摘要
目的:观察插管型喉罩(intubating laryngeal mask airway,ILMA)在困难气道中应用的可行性。方法:25例Cormack与lehaneⅢ-Ⅳ级预测为困难气道的择期手术患者(Difficut组,简称D组),另匹配25例Cormack与lehaneⅠ-Ⅱ级的择期手术患者(Control组,简称C组),在静脉诱导后行ILMA插管。观察喉罩置入时间和次数、气管插管时间和次数、插管并发症以及成功率。结果:D组24例(96％)成功经ILMA插入气管导管,其中1次插管成功16例,成功率64％;2次插管成功6例;1例操作失败。C组25例(100％)全部经ILMA成功插入气管导管,其中1次插管成功23例,成功率92％。2次插管成功1例。D组和C组喉罩置入加插管总时间分别为(90．24±8．50)s和(81．26±7．20)s,插管时间分别为(41．73±7．86)s和(40．80±6．93)s。两组在气管导管插入时间、总的ILMA置入时间,成功率、术后并发症等方面无显著差异。结论:插管型喉罩是处理困难气道的有效应用工具之一。
Objective：To observe the feasibility of intubating laryngeal mask airway in the management of difficult airway. Methods：We performed blind tracheal intubation via an ILMA under general anesthesia in 25 patients who were predicted to have difficult airways（Cormack ＆ lehane grand level 3 or 4） and matched 25 general patients undergoing elective surgery. We recorded the Cormack ＆-lehane score with the laryngoscopic view to identify anatomical and clinical risk factors related to the difficult airway,then the ILMA was suitable for tracheal intuhation. Time required for intuhation, intuhation success rate, and intubation numbers were recorded. Results： Cormack ＆ lehane scores were significantly greater in D group. In D group one ILMA was giwen up for one patient abandoned, the other patients were trachea intubated using the ILMA successfully. ILMA insertion took longer time, more patients required two insertion in D group. However, there were no significant differences between D group and C group in terms of total time required for intubation, number of intubation attempts, overall intubation success rate, or the incidence of intubation complications. Conclusion： The intubating laryngeal mask airway is a useful device in the management of patients with difficult airways.
出处
《中国临床医学》
北大核心
2006年第5期829-831,共3页
Chinese Journal of Clinical Medicine
基金
上海市虹口区医学科研项目(编号:0604-16)
关键词
插管型喉罩
困难气道
气管插管
全身麻醉
Intubating laryngeal mask airway
Difficult airway
Tracheal intubation
General anesthesia
