《气道管理新进展》PPT课件

1、、sealing out doubt、advances in airway management气道管理的新发展、Disclosure、Mark Procyshyn、Rrt is the senior regional markswhat is their significance in terms of 3360 incidence？发生率？Clinical outcomes？林爽结果？Outline :Postoperative Pulmonary Complications术后肺部并发症，These Complications Range from Minor，Self-limited

2、conditions to其他突出的并发症包括ARDS、支气管痉挛、支气管炎、术中低氧血症、1。具有arozullah et al . ann surg . 200 a。232(2):242-253。what are postoperative pulmonary complications？什么是术后肺部并发症？what is their significance in terms of 3360 incidence？发生率？Clinical outcomes？侧线：体位性气胸complications are surprisingly common术后肺部并发症很常见，1 .smeta n

3、a et al . ann intern med . 20 144:581-95。summary of studies investigating incidence of Postoperative pulmonary complications by surgical site，As per systematic literature reviewretrospective multicenter cohort study of 8，930 patients 60 years or older for hip surgery 1 8930例60岁以上髋部手术患者的多中心回顾性队列研究，1

4、.Lawrence et al . arch internmed . 2002 .* definite or probable mi、emergency cardio version、pace maker insertion Ventricular tachyerrespiratory failure or pneumonia，no statistical difference found for incidence or mortality at 30 days and 1 year . 30天或1年，in aggregate，postoperative pulmonary complica

5、tions occur more often than cardiac，术后肺部并发症多于心脏并发症，Case control from 2，291 patateLawrence et al . j ger 10:671-678。total pulmonary complications occurred nearly twice as often and resulted in hospital lengths of stay over twice as long .肺总并发症的发生率增加了一倍，住院天数增加了一倍，这在肺炎、in particular、is very common in s

6、urgical patients肺炎，特别是外科患者中很常见。非贲门癌手术1郑智薰心脏手术患者最常见的术后并发症，most common complication in trauma patients 2，创伤21333hemmi la et al . surgery . 2008；144:307-316，what are postoperative pulmonary complications？术后并发症what is their significance in terms of : incidence？Clinical outcomes？林爽结果？Outline :Postoperati

7、ve Pneumonia Confers Significant Mortality术后肺炎引起的死亡率增加，A prospective study in 155，266 surgical patientsarozullah et al . ann of intern med . 2001；135:847-857.2。manku et al . anesth analg.200396:590-594。腹手术患者死亡率增加了10倍，作为体位性肺炎IS Associated with a tenfold increase in mortality after abdominal surgery术后

8、肺炎。impact of hosp-acquired pneumonia(hap)during original admission after abdominal surgery，n=618，495 patients 1腹部手术后医院243333，摘要：readmission of surgical patients with pneumonia is a significant source of increased health cath Postoperative pulmonary complication术后肺部并发症常见，昂贵，死亡率增加。Microaspiration in d

9、ownstream complications隐藏吸入对后续并发症的影响，Microaspiration隐藏吸入：micro aspiration refers to the migration，pictured : inadvertent micro aspiration of contrast media after a barium swallow examination in an intubate d patient图标Reproduced from macroduced from283:1220 with permission from BMJ publishing group l

10、td .cuff redesign in the 1970s，Traditional red rubber etts requiredThe new ETTs with high-volume，Low-pressure(hvlp)cuffs were introduced in the early 1970s to specifically address this ISSS低压大容量套筒(hvlp)，1 .know elson GTC，basset hfm。带br jas的新气管插管42:834-837.2。seegobinrd，van he sselt GL . BMJ . 1984；28

11、8:965-968。By design，Hvlp cuff diameter must be greater than the diameter of the trachea to ensure contachea新口袋直径大于气管直径。when properly sized cuffs are appro Priate ly inflated，the excess cuff material folds onto itself，Which can create channels that allow accelsseegobinetal . can anaesth SOC j . 1986；33:27327-9.4。seegobinet al . British medical journal . 1984；288:965-968.2。young et al . anaesthesia . 1999；54:559-563.5。dullen kopf et al . intensive care med . 2003；29:1849-1853.3。pav linet al .