Name: guidelines for elective pediatric fiberoptic intubation
Uploaded: 2011-01-17T19:00:00
Description: Watch this Scientific Journal Video about Guidelines for Elective Pediatric Fiberoptic Intubation at JoVE.com

Bu çalışma, Michigan çocuk hastanede anestezi departmanı tarafından finanse edilmektedir.

1. Ekipman Hazırlığı <ol><li> Med füzyon pompa propofol </li><li> Nazotrakeal tüpler ısıtma yatak altında yerleştirin </li><li> Kapsamı kamera bağlayın ve yönünü kontrol edin </li><li> Üç hareketleri kapsamı ile görünümünü etkiler: <ol><li> Içinde ve dışında. </li><li> Rotasyon iki elle manevra kullanarak. </li><li> Fleksiyon ve ucu kapsamının genişletilmesi. </li></ol></li></ol> 2. İlave Ekipman <ol><li> Fentanil 0.5-1.0 mcg / kg </li><li> 12F kauçuk kırmız...

<ol>
	<li>Kinouchi, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Management+of+difficult+pediatric+airway.">Management of difficult pediatric airway.</a> Masui. 55, 24-32 (2006).</li><li>Chen, Y. L., Wu, K. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Airway+management+of+patients+with+craniofacial+abnormalities:+10-year+experience+at+a+teaching+hospital+in+Taiwan.">Airway management of patients with craniofacial abnormalities: 10-year experience at a teaching hospital in Taiwan.</a> J Chin Med Assoc. 72, 468-470 (2009).</li><li>. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Practice+guidelines+for+management+of+the+difficult+airway:+an+updated+report+by+the+American+Society+of+Anesthesiologists+Task+Force+on+Management+of+the+Difficult+Airway.">Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway.</a> Anesthesiology. 98, 1269-1277 (2003).</li><li>Fiadjoe, J., Stricker, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pediatric+difficult+airway+management:+current+devices+and+techniques.">Pediatric difficult airway management: current devices and techniques.</a> Anesthesiol Clin. 27, 185-195 (2009).</li><li>Wheeler, M., Roth, A. G., Dsida, R. M., Rae, B., Seshadri, R., Sullivan, C. L., Heffner, C. L., Cote, C. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Teaching+residents+pediatric+fiberoptic+intubation+of+the+trachea:+traditional+fiberscope+with+an+eyepiece+versus+a+video-assisted+technique+using+a+fiberscope+with+an+integrated+camera.">Teaching residents pediatric fiberoptic intubation of the trachea: traditional fiberscope with an eyepiece versus a video-assisted technique using a fiberscope with an integrated camera.</a> Anesthesiology. 101, 842-846 (2004).</li><li>Roth, A. G., Wheeler, M., Stevenson, G. W., Hall, S. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+a+rigid+laryngoscope+with+the+ultrathin+fibreoptic+laryngoscope+for+tracheal+intubation+in+infants.">Comparison of a rigid laryngoscope with the ultrathin fibreoptic laryngoscope for tracheal intubation in infants.</a> Can J Anaesth. 41, 1069-1073 (1994).</li><li>Ovassapian, A., Dykes, M. H., Golmon, M. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+training+programme+for+fibreoptic+nasotracheal+intubation.+Use+of+model+and+live+patients.">A training programme for fibreoptic nasotracheal intubation. Use of model and live patients.</a> Anaesthesia. 38, 795-798 (1983).</li><li>Stevenson, G. W., Roth, A. G., Wheeler, M., Hall, S. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Use+of+the+Olympus+LF-P+fibreoptic+laryngoscope+by+trainees+in+paediatric+anaesthesia.">Use of the Olympus LF-P fibreoptic laryngoscope by trainees in paediatric anaesthesia.</a> Anaesthesia. 51, (1996).</li><li>Taguchi, S., Kusunoki, S., Fukuda, H., Hamada, H., Kawamoto, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Difficult+tracheal+intubation+using+airway+scope+in+a+pediatric+patient+with+Hunter+syndrome.">Difficult tracheal intubation using airway scope in a pediatric patient with Hunter syndrome.</a> Masui. 58, 1278-1281 (2009).</li></ol>

Zor hava yolu olan pediatrik hastalarda fiberoptik entübasyon, zor bir görev 1,2 olabilir ve kraniyofasiyal dysmorphisms varlığı trakeal entübasyon 3 ek sorunlar ortaya koymaktadır . Firberoptic kapsamı ucu herhangi bir küçük hareket mukozaya temas riskini taşır fiberoptik manipülasyon daha zor hale pediatrik hastalarda temel nedeni daha küçük hava yolları erişkinlerde göre pediatrik hastalarda bu yordamı gerçekleştirmek için daha zordur nazofarenks / trakea. Bu, hava yollar...

<ul><li> Med füzyon pompa propofol </li><li> Fentanil 0.5-1.0 mcg / kg </li><li> 12F kauçuk kırmızı aspirasyon kateteri </li><li> 0.1-0.2 mg Glikopirolat </li><li> Metal insuflasyon kanca </li><li> Afrin nazal sprey </li><li> Yağlayıcı </li><li> Lidokain% 2 veya burun püskürtülmesi için% 4 </li></ul>

guidelines for elective pediatric fiberoptic intubation

Fiberoptik entübasyon pediatrik hastalar genellikle özellikle sendromik hastalarda yani Pierre Robin Sendromu zor hava yollarındaki gereklidir. Küçük bebekler, çok hızlı bir şekilde havalandırma esas olarak yüksek metabolik hızı kesilirse Desaturate olacaktır. Biz prosedür boyunca spontan solunum korurken güvenli bir fiberoptik entübasyon gerçekleştirmek için kurallar açıklanmaktadır. , Propofol pompa, fentanil, Glikopirolat, kauçuk kırmızı kateter, metal insuflation kanca, Afrin, yağ ve lidokain sprey kullanımı gerektiren adımlar gösterilmiştir.

Watch this Scientific Journal Video about Guidelines for Elective Pediatric Fiberoptic Intubation at JoVE.com

Guidelines for Elective Pediatric Fiberoptic Intubation

Spontan ventilasyon korurken, pediatrik hastalarda güvenli ve etkin bir seçmeli fiberoptik entübasyon gerçekleştirmek için yönergeler açıklanmaktadır.

Seçmeli Pediatrik Fiberoptik Entübasyon için rehber

Fiberoptic intubation in pediatric patients is often required especially in difficult airways of syndromic patients i.e. Pierre Robin Syndrome. Small ...

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Medicine

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