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全身麻醉下不同气道装置对家兔血流动力学反应及QTc间期影响的比较。

Comparison of the effects of various airway devices on hemodynamic response and QTc interval in rabbits under general anesthesia.

作者信息

Toman Huseyin, Erbas Mesut, Sahin Hasan, Kiraz Hasan Ali, Uzun Metehan, Ovali Mehmet Akif

机构信息

Department of Anesthesiology and Reanimation, Faculty of Medicine, Canakkale Onsekiz Mart University, 17100, Canakkale, Turkey.

Department of Physiology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey.

出版信息

J Clin Monit Comput. 2015 Dec;29(6):727-32. doi: 10.1007/s10877-015-9659-x. Epub 2015 Jan 31.

Abstract

UNLABELLED

In this study, we aimed to compare the effects of various airway devices on QTc interval in rabbits under general anesthesia. The subjects were randomly separated into four groups: Group ETT, Group LMA, Group PLA, Group V-gel. Baseline values and hearth rate, mean arterial pressure and ECG was obtained at the 1st, 5th and 30th minutes after administration of anesthesia and placement of airway device and, QTc interval was evaluated. Difference was observed between ET group and V-gel group in the 5th minute mean arterial pressure values (p < 0.05). It was observed that QTc intervals at the 1st and 5th minute in the ET group significantly increased when compared with the other groups (p < 0.05). Again, it was observed that QTc interval of ET group at the 15th and 30th minute was longer when compared with PLA and V-gel groups (p < 0.05). It was also observed that QTc interval of LMA Group at the 5th minute after intubation significantly increased when compared with V-gel group (p < 0.05). It was observed that HR values of ETT group at the 1st, 5th and 15th minutes after intubation increased with regards to PLA and V-gel groups (p < 0.05). It was determined that the 30th minute hearth rate of ETT group was higher when compared to V-gel group (p < 0.05).

CONCLUSION

In our study we observed that V-gel Rabbit affected both hemodynamic response and QT interval less than other airway devices.

摘要

未标注

在本研究中,我们旨在比较全身麻醉下各种气道装置对兔QTc间期的影响。将受试者随机分为四组:气管插管组(ETT组)、喉罩组(LMA组)、食管气管联合导管组(PLA组)、V型凝胶气道组(V-gel组)。在麻醉给药及放置气道装置后的第1、5和30分钟获取基线值以及心率、平均动脉压和心电图,并评估QTc间期。在第5分钟时观察到气管插管组和V型凝胶气道组的平均动脉压值存在差异(p<0.05)。观察到气管插管组在第1和5分钟时的QTc间期与其他组相比显著增加(p<0.05)。同样,观察到气管插管组在第15和30分钟时的QTc间期比食管气管联合导管组和V型凝胶气道组更长(p<0.05)。还观察到喉罩组在插管后第5分钟时的QTc间期与V型凝胶气道组相比显著增加(p<0.05)。观察到气管插管组在插管后第1、5和15分钟时的心率相对于食管气管联合导管组和V型凝胶气道组有所增加(p<0.05)。确定气管插管组在第30分钟时的心率高于V型凝胶气道组(p<0.05)。

结论

在我们的研究中,我们观察到V型凝胶气道对兔血流动力学反应和QT间期的影响小于其他气道装置。

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