标题: 这几句英文啥意思,不是看得很明白,谢谢了 [打印本页] 作者: liugang_sz 时间: 2017-6-12 21:58 标题: 这几句英文啥意思,不是看得很明白,谢谢了 Timing of the removal of the LMA at the end of surgery is critical. The LMA should be removed either when the patient is deeply anesthetized or after the protective reflexes have returned and the patient is able to open the mouth on command. Removal during excitation stages of emergence can be accompanied by coughing, laryngospasm, or both. Because the halogenated inhaled anesthetics are potent bronchodilators, it is at the time of emergence, when the anesthetic is discontinued, that patients at risk for bronchospasm are most likely to wheeze. In patients managed with LMAs, there is no foreign body in the sensitive bronchorespiratory tree, and the patient can be fully emerged before removal of the device.Many clinicians remove the LMA fully inflated, so it acts as a “scoop” for secretions above the mask, bringing them out of the airway. The incidence of sore throat is approximately 10% compared with 30% with tracheal intubation, but it has been reported with a range of 0% to 70%. When tracheal intubation is mandatory (for the surgical procedure) yet concerns regarding bronchospasm exist, the Bailey maneuver should be used. In this maneuver, the deflated LMA is placed behind the in situ ETT. The ETT is removed, and the LMA is inflated. The patient is then emerged on the LMA.
Because the halogenated inhaled anesthetics are potent bronchodilators, it is at the time of emergence, when the anesthetic is discontinued, that patients at risk for bronchospasm are most likely to wheeze.这句话意思是不是吸入麻醉苏醒有兴奋期,所以这时有哮喘发作风险
Many clinicians remove the LMA fully inflated, so it acts as a “scoop” for secretions above the mask, bringing them out of the airway.这句话中的above啥意思
作者: liugang_sz 时间: 2017-6-12 22:20
above the mask估计指喉罩上面的