套管针环甲膜穿刺连接呼吸机辅助呼吸的应用研究

夏剑; 王飞; 刘厚俭; 雍永权; 赵剡

doi:10.13201/j.issn.1009-5918.2014.01.014

套管针环甲膜穿刺连接呼吸机辅助呼吸的应用研究

- 1. 武汉大学中南医院急救中心(武汉, 430071);
- 2. 武汉市急救中心

详细信息

通讯作者: 赵剡,Email:doctoryanzhao@163.com

中图分类号: R56

收稿日期: 2013-08-07

Application of ventilator-assisted breathing mediated through trocar thyrocricoid puncture

- 1. Emergency center of Zhongnan Hospital of Wuhan University, Wuhan 430071, China;
- 2. Wuhan City Emergency Center Xinhua Road No. 10 Wuhan city

More Information

Corresponding author: ZHAO Yan, E-mail: 赵剡,Email:doctoryanzhao@163.com

Received Date: 07 August 2013

摘要

摘要: 目的:探索套管针进行环甲膜穿刺连接呼吸机辅助呼吸的疗效。方法:在呼吸道梗阻的智能模型人上采用不同型号注射器外套和不同型号气管导管连接呼吸机分别与16G套管针和钢制环甲膜穿刺针连接,环甲膜穿刺后进行辅助通气,采用VAC模式调节到呼吸机正常辅助通气的参数。结果:各种型号的气管插管和注射器选择无显著差异性,连接16G套管针每分钟最大通气量达到3 600 ml大于连接钢制环甲膜穿刺针的3 420 ml。结论:套管针环甲膜穿刺连接呼吸机辅助通气法优于钢制环甲膜穿刺针连接呼吸机辅助通气,适合院前急救应用。
- 环甲膜穿刺 /
- 套管针 /
- 呼吸机
Abstract: Objective:To explore the efficacy of ventilator-assisted breathing mediated through trocar thyrocricoid puncture.Method:Different types of syringe casing and different types of endotracheal tube with 16G trocar thyrocricoid puncture in the intelligent human model of respiratory tract obstruction were connected to a ventilator to assist ventilation.At the same time,steel cricothyroid membrane puncture needle was compared.VAC pattern was adjusted to the parameters of normal ventilation.Result:There was no significant difference for the choice of various sizes of the tracheal catheters and syringes.Maximal ventilatory volume per minute through connecting 16G trocar was much more than connecting steel cricothyroid membrane puncture needle.Conclusion:The method of ventilator connected trocar thyrocricoid puncture was better than steel cricothyroid membrane puncture needle to assist ventilation,which were suitable for prehospital emergency application.
- thyrocricoid puncture /
- trocar /
- ventilator

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参考文献(7)

[1]	果应菲, 何忠杰, 张宪, 等.急诊有创呼吸支持方法的临床研究[J].中华急诊医学杂志, 2005, 14 (10):846-848.
[2]	COMBES X, JABRE P, JBEILI C, et al.Prehospital standardization of medical airway management:Incidence and risk factors of difficult airway[J].Acad Emerg med, 2006, 13:828-834.
[3]	WONG D T, LAI K, CHUNG F F, et al.Cannot intubatecannot ventilate and difficult intubation strategies:results of a Canadian national survey[J].Anesth Analg, 2005, 100:1439-1446.
[4]	COMBES X, JABRE P, JBEILI C, et al.Prehospital standardization of medical airway management:Incidence and risk factor of difficult airway[J].Acad Emerg med, 2006, 13:828-834.
[5]	王玉峰.介绍一种自制的环甲膜切开改进装置-环甲膜穿刺器[J].临床急诊杂志, 2003, 4 (3):36-37.
[6]	COTÉC J, EAVEY R D, TODRES I D, et al.Cricothyroid membrane puncture:Oxygenation and ventilation in a dog model using an intra venous catheter[J].Crit Care Med, 1998, 16:615-619.
[7]	THOMPSON C, HALDER S, WIMBUSH S.Effective ventilation following emergency needle cricothyroidotomy[J].Resuscitation, 2007, 72:164-166.