摘要
目的评价喉罩下吸入七氟醚麻醉在婴儿白内障手术中的安全性。方法连续选择15例行先天性白内障手术婴儿,观察喉罩置入与拔除对气道及心血管的反应,并监测喉罩下吸入七氟醚吸入对呼吸参数的影响,最后记录喉罩拔除时间、清醒时间、PACU停留时间及呼吸不良事件。结果喉罩的置入与拔除对婴儿血流动力学无明显影响,喉罩下吸入七氟醚的婴儿围术期呼吸参数平稳。喉罩拔除时间为(1.2±0.5)min,苏醒时间为(10.5±2.3)min及PACU停留时间为(23.8±4.5)min,围术期无呼吸不良事件。结论喉罩下吸入七氟醚可安全应用于婴儿白内障手术。
Objective To evaluate the safety of inhaling sevenflurane through laryngeal mask airway （LMA） in infants undergoing cataract surgery. Methods 15 subsequent infants undergoing cataract surgery were selected, the cardiovascular response were monitored when the LMA was inserted and removed, and changes of respiratory parameters during inhalation of sevoflurane by LMA were recorded, and the time of LMA removed, awareness, and staying in postoperative anesthesia care units（ PACU）, and the adverse respiratory events were also defined. Results Insertion and remove of LMA has little effect on cardiovascular response, and the respiratory parameters were stable during the surgery period in infants inhaled sevoflurane using LMA, moreover, the time of LMA removed, awareness, and staying in PACU was （1.2 ± 0.5 ）, （10.5± 2.3 ）, and （23.8 ± 4.5 ） min respectively. There were no adverse respiratory events during the surgery. Conclusion Inhaling sevflurane by LMA can be safely used in infants undergoing cataract surgery.
出处
《现代医院》
2014年第2期24-26,共3页
Modern Hospitals
基金
中山大学中山眼科中心国家重点实验室开发课题(编号2012KF04)
关键词
喉罩
七氟醚
婴儿
白内障
Laryngeal mask airway, Sevoflurane, Infants, Cataract
