中国内镜杂志2011，Vol.17Issue(1)：20-23,4.
SLIPA喉罩通气全身麻醉在腹腔镜胆囊切除术中的应用
Application of SLIPA under general anesthesia during laparoscopic cholecystectomy
吴文玉 1汤安俊 1王仁军1
作者信息
- 1. 江苏省镇江市第二人民医院,江苏,镇江,212002
- 折叠
摘要
Abstract
[ Objective ] To discuss the feasibility and security of SLPA under general anesthesia during laparoscopic cholecystectomy. [ Methods ] One hundred and twenty patients with laparoscopic cholecystectomy were randomly assigned to SLIPA group and endotracheal intubation (TT) group. After pneumoperitoneum, mechanical ventilation model is low tidal volume and faster respiratory rate in SLIPA. Conventional mechanical ventilation in TT group. Map, SPO2, HR, Ppeak, Compl and PetCO2 were recorded. countercurrent mistake inhalation was observed.Agitation, cough, sore throat, hoarseness and bloodstain on catheter were recorded. [ Results ] Success rate of implantation in SLIPA group is 98.33％, SPO2, PetCO2 were all normal after pneumoperitoneum, There were no significant difference between two groups (P ＞0.05). MAP and HR increased greatly when catheter implanting and pulling out (P ＜0.05). The incidence of agitation, cough, sore throat, hoarseness and bloodstain on catheter in SLIPA group was significant lower than that in TT group (P ＜0.05). [ Conclusions ] SLIPA with general anesthesia can be safely used during laparoscopic cholecystectomy. It can reduce the catheter stimulation to the throat and airway, maintain stable hemodynamics, insure the clear airway and effective ventilation.关键词
SLIPA喉罩/腹腔镜/胆囊切除术分类
医药卫生引用本文复制引用
吴文玉,汤安俊,王仁军..SLIPA喉罩通气全身麻醉在腹腔镜胆囊切除术中的应用[J].中国内镜杂志,2011,17(1):20-23,4.
