SLIPA喉罩用于老年患者上肢骨折手术的观察

Observation of SLIPA larygneal mask used for the operation on the fracture of upper limb in the aged patients

目的:探讨SLIPA喉罩用于老年患者上肢骨折手术的临床效果。方法:上肢骨折手术30例,ASAⅠ～Ⅱ级,年龄60～77岁,所有患者统一麻醉诱导后插入SLIPA喉罩通气道。观察SLIPA喉罩通气道插入的难易程度;插入时间长短;插入通气后是否需要调整;机械通气的效果;清醒后能否平稳耐受以及患者清醒拔除后咽喉部疼痛的情况。结果:成功插入SLIPA喉罩通气道数占96.6%;一次性成功数占80%;插入成功手控通气后无需调整位置。所有插入成功的患者均能很好的完成术中机械通气过程。手术结束患者清醒后均较平稳,可以很好的耐受SLIPA喉罩。结论:SLIPA喉罩可安全、有效地应用于老年患者上肢骨折手术中的气道管理,简便易行且对咽喉部损伤较小。

Objective：To investigate the effects of SLIPA larygneal mask used for the operation on the fracture of upper limb in the aged patients.Methods：30 cases,ASA gradedⅠ-Ⅱ,aging 60～77 y,undergoing operation on the fracture of upper limb with SLIPA larygneal mask after anesthesia induction.Observe the level of difficulty of inserting,length of time,whether need to adjust after ventilation,the effects of mechanical ventilation （MV）,whether the patients could tolerate it after waking and the condtion about the sore throat after removal of it.Results：96.6% of SLIPA larygneal mask were inserted successfully,80% of them were succeed at one time.Position of the larygneal mask after inserting should not be adjusted.All the succeeds could finish mechanical ventilation during the operation.All the patients could wake stable after operation and tolerate SLIPA larygneal mask very well.Conclusion：SLIPA larygneal mask could be safely and effectively used for the aged patients＇ airway management during the operation on the fracture of upper limb.It is easy and simple,and has less injury on the larynx.