紧急气管插管：给完药病人心跳停了！

2021-12-10 联勤保障部队第九四0医院联勤保障部队第九四0医院

两条咸鱼

陕西省西安市中心医院医生/ 医师

一起来学习！

作者为住院医师，这是她在做住院总医师时遇到的紧急插管病例。

原因分析

查资料

平时手术室外气管插管遇到的困难

环境拥挤，人员混乱，监护有时缺失
病人病情危重，情况紧急，一般非空腹
团队合作困难，部分科室缺乏气道管理经验，设备不熟悉
家属不能理解气管插管的必要性
其它

紧急气管插管的患者本来就病情危急，大多数情况病人已在积极心肺复苏中。但是有部分情况是病人因为所患特殊病情需要，如：重症肌无力，呼吸衰竭，颅脑外伤等需要改善通气状况急需建立人工气道进行气管插管，这类病人会有一定的准备时间，能充分了解病情并准备麻醉药物和高级呼吸支持设备等，针对清醒患者需要给予麻醉药物以减轻患者在插管时的恐惧和不适，也是为了迅速成功完成插管，这是无可厚非的。患者在给药后插管前出现心跳骤停，考虑还是病人病情过重，血氧饱和度56%，严重低氧血症已是难以为继。

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2023-05-30 坐井观天下来自海南省

学习了

61 0
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2022-12-17 llw8250 来自广东省

学习

78 0
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2021-12-13 ms2000000746648622

学习

87 0
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2021-12-12 147cf00fm84暂无昵称

学习了

88 0
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2021-12-12 yangfl08

#气管插管#

109 0
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2021-12-12 guguangxiang

#紧急#

95 0
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2021-12-10 caixiaolily

给药插管是否会影响患者循环状态

84 0

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