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一种用于纤维光学气管插管训练辅助的分体喉罩。与Berman II型气管插管导气管的比较。

A split laryngeal mask as an aid to training in fibreoptic tracheal intubation. A comparison with the Berman II intubating airway.

作者信息

Darling J R, Keohane M, Murray J M

机构信息

Department of Anaesthetics, Ulster Hospital, Belfast.

出版信息

Anaesthesia. 1993 Dec;48(12):1079-82. doi: 10.1111/j.1365-2044.1993.tb07533.x.

DOI:10.1111/j.1365-2044.1993.tb07533.x
PMID:8285331
Abstract

Thirty patients were randomly allocated to one of two groups in order to compare the use of a split laryngeal mask airway with the Berman II airway as aids to training in fibreoptic laryngoscopy. In both groups anaesthesia was induced with propofol and maintained with isoflurane in N2O/O2 (FIO2 = 0.5). The fibreoptic laryngoscope was guided towards the larynx using the split laryngeal mask airway in group 1 and the Berman airway in group 2. The tracheas of all patients were successfully intubated at the first attempt and no patient's peripheral oxygen saturation decreased below 92%. Two min after intubation mean heart rate was significantly greater in group 1 (101 beat.min-1) than in group 2 (84 beat.min-1) (P < 0.05). The split laryngeal mask is a useful aid to training in fibreoptic intubation and may allow better airway control than the Berman II intubating airway.

摘要

为比较喉罩气道分离器与Berman II气道作为纤维喉镜检查训练辅助工具的使用情况,将30例患者随机分为两组。两组均采用丙泊酚诱导麻醉,并用异氟烷在N2O/O2(FIO2 = 0.5)中维持麻醉。第1组使用喉罩气道分离器引导纤维喉镜朝向喉部,第2组使用Berman气道。所有患者的气管均在首次尝试时成功插管,且无患者外周血氧饱和度降至92%以下。插管后2分钟,第1组的平均心率(101次/分钟)显著高于第2组(84次/分钟)(P < 0.05)。喉罩气道分离器是纤维插管训练的有用辅助工具,与Berman II插管气道相比,可能能更好地控制气道。

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