使用i-gel和La Premiere一次性喉罩后术后咽喉及颈部不适的比较：一项双盲、随机、对照试验。

A comparison of postoperative throat and neck complaints after the use of the i-gel and the La Premiere disposable laryngeal mask: a double-blinded, randomized, controlled trial.

作者信息

Keijzer Christiaan, Buitelaar Dirk R, Efthymiou Katina M, Srámek Michael, ten Cate Julia, Ronday May, Stoppa Tino, Huitink Johannes M, Schutte Peter F

机构信息

Department of Anesthesiology and Intensive Care, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands.

出版信息

Anesth Analg. 2009 Oct;109(4):1092-5. doi: 10.1213/ANE.0b013e3181b6496a. Epub 2009 Jul 29.

DOI:10.1213/ANE.0b013e3181b6496a

PMID:19641052

Abstract

BACKGROUND

Many supralaryngeal airway devices are available. Because of the absence of an inflatable cuff, we hypothesized that use of the i-gel should produce fewer postoperative throat and neck complaints compared with a standard disposable laryngeal mask (LM).

METHODS

Two hundred eighteen patients were randomized to have either an i-gel or La Premiere LM airway placed for airway management. Patients were interviewed postoperatively for throat and neck complaints at 1, 24, and 48 h. Interviewers and patients were blinded to the device used.

RESULTS

One hundred nine patients had an i-gel and 103 had a La Premiere supraglottic device inserted. The incidence of sore throat was significantly lower with the i-gel than with LM at 1 (6 vs 32), 24 (7 vs 48), and 48 h (5 vs 25). Similar results were seen for dysphagia. The incidence of neck pain was also lower for the i-gel at 24 (1 vs 7) and 48 h (1 vs 7).

CONCLUSION

In this randomized study, the i-gel supraglottic device resulted in a lower incidence of throat and neck complaints than the La Premiere LM airway.

摘要

背景

有多种喉上气道装置可供使用。由于i-gel没有可充气的套囊，我们假设与标准一次性喉罩（LM）相比，使用i-gel术后咽喉和颈部不适的情况会更少。

方法

218例患者被随机分配接受i-gel或La Premiere喉罩气道进行气道管理。术后在1、24和48小时对患者进行咽喉和颈部不适情况的访谈。访谈者和患者均不知道所使用的装置。

结果

109例患者使用i-gel，103例患者插入La Premiere喉上装置。在1小时（6%对32%）、24小时（7%对48%）和48小时（5%对25%）时，i-gel组咽痛的发生率显著低于喉罩组。吞咽困难的情况也类似。在24小时（1%对7%）和48小时（1%对7%）时，i-gel组颈部疼痛的发生率也较低。