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第二章第6次

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第二章——气道管理(26-30)

祁冬冬

第二章——气道管理前次链接:

第二章第5次

26.Afterrapidsequenceinductionofgeneralanesthesia,apatientisunabletobeintubated.Subsequentattemptsatventilationbyfacemaskandasupraglotticairwaydevicearealsounsuccessful.Oneofthefollowingstatementsregardingtranstrachealjetventilationandsurgicalcricothyrotomyinthissituationismostcorrect:

快速诱导后,患者插管困难。随后尝试进行面罩通气和声门上通气设备也失败。在这种情况下,关于高频喷射通气和环甲膜切开术描述最正确的是:

A.Transtrachealjetventilationdoesnotrequireapatentnaturalairway

B.Ventilationthroughasurgicalcricothyrotomyallowsbothinhalationandexhalationtooccur

C.Thedevelopmentoflaryngospasmduringventilationthroughacricothyrotomywouldrapidlycausepulmonaryoverinflationandbarotrauma(气压伤)

D.Transtrachealjetventilationcanbecontinuedforalongerperiodoftimethancanventilationviaacricothyrotomy

答案及解析:B.

The“cannotintubate,cannotventilate”scenarioisanemergencyandnecessitatesimmediateinvasiveairwayaccesstopreventanoxicinjury.Twooptionsincludetranstrachealjetventilationandsurgicalcricothyrotomy.Transtrachealjetventilationrequiresthattheairwaybecannulatedinsomeway.Inemergentcircumstances,thismaybeac

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