新型气管插管喉罩在上幕下肿瘤手术后恢复期的安全性和有效性
Safety and Efficacy of a Novel Intubating Laryngeal Mask during the recovery period following Supratentorial Tumour Surgery.
作者信息
Ling Xiaomei, Chen Xuemeng, Liu Gaowang, Ma Xianfeng, Xiao Ming, Xiao Pan, Wang Hongyan, Xiao Jinfang
机构信息
Department of Anaesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
School of Nuclear Engineering and Technology, Sun Yat-Sen University, Zhuhai, Guangdong, China.
出版信息
J Int Med Res. 2021 Mar;49(3):300060521999768. doi: 10.1177/0300060521999768.
OBJECTIVE
To assess safety and efficacy of a novel intubation laryngeal mask airway (ILMA) during the recovery period following supratentorial tumour surgery.
METHODS
Patients who underwent supratentorial tumour surgery at our centre from January 2012 to December 2016 were eligible for this prospective randomised, parallel group study. We developed a novel ILMA using closely fitting laryngeal masks (No. 4/5) with 7.0/7.5 mm endotracheal tubes (ETT) plus screw fixators and anti-pollution sleeves.
RESULTS
In total, 100 patients were intubated with the novel ILMA and 100 the ETT. There were no differences between groups in haemodynamic variables, oxygen saturation, exhaled CO, or bispectral index all recorded during the 72-hour recovery period. However, there were significantly fewer incidences of coughing, less fluid drainage and lower haemoglobin levels in surgical fluid in the ILMA group compared with the ETT group.
CONCLUSION
Our novel ILMA device was associated with reduced coughing, fluid drainage and blood in surgical drain during the recovery period following supratentorial tumour surgery.
目的
评估一种新型插管喉罩气道（ILMA）在幕上肿瘤手术后恢复期的安全性和有效性。
方法
2012年1月至2016年12月在本中心接受幕上肿瘤手术的患者符合这项前瞻性随机平行组研究的条件。我们使用紧密贴合的喉罩（4/5号）与7.0/7.5毫米气管内导管（ETT）加上螺旋固定器和防污染套，开发了一种新型ILMA。
结果
总共100例患者使用新型ILMA进行插管，100例使用ETT进行插管。在72小时恢复期内记录的血流动力学变量、氧饱和度、呼出二氧化碳或脑电双频指数在两组之间没有差异。然而，与ETT组相比，ILMA组咳嗽发生率显著更低，手术引流液更少，血红蛋白水平更低。
结论
我们的新型ILMA装置与幕上肿瘤手术后恢复期咳嗽减少、引流液减少以及手术引流中出血减少有关。
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