内镜面罩与双管喉罩在老年患者无痛纤维支气管镜检查中的应用

目的 研究适合于无痛纤维支气管镜检查(fibreoptic bronchoscopy,FB)麻醉的气道管理手段.方法 选择无痛FB老年患者60例,用信封法随机分为3组(每组20例),Ⅰ组鼻导管吸氧；Ⅱ组患者应用内镜面罩；Ⅲ组患者插入双管喉罩Supreme(Laryngeal Mask Supreme,塞舌尔),经面罩、...

Application of laryngeal mask and endoscopic facial mask in painless elderly fiberoptic bronchoscopy patients

Objective To investigate the appropriate airway manage method in elderly painless fibreoptic bronchoscopy(FB)patients.Methods 60 patients scheduled for painless fibreoptic bronchoscopy were randomly divided into 3 groups,patients in group Ⅰ oxygen with nasal cannula,group Ⅱ with endoscopy facial mask and group Ⅲ double-tube laryngeal mask.Record bronchoscopy examination condition and systolic blood pressure(SBP)、diastolic blood pressure(DBP)、heart rate(HR)、pulse oximeter saturation(SpO2)just before bronchoscopy,2 min after insertion,biopsy or flushing,2 min after biopsy and leaving the operating room.The operation time,anesthesia time,SpO2 decline to 90％,85％ were also recorded.Results Patients in Group Ⅱ,Ⅲ experienced fewer intraoperative hypoxemia(Ⅰ 18; Ⅱ 16; Ⅲ 3)and operation suspension(Ⅰ 35; Ⅱ 5; Ⅲ 1,P＜0.01),the satisfaction for anesthesia was also higher than group Ⅰ(15％)(group Ⅱ 50％,P＜0.05;group Ⅲ 95％,P＜0.01).Conclusion Application of endoscopy facial mask,especially laryngeal mask in elderly painless fibreoptic bronchoscopy patients can reduce the incidence of intraoperative hypoxia,increase anesthesia satisfaction without increasing the anesthesia time.