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大五_Anathesiology
5
Transcript
Anathesiology
Diseases
小孩在放oral airway 不能用轉180度在翻轉回來之方法，如此可能會傷及口腔的腺體(eg,扁桃腺)，還是得乖乖用壓舌板，順順地放。
若小兒ETT選用太大size，要小心 laryngomalacia。
Special
topics
[cf.] P's
- RSI
- ARDS management
- PAOD
- Compartment syn.
- Pheochromocytoma
RSI '7 Ps' >> 核心精神在於【'緊急情況'給予'人道'插管】；又名 drug-assisted intubation (DAI)
(L)
Atropine (A)
抑制口水分泌
(D)
(=Pretreatment>>給輔助藥物[LOA])
(O)
或著路倒/ER緊急處置
[cf.]全麻手術的插管
鎮靜、D，擇一
(Paralyze>>給睡著藥 +/- 肌肉鬆弛[D]；若還會躁動，要給肌肉鬆弛，若昏迷掉了其實不給無妨])
and Placement (插管)
>>使用Sellick maneuver [壓住cricoid c.]以防 aspiration (此法 evidence-based 不足，不會常規使用)
L還可降腦壓(eg,head trauma者)
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