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简易气管导管用于小型手术全身麻醉的随机对照试验

The EasyTube during general anesthesia for minor surgery: A randomized, controlled trial.

作者信息

Robak Oliver, Vaida Sonia, Gaitini Luis, Thierbach Andreas, Urtubia Ricardo, Krafft Peter, Frass Michael

机构信息

Department of Medicine I, Medical University of Vienna, Vienna, Austria Department of Anaesthesiology, Penn State Milton S. Hershey Medical Centre, Hershey, PA Department of Anaesthesiology, Bnai Zion Medical Centre, Haifa, Israel Department of Anaesthesia, Intensive Care Medicine, Emergency Medicine and Pain Therapy, University of Mainz and Klinikum Idar-Oberstein, Idar-Oberstein, Germany Department of Anaesthesiology Clinica Vespucio, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile Department of Anaesthesiology and General Intensive Care, Medical University of Vienna and Rudolfstiftung, Vienna, Austria.

出版信息

Medicine (Baltimore). 2017 Jun;96(25):e7195. doi: 10.1097/MD.0000000000007195.

DOI:10.1097/MD.0000000000007195
PMID:28640104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5484212/
Abstract

BACKGROUND

The EasyTube (EzT) is a supraglottic airway device that is used for emergency airway situations. Ventilation during general anesthesia should also be feasible, but literature on the EzT is scarce. We evaluated the EzT in comparison with the endotracheal tube (ETT) in its use during general anesthesia in a comparative study.

METHODS

A total of 400 patients with American Society of Anesthesiologists (ASA) physical status I to II scheduled for minor surgery in 4 centers were randomized for ventilation via the ETT or EzT.

RESULTS

In all patients, the EzT and the ETT could be inserted within 3 attempts. In all EzT patients, the inspiratory and expiratory minute volumes (6.64 ± 0.71 and 6.34 ± 0.69 L/min) were sufficient to reach target oxygenation values, similar to ETT patients (P  =  .59). Mean peak pressure, mean plateau pressure, and mean dynamic compliance did not differ between the groups. Sore throat and blood on the cuff after removal were the most frequent complications in both groups.

CONCLUSION

Ventilation for up to 1 hour during general anesthesia in patients with ASA physical status I to II with the EzT is feasible and safe.

摘要

背景

EasyTube（EzT）是一种用于紧急气道情况的声门上气道装置。全身麻醉期间的通气也应可行，但关于EzT的文献较少。在一项比较研究中，我们评估了EzT与气管内导管（ETT）在全身麻醉期间使用的情况。

方法

4个中心共400例美国麻醉医师协会（ASA）身体状况为I至II级、计划进行小手术的患者被随机分为通过ETT或EzT进行通气。

结果

所有患者中，EzT和ETT均可在3次尝试内插入。所有EzT组患者的吸气和呼气分钟通气量（6.64±0.71和6.34±0.69L/min）足以达到目标氧合值，与ETT组患者相似（P = 0.59）。两组间平均峰压、平均平台压和平均动态顺应性无差异。两组中最常见的并发症是咽痛和拔管后袖带见血。

结论

ASA身体状况为I至II级的患者在全身麻醉期间使用EzT通气长达1小时是可行且安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccef/5484212/e8eb0b9afee9/medi-96-e7195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccef/5484212/8d0cb05be64d/medi-96-e7195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccef/5484212/e2393146c867/medi-96-e7195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccef/5484212/e8eb0b9afee9/medi-96-e7195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccef/5484212/8d0cb05be64d/medi-96-e7195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccef/5484212/e2393146c867/medi-96-e7195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccef/5484212/e8eb0b9afee9/medi-96-e7195-g005.jpg

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本文引用的文献

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The Easytube for airway management: a systematic review of clinical and simulation studies.用于气道管理的简易气管导管：临床和模拟研究的系统评价
J Clin Anesth. 2016 Jun;31:215-22. doi: 10.1016/j.jclinane.2016.01.039. Epub 2016 Apr 16.
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Comparison of combitube, easy tube and tracheal tube for general anesthesia.联合双腔通气道、简易气道和气管导管用于全身麻醉的比较。
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Anaesthesia. 2011 Dec;66 Suppl 2:45-56. doi: 10.1111/j.1365-2044.2011.06934.x.
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Prospective randomized comparison of the EasyTube and the esophageal-tracheal Combitube airway devices during general anesthesia with mechanical ventilation.全身麻醉机械通气时，使用 EasyTube 和食管-气管联合导管气道装置的前瞻性随机比较。
J Clin Anesth. 2011 Sep;23(6):475-81. doi: 10.1016/j.jclinane.2011.01.007.
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Dentoalveolar injury related to general anaesthesia: a 14 years review and a statement from the surgical point of view based on a retrospective analysis of the documentation of a university hospital.与全身麻醉相关的牙牙槽损伤：基于大学医院病历回顾性分析的手术观点综述及声明。
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