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I-gel喉罩与Baska面罩用于择期手术的比较:一项荟萃分析

Comparison of I-gel and Baska mask in elective surgery: a meta-analysis.

作者信息

Shen Jiaxin, Miao Xiaoyun, Wang Hao, Zhao Jinglin, Shi Jiaxiao, Dai Qingchun

机构信息

Department of Intensive Care, Cangzhou Central Hospital, Cangzhou, China.

Department of Orthopaedics, Hebei Province Cangzhou Hospital of Integrated Traditional Chinese Medicine-Western Medicine, Cangzhou, Hebei, China.

出版信息

BMJ Open. 2024 Dec 20;14(12):e085832. doi: 10.1136/bmjopen-2024-085832.

Abstract

OBJECTIVE

The supraglottic airway device is a viable alternative to tracheal intubation for elective surgery. To conduct a comparative analysis of the advantages and disadvantages associated with use of the Baska mask and I-gel across various dimensions.

DESIGN

A comprehensive search was conducted across PubMed, Embase, Cochrane Library, Web of Science, and other relevant databases to identify randomised controlled trials (RCTs) involving patients who used the Baska mask and I-gel.

MAIN RESULTS

Twelve studies were identified for comparison of clinical indices. The Baska mask device demonstrated general feasibility in oropharyngeal leak pressure at insertion time and 30 min post-insertion, as well as in the assessment of dysphonia. However, the I-gel had superior efficacy in reducing sore throat compared with the Baska mask.

CONCLUSIONS

Based on current evidence, the Baska mask demonstrates superior intraoperative performance compared with I-gel; however, it is associated with a higher incidence of a sore throat post-extubation. Nevertheless, the overall quality of existing studies is suboptimal, underscoring the need for additional high-quality RCTs to substantiate these findings.

摘要

目的

对于择期手术,声门上气道装置是气管插管的一种可行替代方案。在多个维度上对使用巴斯卡面罩和I-gel的优缺点进行比较分析。

设计

全面检索了PubMed、Embase、Cochrane图书馆、科学网和其他相关数据库,以识别涉及使用巴斯卡面罩和I-gel的患者的随机对照试验(RCT)。

主要结果

确定了12项用于比较临床指标的研究。巴斯卡面罩装置在插入时和插入后30分钟的口咽漏气压以及在声音障碍评估方面显示出总体可行性。然而,与巴斯卡面罩相比,I-gel在减轻咽痛方面具有更高的疗效。

结论

基于目前的证据,与I-gel相比,巴斯卡面罩在术中表现更优;然而,它与拔管后咽痛的发生率较高有关。尽管如此,现有研究的整体质量欠佳,这突出表明需要更多高质量的RCT来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c05/11667465/887c38b7cf9c/bmjopen-14-12-g001.jpg

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