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【正文】 effect. What you may see is the antegrade peristaltic wave progressing left to right in the upper channels and then back to the left in the lower channels. It will appear as a reflection, like a mountain reflected in the surface of a lake. The patient may or may not be sensitive to this coil so going based on their response alone is not reliable. Regardless of why the probe started to turn, getting it to uncoil in the esophageal body is difficult as there is not much room for the probe to straighten. Moving up and down in the esophageal body does little but cause disfort for the patient. If you pletely remove the probe and offer to start the intubation again, the patient may refuse.If you are unable to get through the LES, the next best maneuver may be to pull back on the probe just to the point at which the probe tip is in the back of the throat. Then try advancing again as usual. Remember to have the patient tuck their chin and take small sips of fluid. This should help prevent a strong tongue thrust that may have started the probe turning in the first place.。pop39。 With an EFT or HRiM probe, normal peristalsis wi
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