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一种新型改良喉罩气道,可实现消化道和呼吸道的完全分离,并具备双导管通气、诊断及治疗功能。

A novel modified laryngeal mask airway allowing full separation of the digestive and respiratory tracts, along with double-catheter ventilation, diagnosis, and treatment.

作者信息

Yin Jun, Wang Shao-Lin, Liu Xiao-Bin

机构信息

Department of Anesthesia of the Second People's Hospital of Wuhu, Anhui Province, China.

出版信息

Int Surg. 2014 Mar-Apr;99(2):137-41. doi: 10.9738/INTSURG-D-12-00033.

DOI:10.9738/INTSURG-D-12-00033
PMID:24670023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3968839/
Abstract

The aim of this study was to design a novel, modified, multifunctional, and safe laryngeal mask airway (LMA). We designed an LMA with an internal catheter extending beyond the tip of the cuff. The protruding end of the internal catheter was provided with a catheter cuff, the space between the internal and external catheters was ventilatory, and the inlet ends of the 2 catheters were provided with standard connectors. We found that this design prevented reflux or aspiration of gastric content into the airway, prevented LMA dislocation, allowed ventilation through both the internal and external catheters, and allowed endoscopic examination and treatment of the gastrointestinal and respiratory tracts through both the internal and external catheters. This design overcomes the drawbacks and extends the functions of previous LMAs, offering a new approach to the development of LMAs.

摘要

本研究的目的是设计一种新型、改良、多功能且安全的喉罩气道(LMA)。我们设计了一种LMA,其内部导管延伸至套囊尖端之外。内部导管的突出端设有导管套囊,内、外导管之间的空间用于通气,两根导管的入口端均设有标准接头。我们发现,这种设计可防止胃内容物反流或误吸入气道,防止LMA移位,允许通过内、外导管进行通气,并允许通过内、外导管对胃肠道和呼吸道进行内镜检查及治疗。该设计克服了以往LMA的缺点并扩展了其功能,为LMA的发展提供了一种新方法。

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1
A novel modified laryngeal mask airway allowing full separation of the digestive and respiratory tracts, along with double-catheter ventilation, diagnosis, and treatment.一种新型改良喉罩气道,可实现消化道和呼吸道的完全分离,并具备双导管通气、诊断及治疗功能。
Int Surg. 2014 Mar-Apr;99(2):137-41. doi: 10.9738/INTSURG-D-12-00033.
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How do different brands of size 1 laryngeal mask airway compare with face mask ventilation in a dedicated laryngeal mask airway teaching manikin?不同品牌的 1 号喉罩气道与面罩通气在专用喉罩气道教学模型中的比较如何?
Arch Dis Child Fetal Neonatal Ed. 2018 May;103(3):F271-F276. doi: 10.1136/archdischild-2017-312766. Epub 2017 Aug 11.
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Rescue ventilation: resolving a "cannot mask ventilate, cannot intubate" situation during exchange of a Combitube for a definitive airway.急救通气:在将双腔气道导管更换为确定性气道时解决“无法面罩通气、无法插管”的情况。
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The laryngeal mask airway reliably provides rescue ventilation in cases of unanticipated difficult tracheal intubation along with difficult mask ventilation.在意外出现困难气管插管以及困难面罩通气的情况下,喉罩气道能可靠地提供急救通气。
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The laryngeal mask airway in obstetrical anaesthesia.喉罩气道在产科麻醉中的应用
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本文引用的文献

1
Evaluation of the LMA Supreme in 100 non-paralysed patients.在100例未瘫痪患者中对LMA Supreme进行评估。
Anaesthesia. 2009 May;64(5):555-62. doi: 10.1111/j.1365-2044.2008.05824.x.
2
Comparison between intubation and the laryngeal mask airway in moderately obese adults.中度肥胖成年人气管插管与喉罩气道的比较
Acta Anaesthesiol Scand. 2009 Apr;53(4):436-42. doi: 10.1111/j.1399-6576.2008.01882.x. Epub 2009 Feb 18.
3
Lower cuff pressures improve the seal of pediatric laryngeal mask airways.较低的套囊压力可改善小儿喉罩气道的密封效果。
Paediatr Anaesth. 2008 Oct;18(10):952-6. doi: 10.1111/j.1460-9592.2008.02706.x. Epub 2008 Jul 21.
4
The Proseal laryngeal mask airway in children: a comparison between two insertion techniques.儿童喉罩气道:两种置入技术的比较
Paediatr Anaesth. 2008 Feb;18(2):119-24. doi: 10.1111/j.1460-9592.2007.02385.x.
5
Use of laryngeal mask airway compared to endotracheal tube with positive-pressure ventilation in anesthetized swine.在麻醉猪中,喉罩气道与气管内导管用于正压通气的比较。
Vet Anaesth Analg. 2007 Jul;34(4):284-8. doi: 10.1111/j.1467-2995.2006.00329.x. Epub 2007 May 8.
6
Insertion of the LMA ProSeal using the Satin-Slip intubating stylet.使用丝滑插管探条插入喉罩气道双管型。
Can J Anaesth. 2007 Jan;54(1):81-2. doi: 10.1007/BF03021908.