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SLIPA™喉罩与Supreme喉罩的临床应用对比 被引量:6

Clinical application of SLIPA™compare with LMA-Supreme
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摘要 目的对比免充气型喉上通气道(SLIPA)与Supreme一次性双管喉罩(LMA-Supreme)的临床应用效果。方法纳入2009年4月至2010年4月,于首都医科大学附属北京友谊医院行全身麻醉手术、美国麻醉医师协会Ⅰ~Ⅱ级的70例患者,分为SLIPA组与LMA-Supreme组,其中SLIPA组37例,LMA-Supreme组33例,记录并对比置入时间、尝试次数、通气道置入前后血流动力学变化,声门的纤维支气管镜视野分级,最大密封压、气道压峰值以及术后24 h咽痛情况。结果SLIPA组与LMA-Supreme组的置入操作所需时间、一次置入成功率、置入前后血压及心率变化、以及气道压峰值结果差异无统计学意义(P>0.05)。SLIPA组的最大密封压[(25.7±4.08)cmH2O](1 cmH2O=0.098 kPa),与LMA-Supreme组[(28.5±3.14)cmH2O]差异有统计学意义(P<0.05)。声门对位情况方面,SLIPA组的纤维支气管镜视野评分3~4分的比例达到94.6%,明显高于LMA-Supreme组69.7%,2组间差异有统计学意义(P<0.05)。2组咽部并发症发生率差异无统计学意义(P>0.05)。结论SLIPA™通气道可安全用于全身麻醉呼吸管理,其操作简便,置入成功率及安全性高;其前端空腔结构设计可积存反流液,可降低反流误吸发生风险。 Objective To evaluate the clinical effect of streamlined liner of the pharynx airway(SLIPA)in respiratory management compared with LMA-Supreme.Methods A total of 70 patients from Beijing Friendship Hospital,during April 2009-April 2010,between American Society of Anesthesiologist,Ⅰ-Ⅱreceiving general anesthesia was selected,and divided into SLIPA group and LMA-Supreme group,including 37 patients in SLIPA group and 33 patients in LMA-Supreme group.The difficulty level of insertion,influence on hemodynamics,glottis position observed by fiber optic bronchoscopy,maximum sealing pressure,respiratory parameters and post-operative sore throat rate in 24 hours had been recorded and analyzed.Results There was no significant difference in gender,age,BMI and Mallampatti score between the two groups.The result showed no significant difference in first time success rate,operating time,changing in blood pressure and heart rate,and peak airway pressure(P>0.05).There was significant difference in maximum sealing pressure(P<0.05).Group SLIPA(25.7±4.08)cmH2O(1 cmH2O=0.098 kPa)vs Group LMA-Supreme(28.5±3.14)cmH2O,and the glottis position classification,94.6%of Group SLIPA rated FOS 3-4,while 69.7%of Group LMA-Supreme(P<0.05).The incidence of post-operative throat complications in 24 hours had no significant difference(P>0.05).Conclusions SLIPA™can be safely used in respiratory management of general anesthesia,itsplacement proved to be easy,and the design of the backflow cavity can reduce the risk of backflow and aspiration.
作者 张雨洁 毛文虹 高颖 田鸣 Zhang Yujie;Mao Wenhong;Gao Ying;Tian Ming(Department of Anesthesia,Beijing Friendship Hospital,Beijing100050,China;Department of Anesthesia,Xiyuan Hospital of CACMS,Beijing 100091,China)
出处 《国际呼吸杂志》 2020年第20期1580-1584,共5页 International Journal of Respiration
关键词 麻醉 全身 SLIPA™ 喉罩 LMA-Supreme 呼吸管理 Anesthesia,general Streamlined liner of the pharynx airway Laryngeal mask airway LMA-Supreme Respiratory management
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  • 1Lin FC, Chen YC, Chang HI, et al. Effect of body position on gas exchange in patients with idiopathic pulmonary alveolar proteinosis., no benefit of prone positioning. Chest, 2005, 127(3) : 1058-1064. 被引量:1
  • 2Timmermann A, Cremer S, Eich C, et al. Prospective clinical and fiberoptic evaluation of the Supreme laryngeal mask airway. Anesthesiology, 2009, 110(2) :262-265. 被引量:1
  • 3Helmy AM, Atef HM, E1-Taher EM, et al. Comparative study between 1-gel, a new supraglottic airway device, and classical laryngeal mask airway in anaesthetized spontaneously ventilated patients. Saudi J Anaesth, 2010, 4 (3) :131-136. 被引量:1
  • 4Senthil Kumar M, Pandey R, Khanna P. Successful use of I- gel airway in prone position surgery. Paediatr Anaesth, 2009, 19(2):176-177. 被引量:1
  • 5Lbpez AM, Valero R, Brimacombe J. Insertion and use of the LMA Supreme in the prone position. Anaesthesia, 2010, 65(2) : 154-157. 被引量:1
  • 6Sharma V, Verghese C, McKenna PJ. Prospective audit on the use of the LMA-Supreme for airway management of adult patients undergoing elective orthopaedic surgery in prone po- sition. Br J Anaesth, 2010, 105(2) :228-232. 被引量:1
  • 7L6pez AM, Valero R, Hurtado P, et al. Comparison of the LMA SupremeTM with the LMA ProsealTM for airway man- agement in patients anaesthetized in prone position. Br J An- aesth, 2011, 107(2) ;265-271. 被引量:1
  • 8Taxak S, Gopinath A. Insertion of the l-gel airway in prone position. Minerva Anestesiol, 2010, 76(5)..381. 被引量:1
  • 9Gatward JJ, Cook TM, Seller C, et al. Evaluation of the size 4 i-gel airway in one hundred non-paralysed patients. Anaes- thesia, 2008, 63(10):1124-1130. 被引量:1
  • 10Bamgbade OA, Macnab WR, Khalaf WM. Evaluation of the i-gel airway in 300 patients, gur J Anaesthesiol, 2008, 25 (10)..865-866. 被引量:1

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