非肌松药条件下的气管插管技术

Endotracheai intubation without muscle relaxant

目前临床麻醉中最常用的是通过起效快的镇静药和阿片类镇痛药进行麻醉诱导，辅以去极化或非去极化肌肉松弛药后再行气管插管。虽然这种快速庥醉诱导方法为气管插管提供良好的肌松条件，但肌肉松弛药的一些副作用使得其在某些条件下的应用受到限制，甚至带来一些潜在隐患。随着新型强效的镇静药、吸入麻醉剂和阿片类药物的问世和广泛临床应用，人们对在不用肌肉松弛药条件下的气管插管技术兴趣增加，相关研究越来越广泛。

At present the usual method for tracheal intubation in clinic is that induction of anesthesia with sedatives and opioids with rapid onset of action, and then depolarizing relaxant or non-depolarizing muscular relaxant is used to facilitate tracheal intubation. A good muscular relaxant situation is supplied by use of muscle relaxant, however, its administration may be associated with significant side effects, and then the use of it is restricted on certain conditions, even more, produces some potential hidden troubles. With the broad clinical application of the new-style and superactive sedatives, inhalation anesthetics and opioids, more and more people show interest in endotracheal intubation without muscle relaxant, and the relative research is more and more widespread.