endoscopy of the airway dave albert
TRANSCRIPT
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yawriA eht fo ypocsodnE
treblA evaD treblA evaD
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ypocsodnE yawriA
scisaB ehT
latanoeN
evissergorP
etucA
ziuQ
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fo swal ehT illuonreB dna elliuesioP
dna tsicisyhp,naicisyhp hcnerF naicitemehtam
naicitemehtam ssiwS hctuD tsicisyhp dna naicisyhp
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ypocsodnE fo scisaB
• maeT– tsitehtseanA– esruN– noegruS
• tnempiuqE– sepocsodne dor snikpoH– gnidrocer latigid llits/oediV– resal naht rehtar redirbedorciM– noollaB
• noitaripser suoenatnopS
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ypocsodnE elbixelF
erudecorp gnineercs dooG
snoitidnoc cimanyd rof dooG
: ssim yaM -dionetyraocirC noitaxif
xnyral tfelCygolohtap cittolgbuS
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ypocsodnE digiR
syawria suoiracerP -– lortnoc erom
cte sdionetyra eborp naC
yllacipocsodne taert naC
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ypocsodnE elytS ’SSEF‘
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sweiV ’tohS ruoF‘
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weiV cimanyD
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ypocsohcnorbognyralorciM lanoitidarT
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LATANOEN
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:aicalamognyraL yrotsiH
rodirtS)keew tsrif( htrib ta tneserp yllausu toN
peelsa/tser ta teiuQ gniyrc dna gnideef htiw
ytilauq lacisum
lamron : yrclausunu :sedosipe citonayc
ereves fi detceffa : thgiew/htworg
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:aicalamognyraL noitanimaxE
• rodirts yrotaripsnI htiwgniyrc
• noisseceR• rof kcehC
• atamoignameah suoenatuc:semordnys fo sngis
– decaps ediw ,waj llamscte srae tes wol ,seye
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:aicalamognyraL ypocsodnE
aicalamognyral fo sisongaid mrifnoc otoc edulcxe ot - ygolohtap yawria tnetsixe
erbiF - eciffo ni citpo – gnineercs”erac fo dradnats“ laminim woN ?
tnemssessa lluf rof AG rednu BLM
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detcepsus ni ypocsodne digir mrofrep ot nehWaicalamognyral
• yrotsih noitabutnI
• htrib citamuarT
• 1 yad morf rodirtS
• sedosipe citonayC
• noitaripsA
• evirht ot eruliaF
• rodirts cisahpiB
• noissecer ereveS• latinegnoc rehtO
seitilamronba
• ygoloruen lamronbA
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aicalamognyraL roiretsoP
• otni dionetyra fo espalorPnemul laegnyral
• :fi pins ro mirT• evirht ot eruliaF
• ereveS seitluciffid yawria– noitarutased ge
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:ytsalpottolgipeyrA yregruS
noisicxe lasocuM
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ytsalpottolgipeyrA
• pins dleiffehS
• !!RESAL TON
aicalamognyraL
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yslap droc lacoV
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yslap droc lacoV
nommoc tsom dnoces ?rodirts latanoen fo esuac na erom netfo ,revewoH
noitanidroocni
1 nihtiW ts netfo dna htnom htiw htaerb tsrif
,rodirtS :sisylarap laretaliBaenpa ,sisonayc
:sisylarap laretalinU .ainohpsyd
,smelborp gnideef :htoBnoissecer lanrets
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tnemtaerT
ymotsoehcarT ro evitavresnoC
:oslAcipocsodne ro nepo :noitasilaretaL
resaL ymotcedionetyracipocsodne ? tfarg diocirc roiretsoP
eR - noitavreniyawria sv ecioV
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noitabutnI degnolorP
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amede citolgbuS - cipocsodne
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erudecorp cipocsodnEdiocirc fo segde tuC
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erudecorp nepo :tilpS diocirC
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sisonets cittolgbuS
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gnigatS - ebut TE gnisu gniziS
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senilediug tnerruc yM
edarG
I evitavresnoC
II tfos fi cipocsodnE dehsilbatse ecno RTL
III RTL fo raelc dna ereves fi RTCsdroc
VI RTL ebut t /sdroc fo raelc fi RTC
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tnemecalp tfarG RTL
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noitceser laehcartocirC
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T- utiS nI ebuT
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sbeW
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sisonetS laehcarT
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seludon cVtsyc ladrocartni sv
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tsyc rallucelaV
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C xnyral tfel
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tfelC laegnyraL
I epyT II epyT III epyT VI epyT- s’CV oT - diocirc gnivlovnI - cicaroht evoba - cicaroht woleb
teltuo teltuo
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riaper cipocsodnE
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riapeR nepO
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alutsiF laegahposeO ehcarT
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aiserta lanaohC
aiserta lanaohC
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noitatneserP –aiserta lanaohc laretaliB
ycnegreme yrotaripser latanoen Adepat htiw tnemeganam etaidemmI -
yawria laro nikrow EGRAHC tnegrU - TC? dna pu
nacssnarT - keew tsrif ni noitcerroc lasanefil fo
aiserta lanaohC
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C' 6 eht fo 4 -H-A-R-G- .serutaef 'E
C amobolo H trae esaesid A aisert eanaohc R dedrate tnempoleved dna htworg G latine aisalpopyh E ra seilomona ssenfaed ro/dna
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noitatneserP –aiserta lanaohc laretalinU
noN - lasan laretalinu htiw noitatneserp tnegrunoitcurtsbo dna egrahcsid
nacs TC enituoR
1 noitcerroc evitcelE - sraey 5
aiserta lanaohC
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sisongaid laitnereffiD• sitinihr latanoeN• sessaM
– ecaps lasan tsoP• amotareT
– ecaps lasan roiretnA• amoilG• diomred lasan enildiM• eleocognineM
• mrofiryp dna lasan diMsisonets erutrepa
• )laretalinu fi ydob ngieroF(
aiserta lanaohC
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021 htiw hcaorppa lasan snarT ° epocselet
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srotalid dna enilanerdA
aiserta lanaohC
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021 htiw hcaorppa lasan snarT ° epocselet -noitatalid
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021 htiw hcaorppa lasan snarT ° epocselet -gnillird
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stnetS
• sesac laretaliB– diova ot eceip egdirb lanretxE
allemuloc ot egamad– skeew 6– dedeen fi etalid ylnO– mret rof xetroP 5.4
• laretalinU– diovA– lasanartnI
aiserta lanaohC
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nicymotiMbuS - stsalborbif stibihni esod cixototyc
setunim 4 rof yllacipot deilppa lm/gm 2
riapeR aisertA lanaohC ot tcnujdA na sa nicymotiM lacipoT -.lognyralotO hcrA 893:821;2002 - 004 .
nicymotiM gnisU emoctuO devorpmI aisertA lanaohC fo tnemeganaM lacigruS ( ) Lm/gm 4.0.lognyralotO hcrA 5731:721;1002 - .0831
,esadinorulayh ,esatsale( snietorp xirtam ralullecartxe emos rof ANRm fo noisserpxe ehT
spuorg tset nicymotim eht ni detalugernwod saw )negallocorp dna
732:)2(311 .epocsognyraL - 3002 yraurbeF ,242
aiserta lanaohC
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sisonetS mrofiryP
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EVISSERGORP
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PRRJ :noitinifeD
J ellinevusraey3 sisongaid ta ega naeM
esaesid tluda naht evissergga eroM
R tnerruce12 = serudecorp emitefil egarevA
R yrotaripsexnyral yllausU
regnuoy eb ot sdnet xnyral woleb sdnetxe fI
P sisotamollipaamonicrac ot noissergorp dna aisalpsyd erar htiW
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sepyt VPH6
PRRJ/straw latineg ngineB11
ereves erom htiw detaicossa 11 ,PRRJ nI nevelE“ esaesid Ξ ”nevaeH
61recnac lacivreC
81
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amollipap yrotaripser ellinevuJ
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• rivofodiC– lm/gm5– gm51 = lm3
• tifeneB/ksiR
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amoignameaH cittolgbuS
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amoignameaH cittolgbuS
• 6 ta skaep noitatneserPskeew
– ,rodirts– ,seitluciffid gnideef– TTF
• laretal tfel si etis lausUsittolgbus
• aehcart ni yllanoisaccOsittolg dna
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amoignameaH cittolgbuS• evah HGS htiw stneitap fo %05
suoenatuc kcen dna daeh detaicossaamoignameah
• ypocsodne ta sisongaiD• sa ylefas deispoib eb naC
suonrevac ton yrallipacamoignameah
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tnemeganaM– suoenatuC sserger yllausu
6 yb - sraey 8
– cittolgbuS etulovni era tsom taht os yltneiciffus
2 yb citamotpmysa - sraey 3
• noitavresbO 05 - a deen lliw %07
81 tuoba litnu ymotsoehcartshtnom
stnemtaert lacideM
stnemtaert lacigruS
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tnemeganaM• norefretnI• sdioretS• lolanarporP
• ymotsoehcarT
• 0C/PTK resaL 2
• noitcejni dioretS
• noisicxe nepO
• redirbedorciM
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8002 yluJ ,klubed retfa yhcart,HGS :tneitap SOG tsriF
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lolonarporP
1 1keeW .sesod 3 otni dedivid yad/gk/gm
:2 keeW 2 sesod 3 otni dedivid yad/gk/gm
21/9 ot pU thgiew yb tsujda
21/9 morF tnemtsujda thgiew on
21/21? .keew yreve esod ½
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amoignameaH cittolgbuS• fo noitceser cipocsodnE
amoignameah
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sruomuT
• tsenommoc PRR• amordnohC
• 2 aC suomauqS dn PRR• amocrasoymodbahR• amohpmyL• ralucsaV - sraeppasid
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aicalamohcnorboehcarT
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htiw noitaripxe no noitcurtsbo gnisaercni dna espalloCnoitcurtsbo cicaroht artni
+ ev + ev + ev
cicaroht-artxE
artnI cicaroht-
+ ev + ev + ev
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