摘要
目的研究SLIPA喉罩用于全麻短小手术建立通气道的临床效果。方法30例全麻下短小手术成年患者应用SLIPA喉罩通气道。以一次插入成功率、插入时间、插入后是否需调整、MAP波动情况、最低SpO2及插入或术中通气是否失败等六个要素评估其临床效果,总分≤4分确认为气道建立简便、安全。同时,观察SLIPA喉罩通气道的最大密封压及对咽喉的刺激损伤情况。结果SLIPA喉罩通气道插入操作的成功率为96.7%,其中,80%易于插入,13.4%略有困难,3.3%明显困难,3.3%插入失败。插入操作的难易和安全性评分为(0.51±0.15)分。通气道的最大密封压为(22±5)cmH2O,成功插入SLIPA者均顺利完成手术全程机械通气。拔除SLIPA发现血迹2例,没有发现反流误吸情况,术后主诉喉痛或咽喉不适2例。结论SLIPA喉罩安全、可靠,操作简便,对咽喉损伤较小。
Objective To evaluate the Clinical effectiveness of streamlined liner pharynx airway （SLIPA） for airway management of patients undergoing minor surgery. Methods SLIPA was used in 30 adult patients undergoing minor surgery. Clinical outcomes were evaluated by scoring success rate, time of placement,need for adjustrhentiand the changes of MAP and SpO2. Results The total success rate of SLIPA placement was 96.7%. Insertion was straightforward in 80%, slightly difficult in 13.4%, and obviously difficult in 3.3%. Maximum seal pressure of SLIPA was （225） cm H2O. The ventilation in a manner of IPPV was safely maintained throughout the anesthesia. No regurgitation of gastric contents was observed. Blood traces on the surface of the device were noted in 6.7% of cases after removal of the airway. Complaints of a sore throat were recorded in 6.6~/oo of patients postoperativly. Conclusion The SLIPA is an effective and reliable airway device with some advantages of easy placement and lesS injury for managing airway in patients undergoing minor surgery.
出处
《临床麻醉学杂志》
CAS
CSCD
2008年第11期992-993,共2页
Journal of Clinical Anesthesiology
