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3 US Difficult Airway Management US Difficult Airway Management DAM DAM / AW AW / FS FS LMA LMA LMA LMA LMA LMA / AW AW AW AW SLM SLM SLM SLM T MT2 MT2 QT QT

4 ILMA ILMA LMA LMA LMA LMA A B C D ILMA ILMA LMA LMA 4 UK Difficult Airway Society UK Difficult Airway Society DAS DAS 2 ETT ETT SLM SLM IT IT SLM SLM MT2 MT2 QT QT MT2 MT2

5

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7 mm 9.0mm 9.0mm mm mm mm ( 5.4mm)

8 mm120mm HP HP 10mm 9mm mm mm mm Point

9

10 Study) Point P.Goumas,et al, Cricothyroidotomy and the anatomy of the cricothyroid space.an autopsy study. The Journal of Laryngology and Otology1997;111:354-6 London,, St Mary s s Hospital ) 11/ / / 1 Kress and Balasbramanian,1982; Sise 1982

11 David T Wong What is the minimum training required for successful Cricothyroidotomy?-A study in mannequins. Anesthesiology 2003;98:349-53

12 Smiths II II Portex VBM VBM

13 Study) B.G. Fikkers,S.van Vugt et al. Emergency cricothyrotomy: : a randomised crossover trial comparing the wire-guided and catheter-over over-needle techniques. Anaesthesia 2004;59: n=20 P-value 20.8sec 13.3sec sec 47.9sec < (vas-score) 2.1 (vas-score) < (85%) 19 (95%) NS

14 II II 15mm ID2mm/ ID2mm/10 40kg ID4mm/ ID4mm/35kg 2

15 100/461/000 GW 15mm

16 100/462/000 15mm

17

18 ID4.0mm ID4.0mm ID2.0mm2

19

20 II II 15mm mm 10mL ml 16G

21 II 15mm

22 II

23

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