.A., Titov V.A., prof. Parshin V.D., prof. Rusakov M.A., Aleksander Alekseev Sechenov First Moscow State Medical University, Moscow, Russia High Frequency Jet Ventilation 高频喷射通气 Bypass-Breathing with periods of Apnea 旁路通气 ECMO 体外膜肺 Apneic Oxygenation 无通气氧合 Respiratory Techniques 1944 - Draper – Diffusion respiration 弥散呼吸 1956 – Holmdahl – Diffusion oxygenation 弥散氧合 1956 – Nahas – Apneic oxygenation 无通气氧合 Background min Physiology Draper W. B., Whitehead R. W. Spencer, J. N. (1947). Studies on diffusion respirations. III. Alveolar gases and venous blood pH of dogs during diffusion respiration. Anesthesiology, 8, 524-533. Hemoglobin – Oxygen Pump Continuous Insufflation of humidified O2 into distal part of trachea via catheter (? 14 Fr. ) FiO2=1, 12 L/min 通过导管给气管远端持续供应湿化的氧气 Duration of AO from 10 to 40 min (25±12.9 min) according to surgical need 根据手术需要实行无通气氧合 Apneic oxygenation Apneic oxygenation warming humidification 22.02.2014 Patient S. 25 y.o. Circular resect