四川医学Issue(7)：770-772,3.
自制抗折压型气管导管延长管用于脑瘫患儿俯卧位手术的气道管理
The Self-made Endotracheal Extension Tube Against kinking or Collapsing for Airway Management in Children with Cerebral Palsy Surgery in Prone Position
摘要
Abstract
Objective To investigate the effect and safety of a self-made endotracheal extension tube against kinking or collapsing for airway management in children with cerebral palsy surgery in prone position. Methods Twenty five children with cerebral palsy ASA Ⅰor Ⅱof both sexes, aged 2-12 yr with weighing 10-46 kg undergoing functionality selective posterior rhizoto-my (FSPR)were used the volume control ventilation (VCV) after induction and tracheal intubation. The self-control experiment was employed for research. The blood pressure, SpO 2 , P ET CO 2 , airway peak pressure (P peak ) and airway plat pressure(P peak ) were recorded after 10minutes of mechanical ventilation, and radial artery blood was collected to analyzing of bedside blood gas.Then the self-made extension tube was joined between the endotracheal tube and Y tube. The same monitoring was actualized after 10minutes on the premise of not changing the parameters of ventilation. Results The oxygenations in children of two kinds of airway management are satisfied and the hemodynamic is stable before and after increasing the extension tube. There were no statistically sig-nificant differences of P plat、P peak、SpO 2、PaO 2、P ET CO 2 ,PaCO 2 (P > 0. 05). It overcomes the disadvantages of less lip exposed part and not natural spin after increasing the extension tube. Conclusion The self-made endotracheal extension tube against kinking or collapsing is simple and easy to do, does not increase in airway resistance, can be safely used in general anesthesia for airway man-agement in children with cerebral palsy surgery in prone position.关键词
气道管理/延长管,自制/全身麻醉/俯卧位/小儿Key words
airway management/extension tube,self-made/general anesthesia/prone position/children分类
医药卫生引用本文复制引用
赵泽宇,张蓉,王馨雪,刘建波,程庆..自制抗折压型气管导管延长管用于脑瘫患儿俯卧位手术的气道管理[J].四川医学,2014,(7):770-772,3.基金项目
四川省卫生厅科研项目(编号:130250) （编号:130250）
