中国临床保健杂志Issue(5)：471-473,3.DOI:10.3969/J.issn.1672-6790.2013.05.008
不同喉罩在甲状腺手术全身麻醉中的应用
Comparison of I-gel with supreme laryngeal mask in thyroid surgery under general anesthesia
摘要
Abstract
Objective To compare the effects of the I-gel Laryngeal mask with the Supreme Laryngeal mask on airway management of patients during thyroid surgery under general anesthesia .Methods 100 patients with ASAⅠ-Ⅱundergoing selective thyroid surgery under general anesthesia were identified and randomized to I -gel ( Group I, n=50) and Supreme (Group S,n=50) group.The hemodynamic changes were recorded at the time before insertion and 1、3、5min after insertion The MAP and HR .The SPO2 ,Ppeak and Oropharyngeal leakage were recorded after la-ryngeal mask insertion ( T0 )、at the beginning of operation ( T1 )、at the time of intraoperative traction of the thyroid ( T2 ) and after resection of the thyroid gland ( T3 ) .We also recorded the airway sealing pressure and rating of fiber endoscopy ,as well as adverse reactions after the removal of Laryngeal mask .Results There were no significant differ-ences in WAP,HR and SPO2 between the two groups.At the time of T2,the Ppeak were higher,and more patients with oropharyngeal leakage were in groupS than that in group I (P<0.05).The airway sealing pressure in group I (28 ± 3cmH2O) was higher than that in group S(24 ±4cmH2O)(P<0.05),and the rating of fiber endoscopy was better in group I than group S(P<0.05).Conclusion The I-gel laryngeal mask airway works well ,with higher airway sealing pressure ,which is safe and effective when used in airway management during the thyroid operation under general anes -thesia.关键词
麻醉,全身/喉面罩/甲状腺切除术Key words
Anesthesia,general/Laryngeal masks/Thyroid dectomy分类
医药卫生引用本文复制引用
冯芳,王家武,刘兴慧,康芳,李娟..不同喉罩在甲状腺手术全身麻醉中的应用[J].中国临床保健杂志,2013,(5):471-473,3.基金项目
安徽省科技厅自然科学基金项目 （）
