麻醉技巧:胸外按压缓解喉痉挛、无痛胃镜更佳入镜点

2021-10-25 江建峰 麻醉逻辑

值得学习!

图片

 

图片
图片
图片
咽喉部残留分泌物、浅麻醉下吸痰几乎是最常见出现喉痉挛的场合了,多数在拔管时出现。临床上发现只要紧闭的喉部进入一丝氧气,就能打破喉痉挛的缺氧-喉痉挛-缺氧恶性循环。
图片
图片
图片
与加压面罩通气不同,胸外按压类似于呼气,压迫胸内残余的气体“冲破”咽喉,一样也能达到快速缓解的效果。
图片
图片
图片
图片
图片
图片
图片
图片
图片
图片
图片

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1651271, encodeId=fc1416512e182, content=<a href='/topic/show?id=6f9c564499c' target=_blank style='color:#2F92EE;'>#按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56449, encryptionId=6f9c564499c, topicName=按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0a7424147894, createdName=lisa446, createdTime=Mon Mar 14 11:43:42 CST 2022, time=2022-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311795, encodeId=e56e1311e9517, content=<a href='/topic/show?id=624de11204a' target=_blank style='color:#2F92EE;'>#痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71120, encryptionId=624de11204a, topicName=痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7dc7399, createdName=apoenzyme, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481762, encodeId=220b1481e624e, content=<a href='/topic/show?id=bc90401201c' target=_blank style='color:#2F92EE;'>#喉痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=40120, encryptionId=bc90401201c, topicName=喉痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=34fe7824534, createdName=ms5353107019656438, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630474, encodeId=a68b16304e497, content=<a href='/topic/show?id=dbd084102dd' target=_blank style='color:#2F92EE;'>#胸外按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84102, encryptionId=dbd084102dd, topicName=胸外按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=082221527772, createdName=dongjia2017, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=)]
    2022-03-14 lisa446
  2. [GetPortalCommentsPageByObjectIdResponse(id=1651271, encodeId=fc1416512e182, content=<a href='/topic/show?id=6f9c564499c' target=_blank style='color:#2F92EE;'>#按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56449, encryptionId=6f9c564499c, topicName=按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0a7424147894, createdName=lisa446, createdTime=Mon Mar 14 11:43:42 CST 2022, time=2022-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311795, encodeId=e56e1311e9517, content=<a href='/topic/show?id=624de11204a' target=_blank style='color:#2F92EE;'>#痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71120, encryptionId=624de11204a, topicName=痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7dc7399, createdName=apoenzyme, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481762, encodeId=220b1481e624e, content=<a href='/topic/show?id=bc90401201c' target=_blank style='color:#2F92EE;'>#喉痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=40120, encryptionId=bc90401201c, topicName=喉痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=34fe7824534, createdName=ms5353107019656438, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630474, encodeId=a68b16304e497, content=<a href='/topic/show?id=dbd084102dd' target=_blank style='color:#2F92EE;'>#胸外按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84102, encryptionId=dbd084102dd, topicName=胸外按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=082221527772, createdName=dongjia2017, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=)]
    2021-10-27 apoenzyme
  3. [GetPortalCommentsPageByObjectIdResponse(id=1651271, encodeId=fc1416512e182, content=<a href='/topic/show?id=6f9c564499c' target=_blank style='color:#2F92EE;'>#按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56449, encryptionId=6f9c564499c, topicName=按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0a7424147894, createdName=lisa446, createdTime=Mon Mar 14 11:43:42 CST 2022, time=2022-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311795, encodeId=e56e1311e9517, content=<a href='/topic/show?id=624de11204a' target=_blank style='color:#2F92EE;'>#痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71120, encryptionId=624de11204a, topicName=痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7dc7399, createdName=apoenzyme, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481762, encodeId=220b1481e624e, content=<a href='/topic/show?id=bc90401201c' target=_blank style='color:#2F92EE;'>#喉痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=40120, encryptionId=bc90401201c, topicName=喉痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=34fe7824534, createdName=ms5353107019656438, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630474, encodeId=a68b16304e497, content=<a href='/topic/show?id=dbd084102dd' target=_blank style='color:#2F92EE;'>#胸外按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84102, encryptionId=dbd084102dd, topicName=胸外按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=082221527772, createdName=dongjia2017, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1651271, encodeId=fc1416512e182, content=<a href='/topic/show?id=6f9c564499c' target=_blank style='color:#2F92EE;'>#按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56449, encryptionId=6f9c564499c, topicName=按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0a7424147894, createdName=lisa446, createdTime=Mon Mar 14 11:43:42 CST 2022, time=2022-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1311795, encodeId=e56e1311e9517, content=<a href='/topic/show?id=624de11204a' target=_blank style='color:#2F92EE;'>#痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71120, encryptionId=624de11204a, topicName=痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7dc7399, createdName=apoenzyme, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1481762, encodeId=220b1481e624e, content=<a href='/topic/show?id=bc90401201c' target=_blank style='color:#2F92EE;'>#喉痉挛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=40120, encryptionId=bc90401201c, topicName=喉痉挛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=34fe7824534, createdName=ms5353107019656438, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630474, encodeId=a68b16304e497, content=<a href='/topic/show?id=dbd084102dd' target=_blank style='color:#2F92EE;'>#胸外按压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84102, encryptionId=dbd084102dd, topicName=胸外按压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=082221527772, createdName=dongjia2017, createdTime=Wed Oct 27 01:43:42 CST 2021, time=2021-10-27, status=1, ipAttribution=)]

相关资讯

全麻手术下,人是没有呼吸的??会憋死吗?

一个冷知识:一般全麻手术时人是没有呼吸的,确切来说,是不会自主呼吸的。

麻醉工作中,你遇到过这样的趣事嘛?

麻醉工作中,什么趣事都有。

Anesth Analg:硬膜外应用罗哌卡因降低经颅电刺激运动诱发电位的振幅:一项双盲、随机、对照试验

硬膜外局部麻醉药主要作用于硬膜外神经根,并可通过硬脊膜直接作用于脊髓。我们假设硬膜外给予罗哌卡因会通过阻断脊髓神经传导来降低经颅电刺激运动诱发电位的振幅。因此,我们进行了一项双盲、随机、对照试验。