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air-Q

2019/12/16

that"s ready for the unexpected!

思则有备,有备无患!

Quick Tips Reference Guide


快速提高参考指南:

air-Q Insertion

关于air-Q喉罩

Generally use size 3.5 for women and 4.5 for most men.

一般3.5号适用于女性患者,4.5号适用于大多男性患者

Lubricate the back of air-Q and front ridges of mask cavity.

使用前需润滑喉罩前背部和喉罩内腔山脊条

Leave red tag on pilot balloon when inserting.

插入喉腔时勿取下红色标盖 Use tongue depressor to lift tongue and get air-Q started.

用压舌板抬高舌头位置,把喉罩置于固定位置

If the air-Q gets stuck during placement, put the left index finger behind the mask and use finger by pushing forward, to assist the mask around the corner.

如喉罩在插入过程中受阻,把左手食指衬于喉罩背面,与手指一同协助把喉罩向下推进到适当部位。

o mandibular lift while passing air-Q into pharynx.

当口罩穿过咽喉同时抬高下颚

Check position of air-Q - patient"s incisors should be between 2 horizontal insertion marks indicated on air-Q.

检查患者门齿所应对喉罩的标尺线,应在2跟横向水平标记线中间

Place patient"s head in neutral position after placement.

在操作完毕后把患者头部位置归位

Intubation through air – Q

喉罩的插管通气

Tape air-Q into center of maxilla prior to intubation.

把喉罩放到前颌骨的中心位置插管

Lubricate OETT liberally and lubricate inner portion of air-Q airway tube by sliding OETT up and down within tube several times.

均匀润滑喉罩前端、罩面内部与喉罩官腔上下几次

Pre-load OETT to 18 cm mark for 3.5 and 20 cm for 4.5.

测量喉罩的长度 18厘米型号为3.5,20厘米型号为4.5。

Pass a Fiber Optic scope through OETT - should see straight shot to glottis.

通过光纤可视气管镜,通过管腔可看到声门 If you do not immediately see the opening to the trachea and the cords, epiglottis most likely down-folded.

如果你不能立即看到开放的气道,位于会厌部的喉罩前端很有可能向下反折

Should epiglottis down-fold occur, deflate air-Q, back out about 2 - 3 inches, perform law Lift and reinsert

如果会厌部向下反折,减小喉罩对其的压力,向外拉伸5~7cm,按规范向上提出或再次插入.

Blind Intubation

盲插管

Before first attempting blind intubation, look through air-Q a few times with Fiber Optic scope to see now air-Q Lines up.

在采用盲插技术前,通过光纤可视气管镜检查喉罩使用是否可行

On blind intubations, expect success on first pass about 60% - 70% of the time.

盲插的首次成功率在60%~70%

If not successful, miss is usually low.

不成功的例子通常很低

Apply a little pressure over cricoid-thyroid area to lower inlet further into mask.

通过环状甲状腺时稍稍用力使喉罩口契合喉腔位置

Minimizing Leaks

减少漏气

Make sure the patient"s head is in neutral position.

确定患者头部位于正位

Make certain jaw Lift is used during insertion.

在插入喉罩时抬高下颚

Make certain cuff is not over-inflated - check pilot balloon, if mushy, add a little air; if hard, remove air.

检查充气程度,确定罩面没有充气过度, 按需充气、放气。

Check position of air-Q - patient"s incisors should be between 2 horizontal insertion marks located on the air-Q.

检查喉罩应对患者门牙的位置,应位于喉罩标记的2根水平红线间

With air-Q inflated, pull back 1 /4 to 1/2 inch.

给喉罩充气时 , 把喉罩拉回0.5~1cm

Consider using different size air-Q, depending on patient, go up or down 1 size.  根据不同病人情况选择不同型号的喉罩

If small leak, check ETCO2 waveform and inspiratory pressure - may not be a problem if there is good ETCO2 and inspiratory pressure waveform.

检查是否有漏气,请检查患者呼吸波形及吸入压。

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