无肌松气管插管的研究新进展

Research Progress in Endotracheal Intubation without Muscle Relaxant

麻醉诱导后使用肌松药进行气管插管是临床上最常用的方法,但对于患有某些疾病如重症肌无力的患者,使用肌松药存在一定的顾虑。此外,肌松药还可能诱发一些不良反应如术后肌痛、过敏反应、恶心呕吐等,其残余肌松作用还可能导致呼吸恢复延迟,甚至导致恶性高热等严重并发症。因此,无肌松药插管在此时成为首选。本文对无肌松气管插管的研究新进展予以综述。

Mter induction of anesthesia, muscle relaxants used for endotracheal intubation is clinically most commonly used method, But for people with certain diseases such as myasthenia gravis patients, there are some concerns about use of muscle relaxants. Besides, muscle relaxants may also induce a number of adverse reactions, such as postoperative myalgia, allergic reaction, nausea and vomiting, etc. Its role in the residual muscle relaxant may also lead to delay in the resumption of breathing, even lead to serious complications such as malignant hyperthermia, Therefore, intubation without muscle relaxants becomes the first selected. This paper reviewed the research progress in endotracheal intubation without muscle relaxant.