国际麻醉学与复苏杂志   2021, Issue (4): 0-0
    
无痛上消化道内镜诊疗术通气设备的应用进展
程晨, 步莉娜, 张大千, 范坤, 岳小芳1()
1.上海市第六人民医院东院
Advances in the application of airway devices in drug‑induced sleep upper gastrointestinal endoscopy
 全文:
摘要:

上消化道内镜操作采用麻醉和镇静,在提高患者舒适度的同时也增加了气道梗阻、呼吸抑制以及低氧血症的风险。目前,各种通气设备相继出现,提高了无痛上消化道内镜操作的安全性。通气设备均能有效减少无痛上消化道内镜诊疗术术中低氧血症的发生,但如何个体化选择不同通气装置是未来我们需要解决的问题和研究的方向。文章将通过对常用消化道内镜通气设备进行综述,包括经鼻通气设备、经口通气设备和体外通气设备,展示各种通气设备的类型,阐述每种设备的特点和优劣势,为临床选择适宜通气设备提供参考。

关键词: 全上消化道内镜检查术; 低氧; 麻醉; 镇静; 通气; 设备
Abstract:

Anesthesia and sedation during upper gastrointestinal endoscopy can improve the comfort of patients, but the risk of airway obstruction, respiratory depression and hypoxemia may accordingly increase. At present, a variety of airway devices have been marketed, so as to improve the safety of drug‑induced sleep endoscopy. Airway devices can effectively reduce the incidence of hypoxemia during drug‑induced sleep endoscopy, but we need to consider individual selection of the airway device in the future. The review summarizes the airway devices that are commonly used, including nasal, oral and extraoral devices, so as to elaborate the characteristics, advantages and disadvantages of each airway device, and provide reference for clinical selection of appropriate airway device.

Key words: Panendoscopy; Hypoxia; Anesthesia; Sedative; Ventilation; Apparatus