国际麻醉学与复苏杂志   2011, Issue (5): 566-569
    
超声在气道管理中的应用
王俊安, 汪春英, 杭燕南1()
1.上海市黄浦区中心医院
Application of ultrasound technique in airway management
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摘要:

背景 超声技术在临床麻醉中的应用越来越广泛,近些年关于其在气道管理中的应用也有了一些报道,并认为其安全、方便。目的 分析、总结超声在气道管理各方面应用的文献资料。内容 简要介绍了上呼吸道的超声解剖以及获得满意的超声图像的方法和途径,综述了超声技术在插管前评估、气管导管位置的确定、双腔气管导管和经皮扩张气管造口术(percutaneous dilatational tracheostomy, PDT)应用中的进展。趋向 超声在气道管理中有一定的应用价值,与其它影像技术相比较有独特的优势,但其在困难气道预测、处理及喉罩使用方面的价值还需进一步探索。

关键词: 超声;气道管理;气管插管;双腔气管插管;经皮扩张气管造口术
Abstract:

Backgroud Ultrasound technique is applied in more areas related with clinical anesthesia, and also be seen as a safer and easier technique in airway management recently. Objective This paper reviews literatures on the application of ultrasound technique in airway management. Content Upper airway ultrasonographic anatomy and the methods of gaining satisfactory ultrasonogram are described, in additional , the advancement of ultrasound technique in pre-intubation evaluation、position of endotracheal catheter、inserting double-lumen tube and PDT are also introduced in details. Trend In contrast to other image techniques, ultrasound technique shows some special value in airway management. But more studies need to be done about application of ultrasound technique in difficult airway prediction and use of laryngeal mask.

Key words: ultrasound; airway management; intubation; double-lumen tube; percutaneous dilatational tracheostomy;