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