全凭静脉麻醉下I-gel喉罩在支气管内超声引导针刺吸活检术中的应用

Application of I-gel laryngeal mask airway in EBUS-TBNA performed under intravenous anesthesia

目的回顾单纯局部表麻与全凭静脉麻醉I-gel喉罩下进行支气管内超声引导针刺吸活检术(EBUS-TBNA)的应用效果,寻求更好麻醉管理方法,指导临床应用。方法回顾性分析2013年-2016年3年内60例在两种麻醉管理方式下进行EBUS-TBNA的手术时间、术中脉搏血氧饱和度(SpO_2)<95%、体动、呛咳、喉痉挛、恶心、手术穿刺、操作者暂停次数、术后咽喉不适感以及患者、手术操作者和麻醉者的满意度评分的差异。结果从2014年6月起,全麻I-gel喉罩下实施EBUS-TBNA的患者呛咳、恶心、体动的发生更少,手术时间更短,麻醉手术满意度评分更高。结论全凭静脉麻醉I-gel喉罩下进行EBUS-TBNA,是围术期较为安全可行的麻醉管理方式,建议在临床上推荐使用。

Objective To seek better anesthesia management methods for clinical applications guidance by retrospectively analyze the clinical effects of I-gel laryngeal mask for endobronchial ultrasound-guided transbronchial needleaspiration(EBUS-TBNA)performed under local and intravenous anesthesia modes.Methods Review the differences in the operative time,the number of SpO2<95%,body motion,cough,laryngospasm,nausea,surgical puncture,operator suspension,postoperative throat discomfort,and satisfaction scores among the patient,the operator and the anesthetist between the two kinds of anesthesia of60patients for EBUS-TBNA in3years from2013to2016.Results From June2014,patients with I-gel laryngeal mask for EBUS-TBNA under intravenous anesthesia had fewer cough,nausea,physical activity,shorter operative time,and higher anesthesia satisfaction scores.Conclusion The perioperative management method of I-gel laryngeal mask for EBUS-TBNA in intravenous anesthesia is more secure and more feasible,recommended for clinical use.