如何预测困难气管插管ppt课件

Р未预计的困难气管插管对麻醉医生是一种挑战。Р 是否可以通过简单的床旁体检来预测困难气管插管?РLEMON 法则Р Look externally.? Evaluate the 3-3-2 rule.? Mallampati.? Obstruction?? Neck mobility.РLook Externally?(外观检查)Р肥胖(Obesity)?颈短粗(Short bull neck)?高腭弓(High arching palate)?上门牙突出(Prominent Upper Incisors,Buck Teeth)?小下颌(Receding mandible,Dentures)?无牙(Edentulous mouth)?面部畸形(Abnormal facial shape)?面部创伤(Facial trauma)РEvaluate the 3-3-2 rule?(3-3-2法则)Р3 fingers between the patient’s teeth (patient’s mouth should open adequately to permit three fingers to be placed between the upper and lower teeth)Р3 fingers between the tip of the jaw and the beginning of the neck (under the chin)Р2 fingers between the thyroid notch and the floor of the mandible (top of the neck)Р改良Mallampati分级РObstruction??(是否存在梗阻因素)Р肿瘤?脓肿?血肿?会厌炎?甲状腺肿大РNeck Mobility?(颈椎活动度)