新型声门上喷射供氧通气技术的临床应用  

Clinical application of a novel technique regarding supraglottic jet oxygenation and ventilation

作　　者：姜柏林[1] 李文献 程庆好 马武华[4] 吴志云[5] 罗爱林[6] 苏殿三[7] 拉巴次仁[8] 朱涛[9] 魏华锋 Jiang Bailin;Li Wenxian;Cheng Qinghao;Ma Wuhua;Wu Zhiyun;Luo Ailin;Su Diansan;Laba Ciren;Zhu Tao;Wei Huafeng(Department of Anesthesiology,Peking University People's Hospital,Beijing 100044,China;Department of Anesthesiology,Eye&ENT Hospital,Fudan University,Shanghai 200031,China;Department of Anesthesiology,Emergency General Hospital,Beijing 100028,Chi-na;Department of Anesthesiology,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Department of Anesthesiology,910th Hospital of the PLA Joint Logistic Support Force,Quanzhou 362000,China;Department of Anes-thesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Depart-ment of Anesthesiology,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China;Department of Anesthesiology,Tibet Autonomous Region People's Hospital,Lhasa 850000,China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Anesthesiology and Critical Care,Perelman School of Medicine,University of Pennsylvania,Philadelphia 19104,USA)

机构地区：[1]北京大学人民医院麻醉科,北京100044 [2]复旦大学附属眼耳鼻喉科医院麻醉科,上海200031 [3]应急总医院麻醉科,北京100028 [4]广州中医药大学第一附属医院麻醉科,广州510405 [5]中国人民解放军联勤保障部队第九一〇医院麻醉科,泉州362000 [6]华中科技大学同济医学院附属同济医院麻醉科,武汉430030 [7]上海交通大学医学院附属仁济医院麻醉科,上海200127 [8]西藏自治区人民医院麻醉科,拉萨850000 [9]四川大学华西医院麻醉科,成都610041 [10]宾夕法尼亚大学佩雷尔曼医学院麻醉与重症医学科,费城19104

出　　处：《国际麻醉学与复苏杂志》2023年第5期508-513,共6页International Journal of Anesthesiology and Resuscitation

摘　　要：声门上喷射供氧通气(supraglottic jet oxygenation and ventilation,SJOV)是一种新型的无创呼吸支持技术,可以为呼吸抑制乃至呼吸暂停的患者提供有效、安全、可靠的供氧和通气,SJOV操作简单,氧合效果好,且无严重并发症。文章综述了SJOV的设置、临床应用及可能引发的并发症,并与其他氧合通气装置进行了比较。SJOV在喉部手术、支气管镜检查以及困难气道的处理中具有独特优势,并可应用于部分门诊手术和无痛检查,尤其适用于缺氧风险较高的特殊患者。SJOV在更多临床场景的广泛应用,尚有待更多的研究和实践以证实。Supraglottic jet oxygenation and ventilation(SJOV)is a novel minimally invasive technique that could effectively deliver and maintain oxygenation in patients with respiratory depression or even apnea.SJOV is easy and convenient to set up and use.The effectiveness and safety of SJOV have been confirmed in many clinical studies.This article summarized the setup,clinical use,and complications.The advantage/disadvantage of SJOV is also compared to other oxygen supply techniques.The use of SJOV has unique advantages in larynx surgeries,tracheoscopy,and the management of difficult airways.Evidence is also in favor of the use of SJOV during procedural sedation,especially in patients with a high risk of hypoxemia.Whether SJOV could be used in a broader spectrum of clinical scenarios waits for further studies to answer.

关 键 词：气道管理 困难气道 低氧血症 镇静 氧疗 呼吸衰竭 声门上喷射供氧通气 魏氏鼻咽喷射管 

分 类 号：R614[医药卫生—麻醉学]