摘要
目的探讨喉罩在小儿心血管内科介入手术麻醉中应用的效果。方法选择40例(男22例,女18例)心血管内科择期手术患儿,近期无呼吸道感染病史。按随机数字法分为Ⅰ组喉罩(LMA)组20例和Ⅱ组气管插管(TT)组20例。两组患儿入室后予氯胺酮1mg/kg、咪达唑仑0.1mg/kg、丙泊酚1mg/kg诱导后Ⅰ组行喉罩置入,术中保留自主呼吸。Ⅱ组予顺式阿曲库胺0.1mg/kg,肌松完全后行气管插管。术中两组患儿均以丙泊酚1～2mg/kg泵入,七氟醚1%～1.5%吸入维持麻醉。记录患儿麻醉诱导前、LMA(TT)置入前、置入后及拔除LMA(TT)时的HR、MAP、SPO2。并记录LMA、TT插入、拔出时的并发症及拔管时间和完全清醒时间。结果两种方法均在满意的麻醉下完成手术,以喉罩维持气道对患儿心血管刺激小,术毕即可拔除喉罩,术后患儿完全清醒的时间快,在手术室停留时间短。结论喉罩可在小儿心血管内科介入手术中安全应用。
Objective To approach the efflicacy of anaesthesia with laryngeal mask （LMA） in pediatric cardiovascular intervention operation. Methods A lotal of 40 patients had been treated with pediatric cardiovascular interventional operation. All patients had no respiratory infection history. They were randomly divided into 2 groups which were the LMA group （group Ⅰ, n=20） and the tracheal tube （TI） group （group Ⅱ,n=20）. All patients were given the dose of ketamine 1 mg/kg, midazolam 0.1 mg/kg and propofol 1 mg/kg prior to insertion of laryngeal mask in group Ⅰ and maintain spontaneously breathing during operation. Patients in group Ⅱ were given the dose of Cisatracurium 0.1 mg/kg and Skelaxin before endo tracheal intubation.All patients were given a maintainence dose of propofol 1-2 mg/kg and sevoflurane 1%-1.5%.HR, MAP, SPO2 before anesthesia induction, before and after laryngeal mask insertion and after removal of the laryngeal mask were recorded. Complications of insertion LMA/TT and removal LMA/TT, the time of extubate and the time of awake were recorded completely. Results All patients were operated satisfactorily with the two ventilation methods.LMA showed less stimulate to patients′ circulation, previllege of removed immediately at the end of operation and shorter stay in recovery room. Conclusions LMA can be used efflicacy for pediatric cardiovascular intervention operation.
出处
《中国介入心脏病学杂志》
2012年第6期331-333,共3页
Chinese Journal of Interventional Cardiology
关键词
喉面罩
心脏导管插入术
麻醉
医院
儿科
Laryngeal masks
Heart catheterization
Anesthesia
Hospitals
pediatric
