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🌱 來自: critical care

PPAPVIP

PPAP

• Prepare patient: 小PPAP: 10 minutes before intubation
  • positioning-of-prepare patient
  • Preoxygenation: 5 minutes before intubation, for at least 3 minutes
  • apneic oxygenation - 無呼吸氧合，指在患者 ✖ 無自主呼吸時提供氧氣的技術。
• Physiologic difficulty: HOP
  • Hypotension
  • Hypoxia
  • Low pH: e.g. DKA, sepsis
• Anatomic difficulty: R-FOC
  • Route: 3 options: nosal, oral, or surgical airway
  • Fluid: massive hemoptysis, emesis, nasal bleeding
  • Obstruction: choking, trauma
  • Compliance: obese, ascites, radiation pneumonitis
• Pharmcology
  • RSI: rapid sequence intubation
  • MSI: modified sequence intubation - 修改後的序列插管。
  • DSI: delayed sequence intubation - 延遲序列插管。
  • DAI: drug-assisted intubation - 藥物輔助插管。
  • Awake

VIP

• 直球對決 vs 趨吉避凶

• Ventilation choice

• Intubation choice

  • Positioning with protection: 30 seconds after induction
    • Ramp position
  • Placement (intubation) with proof: 45 seconds after induction
    • 15秒要插完
  • Post-intubation management: 60 seconds after induction

• Pharmacology choice

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