文章摘要
快速顺序诱导气管插管的研究进展
Research progress on rapid sequence induction and intubation
  
DOI:10.12089/jca.2023.11.016
中文关键词: 快速顺序诱导气管插管  预充氧  正压通气  窒息氧合  环状软骨加压
英文关键词: Rapid sequence induction and intubation  Preoxygenation  Positive-pressure ventilation  Apneic oxygenation  Cricoid pressure
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作者单位E-mail
田龙 100044,北京大学人民医院麻醉科  
梁汉生 100044,北京大学人民医院麻醉科 doctorlianghsh@sina.com 
冯艺 100044,北京大学人民医院麻醉科  
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中文摘要:
      快速顺序诱导气管插管(RSII)是为反流误吸高风险患者气管插管提供的一种保护性措施。经典RSII技术包括:有效的预充氧、快速顺序给予硫喷妥钠和琥珀酰胆碱、环状软骨加压、诱导时避免正压通气、使用带套囊气管导管插管。RSII经历了多次“改良”,但至今临床获益及风险仍未明确。当前技术的发展改变了一些传统观念,如预充氧方式的选择、插管的可视化和正压通气的应用等。本文综述了RSII应用研究进展,旨在为临床RSII实施提供参考。
英文摘要:
      Rapid sequence induction and intubation (RSII) is a protective process in patients at high risk of aspiration/regurgitation in an emergency. The procedures of classical RSII include effective pre-oxygenation, administration of thiopental and succinylcholine, application of cricoid pressure, avoidance of positive-pressure ventilation before intubation, and intubation with a cuffed tracheal tube. Although RSII has evolved many times, its clinical benefits and risks remain undefined. In particular, some of the traditional concepts of RSII have been changed by the development of pre-oxygenation, visualization of intubation, application of positive-pressure ventilation, and other new techniques. This article reviews the latest progress of RSII research, aiming to provide a better reference for clinical practice.
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