小儿麻醉中喉罩置入技术临床应用分析

邹琪

doi:10.7619/jcmp.201403017

小儿麻醉中喉罩置入技术临床应用分析

邹琪

四川省宜宾市第二人民医院麻醉科,四川宜宾,644000

详细信息

中图分类号: R614
计量
- 文章访问数: 231
- HTML全文浏览量: 26
- PDF下载量: 0
出版历程
- 发布日期: 2014-05-28

Analysis of clinical application of laryngeal mask placement in pediatric anesthesia

ZOU Qi

摘要

摘要: 目的分析比较传统标准法与反转法小儿喉罩置入方法,探讨更好的临床喉罩置入技术.方法回顾性分析2008年1月-2012年1月在本院接受手术治疗的患儿临床资料,共纳入研究对象79例,依据患者喉罩置入方法的不同分为A组(标准法组)40例和B组(反转法组)39例.比较2组患儿喉罩置入前及喉罩置入后1 min心率、血压、血氧分压、呼气末二氧化碳分压、呼吸频率等;患儿置入喉罩所需时间;患儿麻醉中不良反应(呼吸抑制、喉痉挛、低氧血症等).结果反转法组喉罩1次置入成功率高于标准组,差异具有统计学意义(100％,39/39与80.00％,32/40;x2=9.929,P=0.002);反转法组喉罩置入所需时间短于标准组,差异具有统计学意义(14.98±3.28与20.84±4.38;t =7.594,P＜0.001).反转法组喉罩置入总并发症发生率小于标准组,差异具有统计学意义(7.69％,3/39与27.50％,11/40;x2f=5.313,P=0.021).2组患儿喉罩置入后心率及呼气末CO2分压均高于置入前.喉罩置入后,反转法组患儿心率与置入前相比差异无统计学意义(P＞0.05),且显著低于标准法组(109.32±14.96与121.81±29.35;t=2.661,P=0.009);反转组患儿喉罩置入后呼气末CO2分压显著低于对照组,差异有统计学意义(43.91±4.96与41.83±7.86;t=8.857,P＜0.001).结论对年龄≤6岁患儿,喉罩置入采用反转法较标准法可以取得更高的置入成功率、较低的并发症以及更加平稳的生命体征.
- 喉罩 /
- 麻醉 /
- 并发症 /
- 手术
- laryngeal mask /
- anesthesia /
- complications /
- operation

HTML全文

参考文献(10)

Sharma B, Gupta R, Sehgal R. ProSeal laryngeal mask airway cuff pressure changes with and without use of nitrous oxide during laparoscopic surgery [J]. Journal of Anaesthesiol Clin Pharmacol, 2013(1):47.

马孝武, 张宜林, 李利霞. 喉罩复合无肌松技术在重症肌无力合并乳腺癌根治术中的应用 [J]. 重庆医学, 2012, (25):2647.doi: 10.3969/j.issn.1671-8348.2012.25.033.

Hayashi K, Suzuki A, Kunisawa T. A comparison of the single-use i-gel with the reusable laryngeal mask airway proseal in anesthetized adult patients in Japanese population [J]. Masui. The Japanese journal of anesthesiology, 2013(2):134.

陈彦青, 吴晓丹, 邹聪华. 喉导管与SLIPA喉罩用于肥胖患者腹腔镜手术气道管理效果的比较 [J]. 中华麻醉学杂志, 2012(6):713.doi: 10.3760/cma.j.issn.0254-1416.2012.06.018.

Biedler A, Wrobel M, Schneider S. Randomized evaluation of the size 2 laryngeal tube and classical laryngeal mask airway in different head and neck positions in children under positive pressure ventilation [J]. Journal of Anesthesia, 2013(5):657.

Belena J M, Nunez M, Anta D. Comparison of Laryngeal Mask Airway Supreme and Laryngeal Mask Airway Proseal with respect to oropharyngeal leak pressure during laparoecopic cholecystectomy:a randomised controlled trial [J]. European Journal of Anaesthesiology, 2013(3):119.

Ooi J. Successful conversion to tracheal intubation during cardiopulmonary bypass after emergency airway rescue with ProSeal TM laryngeal mask airway in cardiac surgery [J]. Annals of Cardiac Anaesthesia, 2013(1):6768.

Choi E K, Kim J E, Soh S R. Usefulness of a Cook (R) airway exchange catheter in laryngeal mask airwayguided fiberoptic intubation in a neonate with Pierre Robin syndrome-A case report- [J]. Korean Journal of Anesthesiology, 2013(2):168.

Benger J R, Voss S, Coates D. Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the initial airway management of prehospital cardiac arrest (REVIVE-Airways):a feasibility study research protocol [J]. BMJ Open, 2013(2).

廖历兴, 梁大顺, 梁艳艳. 喉罩与气管内导管在乳腺癌手术麻醉中的比较 [J]. 广东医学, 2012(6):837.doi: 10.3969/j.issn.1001-9448.2012.06.048.

施引文献

资源附件(0)

计量

文章访问数: 231
HTML全文浏览量: 26
PDF下载量: 0
被引次数: 0

小儿麻醉中喉罩置入技术临床应用分析

计量

出版历程

Analysis of clinical application of laryngeal mask placement in pediatric anesthesia

计量

出版历程

目录