四川医学2012，Vol.33Issue(1)：7-9,3.
喉罩全麻控制通气在小儿无痛纤维支气管镜检查中的应用
The application of general anesthesia with improved laryngeal mask in fiberoptic bronchoscopy in children
摘要
Abstract
Objective To evaluate the clinical effect and safety of general anesthesia with laiyngeal mask airway in fiberoptic bronchoscopy in children. Methods Forty children, aged 2-8 years, scheduled for fiberoptic bronchoscopy were randomly divided into 2 groups(n - 20 in each) : controlled ventilation group by laiyngeal mask airway combined with T-deal adapter( Croup L) and total intravenous anesthesia with spontaneous respiration ( Group C). The patients in group c could receive assisted ventilation via face mask if necessary. Fiberoptic bronchoscopy in group C was carried out after surface anesthesia. The improved larynge-al mask was inserted and controlled respiration was performed during the period of fiberoptic bronchoscopy. The heart rate(HR) , mean arterial pressure( MAP) and pulse oxygen saturation ( SpO2) were recorded before, during and after the fiberoptic bronchoscopy. The side effects such as irritating cough,breathlessness,the movement of the limbs and the satisfaction of doctors were also observed. Results The HR and MAP were significantly higher in the group C than those in the group L during inspection (P < 0.01) ,the SpO2 was obviously decreased during the fiberoptic bronchoscopy ( P < 0. 01). There were less irritating cough, breathlessness , and body movement in group L( P < 0. 05). The satisfaction of doctor was significantly higher in the group L than that in group C(P<0. 01). Conclusion It is a safe and effective alternative to painless fiberoptic bronchoscopy of controlled ventilation with laiyngeal mask airway and T-seal adapter in children.关键词
喉罩/纤维支气管镜检查/小儿Key words
laryngeal mask airway/fiberoptic bronchoscopy/children分类
医药卫生引用本文复制引用
李秀泽,李卫,更氢..喉罩全麻控制通气在小儿无痛纤维支气管镜检查中的应用[J].四川医学,2012,33(1):7-9,3.基金项目
四川省卫生厅科技计划项目(编号:080218) （编号:080218）
