最高比较和双管喉罩在腹腔镜胆囊切除术患者中的应用-一项随机对照试验

最高比较和双管喉罩在腹腔镜胆囊切除术患者中的应用-一项随机对照试验
Comparison of the Supreme and the ProSeal laryngeal mask airway in patients undergoing laparoscopic cholecystectomy- A randomized controlled trial

Abstract
摘要
OBJECTIVE:
目的：
The single-use LMA Supreme (Teleflex, Inc., Wayne, PA, USA) and the LMA ProSeal (Teleflex, Inc., Wayne, PA, USA) laryngeal mask airway (LMA) have similar characteristics. To date, studies have not achieved a consensus regarding the oropharyngeal leak pressure (OLP) of the LMA Supreme and LMA ProSeal, and there is little information on their efficacy in laparoscopic cholecystectomy. This study compared the safety and efficacy of the LMA Supreme and LMA ProSeal devices in patients undergoing laparoscopic cholecystectomy.
一次性使用喉罩（Teleflex, Inc., Wayne, PA, USA）和喉罩（Teleflex, Inc., Wayne, PA, USA）喉罩（LMA）有着相似的特征。到目前为止，研究并没有达到一个对于口咽漏气压一致（OLP）和LMA喉罩的口咽泄漏压力（OLP）达成共识，腹腔镜胆囊切除术的疗效及其临床资料很少。这项研究比较了LMA Supreme喉罩和腹腔镜胆囊切除术患者喉罩装置的安全性和有效性。

METHOD:
方法：
Eighty-four eligible consenting patients were randomly allocated to the LMA Supreme group or the LMA ProSeal group. Both groups received the standard anesthesia technique. The Supreme or ProSeal LMA was inserted, the cuff was inflated to 60 cmH2O, and the LMA position was confirmed. Anesthesia was maintained using propofol and 50% oxygen in air. A gastric tube was inserted through the drain tube of the LMA to deflate the stomach, and the first attempt success rate and insertion time were recorded. During surgery, the intra-abdominal pressure was maintained at 12 mmHg. The fiberoptic view of the larynx was determined by passing a flexible fiberoptic bronchoscope. The OLPs, success rate, insertion time, hemodynamic and respiratory parameters, and complications were recorded at different time points.
84名符合条件的患者知情同意后，随机分为LMA Supreme组和LMA ProSeal组。两组均接受标准麻醉技术。最高或喉罩插入，袖带充气至60 cmH2O，和LMA位置确认。丙泊酚和50%氧在空气中维持麻醉。胃管插入LMA排水管缩小胃，并记录第一次成功率和插入时间。在手术过程中，腹腔内压力保持在12毫米汞柱。通过纤维支气管镜确定了喉纤维视图。OLPs系统、成功率、置管时间、血流动力学和呼吸参数，以及并发症在不同的时间点记录。

RESULTS:
结果:
The mean OLP was significantly lower in the LMA Supreme group than in the LMA ProSeal group (24.9 ± 5.3 cmH2O vs. 28.4 ± 5.8 cmH2O; p < 0.01). The first attempt success rate and ease of insertion grading for LMA were higher in the Supreme group. The insertion time was lower in the Supreme group than in the ProSeal group (p < 0.01). The fiberoptic view was better with the ProSeal LMA. The hemodynamic and ventilatory parameters and postoperative sore throat were comparable in both groups.
LMA ProSeal组与在LMA Supreme组相比平均OLP显著降低 (24.9 ± 5.3 cmH2O vs. 28.4 ± 5.8 cmH2O; p < 0.01)。第一次尝试成功率和易于插入评分LMA均高于最高组。纤维的观点与喉罩更好。血流动力学和通气参数和术后咽喉痛两组具有可比性。

CONCLUSION:
结论：
The LMA ProSeal has a higher OLP than the LMA Supreme. The success rate of first attempt insertion and ease of insertion were better for the LMA Supreme group and the insertion time was lower in the LMA Supreme group. The Supreme and ProSeal LMAs were both effective for positive pressure ventilation in laparoscopic cholecystectomy.
LMA喉罩具有比较高的OLP。第一次尝试插入和易插入成功率为Supreme喉罩组更好，在Supreme喉罩组插管时间明显降低。双管喉罩的最高，均为有效的腹腔镜胆囊切除术中正压通气。在腹腔镜胆囊切除术中的应用中双管喉罩的最高，均为有效的正压通气。

原文：
Comparison of the Supreme and the ProSeal laryngeal mask airway in patients unde.pdf (583.84 KB, 下载次数: 0, 售价: 99 香叶)

2016-9-4 16:09 上传

点击文件名下载附件
最高比较和双管喉罩在腹腔镜胆囊切除术患者中的应用-一项随机对照试验