摘要
目的 比较SLIPATM喉罩(streamlined pharynx airway liner,SLIPATM)与普通喉罩(1aryngeal maskairway,LMA)用于全麻短小手术气道管理的性能。方法选择60例ASAI或Ⅱ级择期全麻下短小手术的成年患者,随机分为2组,分别建立SLIPATM通气道(SLIPATM组)或LMA通气道(LMA组)。从通气道的操作、咽密封性、正压通气的维持以及副作用等方面对通气道的性能进行评估。结果SLIPATM与LMA插入操作的成功率和难易程度差异无统计学意义。SLIPATM组最大密封压(22±5)cmH,0与LMA组(24±6)cm H2O差异无统计学意义(P〉0.05)。通气道插入后SLIPATM组1例患者(3.3%)、LMA组6例患者(20%)需进一步调整位置方可行间歇正压通气;术中LMA组5例患者(16.7%)需重新调整方可维持间歇正压通气,SLIPATM组均顺利完成手术全程间歇正压通气(P〈0.05)。2种喉罩通气道喉损伤的发生率差异无统计学意义。结论SLIPATM喉罩的临床性能与LMA相似,是一种可替代LMA的通气道。SLIPATM喉罩操作简便,对咽喉损伤较小,维持间歇正压通气较LMA更为稳定。
Objective To compare the performance of the streamlined pharynx airway liner (SLIPATM) with the conventional laryngeal mask airway(LMA ) for airway management in minor surgery under general anesthesia. Methods Sixty fasted adult patients with ASA status Ⅰ-Ⅱwere randomly designed to establish SLIPATM airway (SLIPATM group) or LMA airway (LMA group) for airway management during anesthesia. Article airway handling, pharynx sealing, ventilation maintenance and adverse reactions with SLIPATM group and LMA group were assessed. Results SLIPATM had comparable total rate of successful insertion and airway placement difficulty to LMA(P〉0.05). Maximum seal pressure was (22±5) cm H2O and (24±6) cm H20 in SLIPATM group and LMA group (P〉0.05), respectively. A leak was noticed in 20% and 16.7% of patiemts in LMA group when patients" lungs were ventilated using intermittent positive pressure ventilation mode after airway mask placment and during surgery, and 3.3% and 0 in SLIPATM group (P〈0.05). The incidence of sore trauma was similar in both groups. Conclusion SLIPATM is an acceptable and alternative method for LMA, exerting similar clinical performance with easier placement, less sore trauma and more stable IPPV during minor surgery.
出处
《国际麻醉学与复苏杂志》
CAS
2010年第1期4-6,48,共4页
International Journal of Anesthesiology and Resuscitation