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成人患者使用 CTrach 喉罩气道:126 例回顾性研究。

Use of the CTrach Laryngeal Mask Airway in adult patients: a retrospective review of 126 cases.

机构信息

Department of General Anesthesiology and Critical Care Medicine, Cleveland Clinic, Cleveland, OH 44195, USA.

出版信息

J Clin Anesth. 2012 Aug;24(5):370-2. doi: 10.1016/j.jclinane.2011.10.007. Epub 2012 May 9.

Abstract

STUDY OBJECTIVE

To evaluate the effectiveness of the CTrach Laryngeal Mask Airway (LMA) when used electively.

DESIGN

Retrospective analysis.

SETTING

Operating room of an academic hospital.

MEASUREMENTS

Data from 126 patients who were electively intubated with the CTrach LMA over a 16-month period were reviewed. Each patient's weight, height, ASA physical status classification, Mallampati score, thyromental distance, and cervical spine range of motion were recorded.

MAIN RESULTS

Successful ventilation was achieved in 100% of patients, while successful intubation was achieved in 89.7% of patients. The most common reason for failure to intubate was poor airway visualization and the inability to appropriately position the device anterior to the vocal cords.

CONCLUSIONS

The major advantage of the CTrach LMA is that it is the only device that allows airway visualization during patient ventilation; however, it does not have 100% success with intubation.

摘要

研究目的

评估 CTrach 喉罩气道(LMA)在择期使用时的有效性。

设计

回顾性分析。

地点

学术医院的手术室。

测量

回顾了 16 个月内 126 例择期使用 CTrach LMA 插管的患者的数据。记录每位患者的体重、身高、ASA 身体状况分类、Mallampati 评分、甲状软骨-下颌骨距离和颈椎活动度。

主要结果

100%的患者成功通气,89.7%的患者成功插管。插管失败的最常见原因是气道可视化不良和无法将器械适当前置于声带前方。

结论

CTrach LMA 的主要优点是它是唯一一种允许在患者通气期间进行气道可视化的设备;然而,它在插管方面并非 100%成功。

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