成人中喉罩ProSeal™和i-gel®的口咽漏气压及临床性能比较：Meta分析与系统评价
Comparison of oropharyngeal leak pressure and clinical performance of LMA ProSeal™ and i-gel® in adults: Meta-analysis and systematic review.
作者信息
Shin Hye Won, Yoo Hae Na, Bae Go Eun, Chang Jun Chul, Park Min Kyung, You Hae Seun, Kim Hyun Jung, Ahn Hyung Sik
机构信息
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University Anam Hospital, Seoul, Republic of Korea
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University Anam Hospital, Seoul, Republic of Korea.
出版信息
J Int Med Res. 2016 Jun;44(3):405-18. doi: 10.1177/0300060515607386. Epub 2016 Mar 23.
BACKGROUND
A meta-analysis and systematic review of randomized controlled trials to compare the oropharyngeal leak pressure (OLP) and clinical performance of LMA ProSeal™ (Teleflex® Inc., Wayne, PA, USA) and i-gel® (Intersurgical Ltd, Wokingham, UK) in adults undergoing general anesthesia.
METHODS
Searches of MEDLINE®, EMBASE®, CENTRAL, KoreaMed and Google Scholar® were performed. The primary objective was to compare OLP; secondary objectives included comparison of clinical performance and complications.
RESULTS
Fourteen RCTs were included. OLP was significantly higher with LMA ProSeal™ than with i-gel® (mean difference [MD] -2.95 cmH2O; 95% confidence interval [CI] -4.30, -1.60). The i-gel® had shorter device insertion time (MD -3.01 s; 95% CI -5.80, -0.21), and lower incidences of blood on device after removal (risk ratio [RR] 0.32; 95% CI 0.18, 0.56) and sore throat (RR 0.56; 95% CI 0.35, 0.89) than LMA ProSeal™.
CONCLUSION
LMA ProSeal™ provides superior airway sealing compared to i-gel®.
背景
一项对随机对照试验的荟萃分析和系统评价，旨在比较LMA ProSeal™（美国宾夕法尼亚州韦恩市泰利福公司）和i-gel®（英国沃金厄姆市英特外科有限公司）在接受全身麻醉的成人中的口咽漏气压（OLP）及临床性能。
方法
检索MEDLINE®、EMBASE®、CENTRAL、韩国医学数据库和谷歌学术。主要目的是比较OLP；次要目的包括比较临床性能和并发症。
结果
纳入14项随机对照试验。LMA ProSeal™的OLP显著高于i-gel®（平均差[MD]-2.95 cmH2O；95%置信区间[CI]-4.30，-1.60）。i-gel®的装置插入时间更短（MD -3.01 s；95% CI -5.80，-0.21），取出后装置上有血的发生率更低（风险比[RR] 0.32；95% CI 0.18，0.56），咽痛发生率也低于LMA ProSeal™（RR 0.56；95% CI 0.35，0.89）。
结论
与i-gel®相比，LMA ProSeal™能提供更好的气道密封。
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