Airway manipulation in conscious patients

목차 (Table of Contents)

• CONTENTS
• CONTENTS = 2
• LIST OF ORIGINAL PUBLICATIONS = 5
• LIST OF ABBREVIATIONS = 6
• INTRODUCTION = 7
• REVIEW OF THE LITERATURE = 8
• Fibreoptic endoscopy of the airway = 8
• Haemodynamic response to airway manipulation = 9
• Haemodynamic response to endotracheal intubation and bronchofibrescopy = 9
• Attenuation of haemodynamic response = 10
• Management of difficult airway = 11
• Fibreoptic intubation = 12
• Sedation and topical anaesthesia for awake airway manipulation = 13
• Opioids = 13
• Benzodiazepines = 13
• Propofol = 13
• Topical anaesthesia = 14
• Minitracheostomy = 15
• PURPOSE OF TUE STUDY = 17
• PATIENTS AND METHODS = 18
• Patients and study designs = 18
• Fibreoptic intubation = 20
• Topical anaesthesia of the airway = 20
• Administration of sedative agents = 21
• Assessment of the effects of topical anaesthesia of the nostril = 22
• Haemodynamic measurements = 23
• Evaluation of respiratory effects = 23
• Evaluation of sedation = 24
• Assessment of working conditions = 24
• Minitracheostomy = 25
• Verifying the position of the cannula = 25
• Minitracheostomy therapy = 26
• Chest X-ray pictures = 27
• Assesment of local effects of minitracheostomy = 27
• Statistics = 28
• RESULTS = 29
• Topical anaesthesia of the nasal mucosa = 29
• Haemodynamic effects of awake airway manipulation = 30
• Application of topical anaesthesia on nasal mucosa = 30
• Fibreoptic intubation = 31
• Bronchofibrescopy = 31
• Respiratory effects of sedation methods = 34
• An opioid combined with diazepam = 34
• Propofol = 34
• Characteristics of sedation = 34
• Working conditions = 35
• Minitracheostomy = 35
• Position of minitracheostomy = 36
• Respiratory effects of minitracheostomy = 37
• Chest X-ray pictures = 38
• Local effects of minitracheostomy = 38
• Complications = 39
• DISCUSSION = 41
• Topical anaesthesia of the airway = 41
• Haemodynamic responses = 43
• Respiratory effects of sedation = 44
• Characteristics of sedation = 45
• Benefits of minitracheostomy = 46
• Insertion of minitracheostomy cannula = 47
• Complications of minitracheostomy = 48
• SUMMARY AND CONCLUSIONS = 50
• ACKNOWLEDGEMENTS = 52
• REFERENCES = 54
• ORIGINAL PUBLICATION Ⅰ-Ⅳ = 67