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【正文】 Inhalational technique for intubation ? Relaxant anaesthesia for intubation Anaesthesia for tracheal intubation ? Oraltracheal intubation ? Nasotracheal intubation ? Flexible fiberoptic nasotracheal intubation Complications of intubation During laryngoscopy and intubation ? Maipositioning Easophageal intubation Endobronctrial intubation Laryngeal position ? Airway trauma ? Tooth damage ? Lip, tongue or mucosal laceration ? Sore throat ? Dislocated mandible Complications of intubation During laryngoscopy and intubation ? Retropharyngeal dissection ? Physiologic reflexes Hypertension, Tachycardia Intracranial hypertention Intraocular hypertension ? Laryngospasm ? Tube malfunction ? Cuff perforation Complications of intubation While the tube is in place ? Malposition ? Unintentional extubation ? Endobrochial intubation ? Laryngeal cuff position ? Airway trauma ? Mucosal inflammation and ulceration ? Excoriation of nose ? Tube malfunction ? Ignition ? Obstruction Complications of intubation Following extubation ? A) Airway trauma ? Edema and stenosis (glottic, subglottic, or tracheal ) ? Hoarseness (vocal cord granuloma or paralysis ) ? Laryngeal malfunction and aspiration ? B) Physiologic reflexes Laryngospasm Relaxant anaesthesia Indications for relaxant anaesthesia ? Major abdominal, intraperitoneal, thoracic, intracranial operations ? Prolonged operations in which spontaneous ventilation would lead to respiratory depression ? Operations in a position in which ventilation is impaired mechanically Clinical Pharmacology Muscle Relaxants ? Depolarizing ? Shortacting Succinylcholine Decamethonium ? Nondepolarizing ? Longacting Tubocurarine Metocurine doxacurium Pancuronium Pipecurium ? Intermediateacting Atracurium Vecuronium ? Shortacting Mivacurium Reversal of relaxation Residual neuromuscular block is antagonized with neostigmine ( nebulizers ? Oxygen analyzers Airway management equipment ? Oral amp。 spirometers ? Vaporizers ? Vantilators amp。 pressure regulators ? Oxygen pressure failure devices amp。Clinical Anaesthesiology Qiu Wei Fan Associate Professor Department of Anaesthesiology Rui Jin Hospital Shanghai Second Medical University General Anaesthesia Classification of General Anaesthesia Methods Inhalation anaesthesia Intravenous anaesthesia Intr
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