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插入脑型喉罩时的心血管反应。

Cardiovascular response to insertion of Brain's laryngeal mask.

作者信息

Hickey S, Cameron A E, Asbury A J

机构信息

University Department of Anaesthesia, Western Infirmary, Glasgow, Scotland.

出版信息

Anaesthesia. 1990 Aug;45(8):629-33. doi: 10.1111/j.1365-2044.1990.tb14384.x.

Abstract

This study was designed to investigate the cardiovascular effects related to insertion of the Brain laryngeal mask airway and to compare these effects with those after insertion of a Guedel oral airway. Arterial pressure and heart rate in 100 patients were measured using an Ohmeda 2300 Finapres arterial pressure monitor. Arterial pressure decreased significantly (p less than 0.001) and heart rate increased significantly (p less than 0.001) after induction of anaesthesia with 2.5 mg/kg of propofol. A significant increase in arterial pressure (p less than 0.02) and in heart rate (p less than 0.001) followed insertion of the laryngeal mask and the Guedel airway, with no difference between the two groups at any time. The changes in arterial pressure and heart rate returned to 'at insertion' levels within 60 seconds of the stimulus.

摘要

本研究旨在调查与插入脑喉罩气道相关的心血管效应,并将这些效应与插入 Guedel 口咽气道后的效应进行比较。使用 Ohmeda 2300 无创动脉压监测仪测量 100 例患者的动脉压和心率。用 2.5mg/kg 丙泊酚诱导麻醉后,动脉压显著降低(p<0.001),心率显著增加(p<0.001)。插入喉罩和 Guedel 气道后,动脉压(p<0.02)和心率(p<0.001)均显著升高,两组在任何时候均无差异。刺激后 60 秒内,动脉压和心率的变化恢复到“插入时”水平。

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