Maroof M, Khan R M, Siddique M, Bhatti T H
Department of Anesthesiology, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
Middle East J Anaesthesiol. 1996 Jun;13(5):537-43.
Modified Laryngeal Mask (MLMA) aided fiberoptic intubation (FOI) using larger than 6 mm ID endotracheal tube was studied in 25 adult patients and compared to unaided FOI in another 25 patients. MLMA aided FOI was successful in 96% cases compared to 56% in the unaided group. Furthermore, the time to successful intubation was increased by 67.1% when FOI was attempted without MLMA aid which was statistically significant (P < 0.001). However, maximum fluctuations in the heart rate and mean arterial pressure in the immediate post-intubation period were statistically insignificant between the groups. We conclude that MLMA not only adds to success rate of FOI but also significantly reduce the FOI time in adult patients.
在25例成年患者中研究了使用内径大于6毫米的气管导管，改良喉罩（MLMA）辅助纤维支气管镜插管（FOI）的情况，并与另外25例患者的非辅助FOI进行了比较。MLMA辅助FOI的成功率为96%，而未辅助组为56%。此外，在没有MLMA辅助的情况下尝试FOI时，成功插管时间增加了67.1%，具有统计学意义（P<0.001）。然而，两组之间插管后即刻心率和平均动脉压的最大波动在统计学上无显著差异。我们得出结论，MLMA不仅提高了成年患者FOI的成功率，还显著缩短了FOI时间。
