Page 39 - CASA Bulletin of Anesthesiologisy 2022 9(6)-1 (3)
P. 39

Vol. 9, No 6, 2022


               效延长插管时间。此外，SJOV 易于管理，由于其无创性操作的特点使得并发症较少，因此广泛

               使用于困难气道的患者。Liang 等人                 11 报告了一名存在睡眠呼吸暂停综合征的病态肥胖患者，在
               可视喉镜插管多次失败后，面罩加压给氧效果欠佳，使用 SJOV 仅 1 min 后，SpO2 上升至
               100%，并顺利通过纤维支气管镜引导插管，SJOV 总时间为 7 min。Wu 等人                                 12 通过纳入 50 名

               Cormack-       ≥3 级的全身麻醉成年患者来比较 SJOV 及喉罩辅助纤维支气管镜在治疗困难气管
               插管方面的有效性和安全性，结果显示使用魏氏鼻咽通气管的 SJOV 在困难气道管理中能显著提
               高成功率并最大限度地减少低氧血症的发生。


                   针对非紧急或预期困难气道的患者，使用喷射通气技术来管理气道是切实可行的。可以根据
               患者个体情况及麻醉医师对操作的熟练程度来选择最合适的救援方法。我们建议至少将喷射通气

               作为一种备用技术，以管理围手术期患者气管插管期间的通气，尤其是在紧急情况下。




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