Supraglottic airway management is a method to establish effective artificial airway.In anatomic view,post-tongue factors are the main causes of upper airway obstruction during anesthesia.Recently available devices for...Supraglottic airway management is a method to establish effective artificial airway.In anatomic view,post-tongue factors are the main causes of upper airway obstruction during anesthesia.Recently available devices for supraglottic airway management were designed to maintain patent airway,facilitate artificial ventilation and avoid tracheal intubation.According to the airway sealing mechanism,these devices can be classified as peripharyngeal sealing device with cuff,pharyngeal sealing device with cuff and anatomy-directed prefabricated sealing device without cuff.Mechanism of upper airway obstruction,classification of and advances in these devices for supraglottic airway management and their clinical effects were reviewed.展开更多
文摘Supraglottic airway management is a method to establish effective artificial airway.In anatomic view,post-tongue factors are the main causes of upper airway obstruction during anesthesia.Recently available devices for supraglottic airway management were designed to maintain patent airway,facilitate artificial ventilation and avoid tracheal intubation.According to the airway sealing mechanism,these devices can be classified as peripharyngeal sealing device with cuff,pharyngeal sealing device with cuff and anatomy-directed prefabricated sealing device without cuff.Mechanism of upper airway obstruction,classification of and advances in these devices for supraglottic airway management and their clinical effects were reviewed.
文摘在胸外科手术麻醉中，单肺通气（one—lung ventilation，OLV）是一种很重要的通气方式。它既可防止术侧肺的血液及分泌物溢入健侧肺，保证呼吸道通畅，避免交叉感染，同时也利于手术操作。但是在开胸手术OLV中一些肺部并发症，如肺炎、脓胸、肺不张等不断有报道，目前认为这些症状都是开胸术后肺损伤（lung injury after thoracotomy，LIAT）的表现形式。其中不同的OLV模式可直接影响LIAT的发生。
