| 双管喉罩在小儿麻醉中的应用 |
| |
| 引用本文： | 陈依君,张珏,谢颖,王英伟. 双管喉罩在小儿麻醉中的应用[J]. 临床麻醉学杂志, 2012, 28(1): 22-24 |
| |
| 作者姓名： | 陈依君 张珏 谢颖 王英伟 |
| |
| 作者单位： | 200092, 上海交通大学医学院附属新华医院 |
| |
| 摘 要： | 目的探讨双管喉罩(PLMA)在小儿麻醉中应用的可行性和安全性。方法择期矫形外科手术患儿300例,随机均分为PLMA组(P组)和气管插管组(T组),经静脉麻醉诱导后,记录两组插入喉罩(导管)成功率、肺通气情况;记录插入前(T1)、插入即刻(T2)、插入后2min(T3)、拔除喉罩(拔管)前(T4)、拔除即刻(T5)、拔除后2min(T6)的HR、SBP、DBP及术后并发症。结果两组插入成功率均为100%。与T组比较,P组机械通气30min时PETCO2较高;T2、T3、T5、T6时HR较慢,SBP、DBP较低;苏醒期呛咳发生率较低(P<0.05)。结论 PLMA放置成功率高,诱导、苏醒期血流动力学平稳,术中通气情况良好,术后并发症少。
|
| 关 键 词： | 双管喉罩 气管插管 小儿 |
Application of LMA-ProSeal in peaditric anesthesia |
| |
| CHEN Yi-jun , ZHANG Jue , XIE Ying , WANG Ying-wei. Application of LMA-ProSeal in peaditric anesthesia[J]. The Journal of Clinical Anesthesiology, 2012, 28(1): 22-24 |
| |
| Authors: | CHEN Yi-jun ZHANG Jue XIE Ying WANG Ying-wei |
| |
| Affiliation: | .Department of Anesthesiology,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200092,China |
| |
| Abstract: | Objective To investigate the feasibility and safety of LMA-ProSeal (PLMA) in peaditric anesthesia.Methods Three hundred ASA Ⅰ or Ⅱ children scheduled for orthopedic surgery were randomized to PLMA (P) group and tracheal tube (T) group with 150 cases each.After general anesthesia induction,the success rate of insertion and ventilation satisfaction were recorded.HR,SBP,DBP and postoperative complications were measured before intubation(T1),immediate after intubation(T2),2 min after intubation (T3),before extubation (T4),immediate after extubation (T5),and 2 min after extubation (T6).Results The success rate of insertion was 100% in both groups.Compared with group T,group P had higher PETCO2 30 min after ventilation,slower HR and lower SBP and DBP at T2,T3,T5,T6,and lower incidence of coughing during emergency (P<0.05).Conclusion PLMA has higher rate of success on first insertion,lung ventilation satisfaction and lower incidence of postoperative complications. |
| |
| Keywords: | LMA-ProSeal Tracheal intubation Children |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
