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快速顺序诱导—目前的争议和进展 被引量：17

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摘要 快速顺序诱导（rapidsequenceinduction，RSI）是目前临床上为解决饱胃或有反流误吸风险的患者全麻气管插管问题而采取的一种全麻诱导技术。其主要目的是缩短从保护性气道反射消失到气管插管成功的时间间隔，因为在这个阶段，气道失去保护，很可能发生胃内容物误吸，因此是诱导的关键期。RSI概念的形成经历了1951年琥珀胆碱问世、1961年Sellick在《Lancet》上首次提出环状软骨压迫（cricoidpressure，CP）可以预防反流误吸，
作者 黄绍强
机构地区 复旦大学附属妇产科医院麻醉科
出处 《临床麻醉学杂志》 CAS CSCD 北大核心 2012年第6期622-624,共3页 Journal of Clinical Anesthesiology
关键词 快速顺序诱导 全麻气管插管 胃内容物误吸 LANCET 反流误吸 全麻诱导 时间间隔 琥珀胆碱
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献16

  • 1Koerber JP, Roberts GEW, Whitaker R, et al. Variation in rapid sequence induction techniques: current practice in Wales. Anaesthesia, 2009, 64(1): 54-59.
  • 2E1-Orbany M, Connolly L. Rapid sequence induction and in- tubation: current controversy. Anesth Analg, 2010, 110 (5) : 1318-1325.
  • 3Dunn PF. Eds. Clinical anesthesia procedures of the Massa- chusetts general hospital. 7th ed. Philadelphia: lippincott Williams Wilkins, 2007: 552-553.
  • 4E1-Orbany M, Joseph NJ, Salem MR. Tracheal intubating conditions and apnoea time after small-doses of succinylcho- line are not modified by the choice of induction agent. Br J Anaesth, 2005, 95(5): 710-714.
  • 5Tanoubi I, Drolet P, Donati F. Optimizing preoxygenation in adults. Can J Anaesth, 2009, 56(6): 449-466.
  • 6Istvan J, Belliveau M, Donati F. Rapid sequence induction for appendectomies., a retrospective case-review analysis. Can J Anaesth, 2010, 57(4): 330-336.
  • 7EPOrbany MI, Joseph NJ, Salem MR, et ak The neuromuscular effects and tracheal intubation conditions after small doses of sue- cinylcholine. Anesth Analg, 2004, 98(6): 1680-1685.
  • 8Naguib M, Samarkandi AH, El-Din ME, et al. The dose of suecinylcholine required for excellent endotracheal intubating conditions. Anesth Analg, 2006, 102(1): 151-155.
  • 9Jensen AG, Callesen T, Hagemo JS, et al. Scandinavian clini- cal practice guidelines on general anaesthesia for emergency situations. Acta Anaesthesiol Scand, 2010, 54(8): 922-950.
  • 10黄绍强,解轶,耿桂启.给氧方式对全麻插管安全时限的影响[J].临床麻醉学杂志,2009,25(7):587-590. 被引量：26

二级参考文献7

  • 1Pandit J J, Duncan T, Robbins PA. Total oxygen uptake with two maximal breathing techniques and the tidal volume breathing technique:a physiologic study of preoxygenation. Anesthesiology, 2003,99: 841-846.
  • 2Moon RE, Camporesi EM. Respiratory Monitoring//Miller RD, ed. Miller's Anesthesia. 6th ed. Philadelphia: Elsevier Churchill Livingstone, 2005 : 1438.
  • 3McClelland SH, Bogod DG, Hardman JG. Apnoea in pregnancy: an investigation using physiological modelling. Anaesthesia, 2008,63:264-269.
  • 4Altermatt FR, Munoz HR, Delfino AE, et al. Pre-oxygenation in the obese patient:effects of position on tolerance to apnoea. Br J Anaesth, 2005,95 : 706-709.
  • 5Gagnon C,Fortier LP,Donati F. When a leak is unavoidable, preoxygenation is equally ineffective with vital capacity or tidal volume breathing. Can J Anaesth, 2006,53: 86-91.
  • 6Dixon BJ, Dixon JB,Carden JR, et al. Preoxygenation is more effective in the 25 degrees head-up position than in the supine position in severely obese patients: a randomized controlled study. Anesthesiology, 2005,102 : 1110-1115.
  • 7Taha SK,Siddik-Sayyid SM,El-Khatib MF,et al. Nasopharyngeal oxygen insufflation following pre-oxygenation using the four deep breath technique. Anaesthesia,2006,61:427-430.

共引文献25

同被引文献97

引证文献17

二级引证文献37

临床麻醉学杂志
2012年 第6期

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