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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
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
9.0 10.0mm 9.0mm 9.0mm 30.0 9.0 9.0mm 30.0 30.0mm 9.0 10.0mm ( 5.4mm)
100 120mm120mm HP HP 10mm 9mm 80 100mm 10 9 90mm mm 80 100 Point
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 ) 11/107 10.2 33/107 30.8 / 1 Kress and Balasbramanian,1982; Sise 1982
102 40 David T Wong What is the minimum training required for successful Cricothyroidotomy?-A study in mannequins. Anesthesiology 2003;98:349-53
Smiths II II Portex VBM VBM
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;59:1008-1011 1011 n=20 P-value 20.8sec 13.3sec 0.007 149.7sec 47.9sec <0.001 5.6 (vas-score) 2.1 (vas-score) <0.001 17 (85%) 19 (95%) NS
30-04 04-002-1 30-04 04-004-1 II II 15mm ID2mm/ ID2mm/10 40kg ID4mm/ ID4mm/35kg 2
100/461/000 GW 15mm
100/462/000 15mm
ID4.0mm ID4.0mm ID2.0mm2
II II 15mm mm 10mL ml 16G
II 15mm
II