4.-rapid sequence intubation in adults - uptodate.pdf

8/11/2019 4.-Rapid sequence intubation in adults - uptodate.pdf

1/14

A E B , MD, MS , FAAEM,FACEP

R M , MD, FRCPC, FAAEM

J G , MD, FAAEM

A . J 2014. J 02, 2014.

T , (RSI)

( , ) ( , . RSI

. U .

T . D RSI , RSI,

. (S"R (RSI) " "S " "N (NMBA)

" "P " "B ".)

R (RSI) ( )

. P . B

, .

RSI 1 6 . M RS

1 6 .

C RSI . C . D

, . (S'I ' 'N ' "T

".) R (RSI)

. T "S P' RSI" ( 1) 7,8 :

P

P

P

P

P

P


2/14

E .

P ' , ( 2).

O , . A

, (RSI) . A

" " . (S"T " "T ".)

P RSI, , , , , . T

,

.

T

. A . I , ( M M 2, 3, 4)

S . A . (S"B ".)

T ( , ) . A . T

.

A RSI RSI. E

. B

, , . E . (S"T ".)

A 9 . T

( , , ). A

.

A 9 :

P

F , 10 12 . A , 30 T (

) . T . (S"E

'P '.)

D RSI, 5 L/ . T , 13,14 .

I , (


3/14

C

18 . I , ( , ) 19,20 .

M ( < (

( 8 L/ ), ( ) . (S"B

", ' , , '.)

G RSI . I , ' . " "

' . P . T

. P .

R ( 1) 21 . A 70

90 . . T ,

, 90 .

T ' . T ,

. ,

, 9,22 .

P RSI . T

. P RSI . (S"P ".)

T RSI ( ). A

. RSI . T . O

, 45 60 I .

T RSI , . N . D

( / ). T . (S "B ", 'A '.)

F 93 ,

( , CPAP) 15 17 . D (PEEP) ,

T

. (S "E ", 'P .)


4/14

, , , , ( , T RSI . (S"S

".) A ( 3).

T (NMBA) RSI. N

I RSI, . T NMBA RSI . (S"N (NMBA)

".) ( ) T RSI

(S ' ). B . (S 'P ' .)

F , . P 90

, . I ' 90, , ,

S ' RSI 23 . S '

( 2). A (A ' ).

, . ,

. S S ' , , (

). I , .

A S ' , 23 . S

, 23 27 . H ,

( ) 28 . , , S '

.

A 23 :

A , ( , ), . T

. ,

C

.

C

C .

P .


5/14

45 , , 60. T . O

(ETT) , , .

C ETT ; . E CO2 (E CO2) ( )

ETT , .

, ETT , , ETT . I

CO2, CO2 A ( ,

. T . (S"D

'C '.)

RSI S , , ,

. T 29 31 . T ED

, .

A .

H 32 , , . L

, ,

. I I . C

, . (S"T " "M ", 'A ' "U ".)

M . "M ", 'D

' .)

I , . P

RSI ' . A , ,

. (S"S S , , , ".)

T (RSI). T , , ,

.

T . I ,

, 20,33,34 . T . I ,


6/14

. (S"P " "R (RSI) ", 'P '.)

T 35 37 . T

. T . I

. F ,

T ( , ) ,

. T (NMBA),

T , RSI , NMBA. T

, .

R (RSI) . RSI ( , ) ) . RSI

. U RSI . T

"S P' ":

P A . M ,

, . G . N . (S'P ' .)

P

( 1 ). P , , . T

, 90 , . T

. S . (S 'P ' .)

P D , RSI

"P ".)

P RSI

( ) . D

3). (S "S " "N (NMBA) ".)

P T . B

. . (S'P ( ) ' .)

P O ,


7/14


8/14

59:243.

M TC, BH, C J. E 4 8 . C C M 2009; 37:68.

18.

P JJ, D T, R PA. T : . A 2003; 99:841.

19.

B A, H B S, K S, C IR. S . C A 2000; 47:1144.

20.

B JL, D R, B R. C 1 / . A 1997; 87:979.21.

D N, S K, K, . D . C J A 1992; 39:87.

22.

E D , H T, D. C . A E M 2007; 50:653.

23.

L RM, K C, L J, E . L : , , . A

M 2006; 47:548.

24.

B J, S A. B . C M J 2005; 22:815.

25.

M N U, S A, H I, D J. T . A 2007; 62:456.

26.

O J, L T, C , . E M 2013; 61:407.

27.

AM, S MR, M J , . T :

A 2014; 118:580.

28.

L PB, F A, S KM, B P. T : . BMC E M 2006; 6:7.

29.

C T, E S, P, . A . A CC 1998; 11:45.

30.

K R, B M. A . H L 1994; 23:59.31.

G R, H B, L J, . I : . CJEM 2014; 16:69.

32.

B AS, T SK, A MT, . P : . A 1999; 91:612.

33.

R S M, J NJ, C GJ, . P : . A 2000; 92:1845.

34.

K KF, C FG. R : . C J A 1935.

C RD, M RE, M EJ. R : A 1989; 1:422.

36.

S SM, C RD, M RE. R : . A 1990; 73:244.

37.

T 270 13.0


9/14

10

5

3

30

( ) 45

60

77060 3.0


10/14

:

: ( , , )

:

:

: , , , , ,

: A ; A ; A ( , , ,A); A

:

: , , ,

: ; A:

79150 2.0


11/14

, , .

1 / . 1 7 87 7 . 1 7 & .

56716 10.0


12/14

;

0.3/

,

,

,

1 2/

0.2 0.3

/

A 1.5 3

/

;

3 5/

A

A

1 3/

64272 8.0


13/14

, . . , 2 , ,

( ), & , 2008. 2008 & . . . .

71800 6.0


14/14

. ( ).

, . . , , .

.

4.-rapid sequence intubation in adults - uptodate.pdf

Documents