气管插管与拔管的麻醉.ppt

病例四气道压由14升高到45cmH2O 病例四气道压由14升高到45cmH2O 右侧张力性气胸！ 谢谢！ * * * Again, I do not want to go into detail for as far as the Phase 1 and 2 studies are concerned but I wanted to share this remarkable graph from the very first study that we did in a Phase 1 setting with sugammadex. It shows the really unique capability of the compound to recover from a deep neuromuscular blockade induced by rocuronium. 需要保持自主呼吸的麻醉（不能用肌松药，不能正压通气） 自主呼吸时的吸气 人工呼吸时的吸气1、 胸内为负压 胸内为正压2、 呼吸道内为负压 呼吸道内为正压3、 心血管腔内压力减小 心血管腔内压力增大 需要保持自主呼吸的气管插管 （不能用肌松药） 1、食管气管瘘2、支气管断裂 自主呼吸时瘘(裂)口内为负压 肺泡为更大的负压,可保证肺泡通气3、严重压迫心脏大血管和呼