经口盲探气管插管模拟教学(国外)
http://player.youku.com/player.php/sid/XNTgxNzg4ODky==.htmlDr. Patrick Shipsey 通过模拟人详细介绍了不用喉镜经口盲探气管插管的解剖原理和操作要领，推荐。
听不懂啊，老乡，有汉语翻译就好了 Tor Erlend Pedersen
Hi! Thanks for the video about an unknown, yet very interesting method of intubation! As an anesthesia resident I would love to add this technique to my armamentarium. I've practiced a bit on an airway mankind, but my success rate isn't exactly 100%. The problem is with how to bend the tube with my fingertips, I just can't get a proper grip on the tube. Could you elaborate a little on your technique, or possibly post a video detailing this?
回复MadroneHouse
Thanks Tor. First let me say that the mannequin is generally more difficult to properly intubate than a live patient, or a cadaver. The first thing that I do is to place my intubating hand into the patient's mouth, palpate the anatomy, and position my two fingers (index and middle) properly, behind the epiglottis and as far down along it as I can reach, pulling it forward at the same time. Then my free hand inserts the tube and pushes it over the tongue until the tube contacts my fingers. ->
Tor Erlend Pedersen
Do you feed the tube into the larynx with your fingertips or do you just use them to direct the tube while you feed it from above using your left hand? Do you use one or both fingers? Do you use the tube or fingers to keep the epiglottis anterior? Thanks a lot! Tor P
回复MadroneHouse
I pass the tube so that the cuff is at my fingertips and the tube tip is just a little past them. I then triangulate the tube with my two fingers behind it and the posterior epiglottis serving as the anterior post of the triangle. From there, about 50% of the drive of the tube is provided by my two shuffling fingers in the mouth. You don't really need to 'grip' the tube per se - by resting it against the post. epiglottis to stabilize the position the fingers can bend to provide angle. 译成中文该有多好。请高手翻译。 音看了好几遍，很想试试。 好东西，最好有中文的 ting bu dong 我们科好几年前就有人这样插管了
个人感觉：
1、手指要够长，短的就不要试了
2、普通管的成功率比钢丝管高，钢丝管误入食管的几率大些
3、手套破了怎么办？与病人有直接的体液接触。。。 好东西，要是有翻译就更好了 我们医院曾经来过美国的partner for life 的医疗组织，我当时身为麻醉科的代表在人体模型上就用过此方法，没想到他们在说这个方法？
首先要拥有足够长的手指去摸到会厌，其次有足够大的嘴巴让你把手伸进去，能满足这些条件的估计其他的工具都能用，除非你只有导管没有喉镜。 张口度小的不好搞吧。 回复 11# yn_lee5460
这个方法在现场抢救有奇效，比方说，视频里提到的需要坐位插管的，被卡在汽车座位里的需要插管抢救的这个方法可以立刻保证通气；其次，口中肿瘤被第一次插管弄得出血后也可以用这方法。
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