Tekin Beyza, Hatipoğlu Zehra, Türktan Mediha, Özcengiz Dilek
Clinic of Anaesthesia, Çukurova Aşkım Tüfekçi State Hospital, Adana, Turkey.
Department of Anaesthesiology and Reanimation, Çukurova University School of Medicine, Adana, Turkey.
Turk J Anaesthesiol Reanim. 2016 Apr;44(2):81-5. doi: 10.5152/TJAR.2016.19970. Epub 2016 Apr 1.
We compared the effects of the laryngeal mask airway (LMA), face mask and Cobra perilaryngeal airway (PLA) in the airway management of spontaneously breathing paediatric patients undergoing elective inguinal surgery.
In this study, 90 cases of 1-14-year-old children undergoing elective inguinal surgery were scheduled. The patients were randomly divided into three groups. Anaesthesia was provided with sevoflurane and 50%-50% nitrous oxide and oxygen. After providing an adequate depth of anaesthesia, supraglottic airway devices were inserted in the group I and II patients. The duration and number of insertion, haemodynamic parameters, plateau and peak inspiratory pressure and positive end-expiratory pressure of the patients were recorded preoperatively, after induction and at 5, 10, 15 and 30 min peroperatively.
There were no statistical differences between the groups in terms of haemodynamic parameters (p>0.05). In group II, instrumentation success was higher and instrumentation time was shorter than group II. The positive end-expiratory pressure and plateau and peak inspiratory pressure values were statistically lower in group II (p<0.05).
We concluded that for airway safety and to avoid possible complications, LMA and Cobra PLA could be alternatives to face mask and that the Cobra PLA provided lower airway pressure and had a faster and more easy placement than LMA.
我们比较了喉罩气道（LMA）、面罩和Cobra喉周气道（PLA）在择期腹股沟手术的自主呼吸儿科患者气道管理中的效果。
在本研究中，计划纳入90例1 - 14岁接受择期腹股沟手术的儿童。患者被随机分为三组。采用七氟醚和50%-50%氧化亚氮与氧气进行麻醉。在达到足够的麻醉深度后，为I组和II组患者插入声门上气道装置。记录患者术前、诱导后以及术中5、10、15和30分钟时的插入持续时间和次数、血流动力学参数、平台压和吸气峰压以及呼气末正压。
各组之间在血流动力学参数方面无统计学差异（p>0.05）。在II组中，器械置入成功率高于I组且置入时间短于I组。II组中的呼气末正压以及平台压和吸气峰压值在统计学上更低（p<0.05）。
我们得出结论，为了气道安全并避免可能的并发症，LMA和Cobra PLA可作为面罩的替代方案，并且Cobra PLA能提供更低的气道压力且比LMA放置更快、更简便。
