浙江
一千個(gè)漏氣的喉罩藏著一千個(gè)哈姆雷特
(a) CT顯示的氣道側(cè)面圖
(f) 理想的喉罩放置圖（正面）
(b) 理想的喉罩放置圖（側(cè)面）
理想的喉罩有以下幾個(gè)要求
(i) （喉罩的遠(yuǎn)端在食道里面）
(ii) （會(huì)厭在罩杯外面）
(iii) （會(huì)厭內(nèi)側(cè)與罩杯耦合）
(iv) （打氣要均勻）
(v) （不要折疊你的罩杯）
漏氣的你可能包括或不限于下面的各種 （慢慢看英文，就當(dāng)是學(xué)習(xí)）
(c) Supraglottic airway device inserted too deep, too small size of SAD, or hypoinflation of the cuff in a manikin. (d) Supraglottic airway device inserted too superficial, too large size of SAD, or hyperinflation of the cuff in a manikin. (e) Downfolding of the epiglottis in the bowl of the SAD in a manikin. (g) Lack of seal between a SAD (non-inflatable cuff) and the epiglottis in a patient. (h) Same as in (c) in a patient. (i) Same as in (d) in a patient. (j) Supraglottic airway device with the epiglottis in the bowl, showing posterior epiglottis (no obstruction). (k) Folding in the proximal polyvinyl chloride cuff causing a leak. (l) Tip of the distal cuff folding over. (m) Tip of the distal cuff sits between the vocal cords. (n) Downfolding of the epiglottis by the distal cuff of the SAD. (o) Folding double of the epiglottis in a patient.
如何調(diào)整喉罩，不漏氣才是王道
（1）合適的喉罩，別把氣密性只有25mmHg的她用在頭低腳高位還是大胖子身上
（2）先看下氣打得太多還是太少（拿著注射器就要穩(wěn)、準(zhǔn)、狠）
（3）看看是插得太深還是太淺（看著外面露出那么長(zhǎng)的桿兒，你就要想到淺了）
（4）纖支鏡看看是喉罩折了還是會(huì)厭折了（插喉罩還是要點(diǎn)肌松的）
（5）改插管吧（固執(zhí)只會(huì)讓你很受傷）
出處：老李飛麻公眾號(hào)
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