医疗急救中的喉罩气道使用(新英格兰杂志视频)

论坛助手

本文摘自2013年11月14日刊《新英格兰医学杂志》：
Laryngeal Mask Airway in Medical Emergencies
医疗急救中的喉罩气道使用
　　NEJM的这篇教学视频详细地介绍了喉罩气道的基本原理和操作方法,值得每位医务工作者学习.因为其简单易用,安全性和效果均很高,可作为常规面罩+气囊的替代气道建立方式。
During cardiopulmonary resuscitation (CPR), ventilation and chest compressions must be provided in a proper manner to be effective. Traditionally, ventilation is established through bag-and-mask ventilation, which is followed by endotracheal intubation with a cuffed endotracheal tube. However, because the level of skill required for successful placement of an endotracheal tube is high, only health care providers with experience in advanced airway-placement techniques should perform this procedure. The laryngeal mask airway (often referred to as LMA) is an alternative airway device that is both efficacious and relatively easy to place, even by novices. It is routinely used for patients who are under general anesthesia, since it provides a patent airway for patients who are breathing spontaneously and for those who are receiving mechanical ventilation. The laryngeal mask airway has been successfully used as an airway device for patients in cardiac arrest, even by personnel with little experience in airway management.​

心肺复苏（CPR）期间，通气措施和胸部按压需保证同时有效。常规的气道建立方式为气囊+面罩通气，以及随后的开口反褶型气管内插管。然而，成功的气管内插管放置需要很高的技巧，仅那些有丰富高级气道建立经验的专业医师可以操作。喉罩气道，即常说的LMA，是有效的气道建立方式。此外，由于操作简单，即使初学者也能熟练操作。目前全麻患者已常规进行LMA，可保证自主呼吸和机械通气患者的气道通畅。喉罩气道是心脏骤停患者气道建立的有效措施，即使气道管理经验不足者亦可操作。​

The video provides basic instruction for medical personnel in the placement of a laryngeal mask airway as an alternative to endotracheal intubation in patients receiving cardiopulmonary resuscitation. The video also presents the rationale for using the laryngeal mask airway rather than bag-and-mask ventilation during CPR.​

本视频为医务人员进行喉罩气道的基本介绍，包括使用LMA替代CPR患者的气管插管通气法。同时，视频亦阐述CPR期间使用LMA优于气囊+面罩通气的基本原理。（转自@医学专业新闻）

登录/注册后可看大图

zxq181225

挺好的，收下了。

论坛助手

相关链接：新英格兰医学杂志麻醉学相关视频汇总

https://www.xqnmz.com/thread-22784-1-1.html

fen

学习了，再好好的实践，争取达到技术娴熟

yanjuan0301

学习了。现在为止我们医院急救基本都是用面罩+简易呼吸器或者气管插管，以后可以尝试用喉罩

桑梓

至少这个成功率还是蛮高

a_amay

很好的视频，感谢推荐！

chengch200

急救多饱胃，不知误吸高不？

yixianmin136

请问禁食不好的病人有什么需要注意的？

baiyuyan

如果是饱胃病人的话，是否误吸的概率比较大？