Anaesthesia：i-gel™喉罩与LMA经典喉罩用于婴儿的随机对照研究
本帖最后由 南粤麻医 于 2014-3-22 17:18 编辑A randomised comparison of the i-gel™ and the Laryngeal Mask Airway Classic™ in infants
http://onlinelibrary.wiley.com/doi/10.1111/anae.12592/abstract
Summary
We performed a randomised comparison of the i-gel™ and the Laryngeal Mask Airway (LMA) Classic™ in children aged less than a year who were undergoing general anaesthesia for elective surgery. Fifty-four infants were randomly allocated to either the i-gel or the LMA Classic. We measured performance characteristics, fibreoptic views through the device and complications. Success rate at first insertion attempt was 100% (27/27) in the i-gel group compared with 88% (23/26) in the LMA Classic group. Insertion of the device was considered easy in 26/27 (96%) patients in the i-gel group compared with 18/26 (69%) patients in the LMA Classic group (p = 0.009). There were no differences between the groups in insertion times, fibreoptic views through the device, airway leak pressures or complications. We conclude that the i-gel was considered easier to insert than the LMA Classic in infants.
该研究对比i-gel™喉罩与LMA经典喉罩用于婴儿呼吸道维持的效果，观察其1岁内患儿择期手术全麻中的使用。54例患儿随机分为两组。
i-gel™组一次插入成功率为100%，而LMA组为88%。i-gel™组96%容易置入，而LMA组为69%。置入时间、纤维支气管镜检查位置、漏气压力或并发症两组无差别。
结论认为，i-gel™用于婴儿交LMA经典喉罩具有明显优势。
i-gel™喉罩
Laryngeal Mask Airway Classic
LMA ProSeal™
Ambu® AuraOnce™ 本帖最后由 南粤麻医 于 2014-3-22 17:54 编辑
Fastrach™ Intubating Laryngeal Mask Airway®（FT-LMA）
Mallampati classification
Laryngeal Mask Airways.
A) Classic LMATM with different sizes.B) LMA FastrackTM.C) LMA ProSealTM
Insertion of the laryngeal mask airway (LMA) 本帖最后由 南粤麻医 于 2014-3-22 18:23 编辑
Four grades of laryngoscopic view. Grade I is visualization of the entire laryngeal aperture, grade II is visualization of just the posterior portion of the laryngeal aperture, grade III is visualization of only the epiglottis, and grade IV is visualization of just the soft palate.
Combitube (A) and Light wand (B)
Recommended Laryngeal Mask Airway Size, Largest Endotracheal Tube Size and Fiberoptic Bronchoscope Size
Cobra perilaryngeal airway
Flexible laryngeal mask airway
ProSealTM LMA with red plug (a) PLMA with red plug and inflation valve. (b) Damaged inflation valve unit. (c) Red plug in use (directly connected to cuff pressure monitor). (d) Red plug connected to CPM (cuff pressure monitor) with an extension line
参考文献：
http://synapse.koreamed.org/DOIx.php?id=10.4097/kjae.2008.54.3.S43
http://synapse.koreamed.org/DOIx.php?id=10.5124/jkma.2007.50.12.1048
http://www.ncbi.nlm.nih.gov/pubmed/21808419 i-gel无囊喉罩使用教程(中文字幕)
http://v.youku.com/v_show/id_XMjgzNDAwMTIw.html
页:
[1]