渥太華大學 住院醫師 每周一問

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Dr. Patti Murphy MD, FRCPC, Education Director, University of Ottawa, Department of Anesthesia

Management of difficult ventilation

A 29 year old woman is scheduled for a laparoscopic cholecystectomy. She has a history of asthma, and is a smoker. When the endotracheal tube is inserted, it becomes very difficult to ventilate the lungs.

1.
What is your differential diagnosis?

2.
What would you do?

3.
Which drugs would you give?

4.
Describe the cardiovascular effects of various bronchodilators.

5.
Would end-tidal CO2 be an important monitor? Why or why not?

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Dr. Patti Murphy MD, FRCPC, Education Director, University of Ottawa, Department of Anesthesia

帕蒂 莫菲  教学负责人，渥太华大学  麻醉科


Management of difficult ventilation

困难通气的管理


A 29 year old woman is scheduled for a laparoscopic cholecystectomy. She has a history of asthma 英{'æsme] , and is a smoker.

女性，29岁 拟择期行腹腔镜胆囊切除术，既往有哮喘病史，吸烟

When the endotracheal tube is inserted, it becomes very difficult to ventilate the lungs.

插管后发现肺通气非常困难

1. What is your differential diagnosis?

请给出鉴别诊断

2.What would you do?

怎么办？

3.Which drugs would you give?

给什么药？

4.Describe the cardiovascular effects of various bronchodilators.

试述各种支气管解痉药的心血管效应

5.Would end-tidal CO2 be an important monitor? Why or why not?

呼末CO2重要么？为什么？

王麻子

1:bronchospasm
2:bronchodilators or hormone
3：aminophyline or dexamethone
5:of course. it can instruct us to know the progress of patient's lungs.