Objective:To analyze the effect of laryngeal mask anesthesia and endotracheal intubation anesthesia in elderly laparoscopic gallbladder surgery.Methods:100 subjects of the experiment came from elderly patients with ga...Objective:To analyze the effect of laryngeal mask anesthesia and endotracheal intubation anesthesia in elderly laparoscopic gallbladder surgery.Methods:100 subjects of the experiment came from elderly patients with gallbladder stones admitted from September 2016 to September 2019 in our hospital.There were group A and group B of 50 cases each,and were used tube anesthesia and laryngeal mask anesthesia,then comparing the anesthesia effect.Results:Statistical significance(P<0.05):Air pressure and end-respiratory carbon dioxide partial pressure index changes when immediately after insertion,immediately after removal,3 minutes after removal;heart rate,mean arterial pressure,airway pressure,and end-expiratory carbon dioxide index changes when 3 minutes after insertion and immediately before removal;blood glucose and cortisol changes when after insertion,immediately before removal and min after removal.No statistical significance(P>0.05):Changes in heart rate,mean arterial pressure,airway pressure,and endexpiratory carbon dioxide indexes before insertion;changes in blood glucose and cortisol indexes before insertion.Conclusion:It is more ideal for elderly patients with abdominal cavity and gallbladder surgery to have laryngeal mask anesthesia,which can effectively keep blood circulation stable and have promotion value.展开更多
Objective To evaluate the feasibility of the Shikani Optical Stylet （SOS）-guided inmbation through a new Intubafing Laryngeal Airway （ILA） in anticipated difficult airways caused by scar contracture of the face an...Objective To evaluate the feasibility of the Shikani Optical Stylet （SOS）-guided inmbation through a new Intubafing Laryngeal Airway （ILA） in anticipated difficult airways caused by scar contracture of the face and neck. Methods Thirty-three adult patients with anticipated difficult airways undergoing selective faciocervical scar plastic surgery under general anesthesia were enrolled in this study. After anesthesia induction, a size 2.5, 3.5 or 4.5 ILA was inserted. Following good lung ventilation being verified, the SOS preloaded with an endotracheal tube was inserted via the ILA. Once the clear vocal cords came into view under the SOS, the endotracheal tube was advanced through glottis into the trachea. Results The ILA provided an effective airway in all patients, lntubation was successful at the first attempt on 22/33 （66.7%） occasions and at the second attempt on 6/33 （18.2%）. Intubation failed in 5 （15.1%） patients who suffered from severe limitation of head extension due to scar contracture of the neck. These patients＇ tracheas were finally intubated using a fibreoptic bronchoscope via the ILA. Conclusions The SOS-guided intubating method via the ILA is a feasible technique in patients with scar contracture of the face and neck. However, in patients with severe limitation of head extension, the use of SOS cannot be recommended. The SOS can be used as an alternative apparatus when the fibreoptic bronchoscope is not available.展开更多
目的:评估保留自主呼吸的喉罩全麻在单孔胸腔镜下肺叶切除术中应用的可行性。方法:喉罩组与双腔支气管组各20例肺占位行胸腔镜肺叶切除术淋巴结清扫术患者。两组均行肋间神经阻滞,术中喉罩组不使用肌松药,保留自主呼吸;双腔管组使用肌松...目的:评估保留自主呼吸的喉罩全麻在单孔胸腔镜下肺叶切除术中应用的可行性。方法:喉罩组与双腔支气管组各20例肺占位行胸腔镜肺叶切除术淋巴结清扫术患者。两组均行肋间神经阻滞,术中喉罩组不使用肌松药,保留自主呼吸;双腔管组使用肌松药,术中行单肺通气。结果:喉罩组与双腔管组在手术时间、术中最低SpO_2、术前、术后1 h PaCO_2无明显差异。喉罩/双腔管放置满意用时、拔管时间、恢复室停留时间、术后住院时间喉罩组均短于双腔管组。插喉罩/双腔管前后,△MAP、△HR喉罩组低于双腔管组。术中每千克体重舒芬太尼、丙泊酚用量喉罩组显著少于双腔管组。肺叶切除后血气PaCO_2、术中最高PETCO_2,喉罩组显著高于双腔管组。术后咽喉痛发生率、住院总费用喉罩组低于双腔管组。结论:保留自主呼吸的喉罩全麻用于胸腔镜肺叶切除术具有明显优势。展开更多
文摘Objective:To analyze the effect of laryngeal mask anesthesia and endotracheal intubation anesthesia in elderly laparoscopic gallbladder surgery.Methods:100 subjects of the experiment came from elderly patients with gallbladder stones admitted from September 2016 to September 2019 in our hospital.There were group A and group B of 50 cases each,and were used tube anesthesia and laryngeal mask anesthesia,then comparing the anesthesia effect.Results:Statistical significance(P<0.05):Air pressure and end-respiratory carbon dioxide partial pressure index changes when immediately after insertion,immediately after removal,3 minutes after removal;heart rate,mean arterial pressure,airway pressure,and end-expiratory carbon dioxide index changes when 3 minutes after insertion and immediately before removal;blood glucose and cortisol changes when after insertion,immediately before removal and min after removal.No statistical significance(P>0.05):Changes in heart rate,mean arterial pressure,airway pressure,and endexpiratory carbon dioxide indexes before insertion;changes in blood glucose and cortisol indexes before insertion.Conclusion:It is more ideal for elderly patients with abdominal cavity and gallbladder surgery to have laryngeal mask anesthesia,which can effectively keep blood circulation stable and have promotion value.
文摘Objective To evaluate the feasibility of the Shikani Optical Stylet （SOS）-guided inmbation through a new Intubafing Laryngeal Airway （ILA） in anticipated difficult airways caused by scar contracture of the face and neck. Methods Thirty-three adult patients with anticipated difficult airways undergoing selective faciocervical scar plastic surgery under general anesthesia were enrolled in this study. After anesthesia induction, a size 2.5, 3.5 or 4.5 ILA was inserted. Following good lung ventilation being verified, the SOS preloaded with an endotracheal tube was inserted via the ILA. Once the clear vocal cords came into view under the SOS, the endotracheal tube was advanced through glottis into the trachea. Results The ILA provided an effective airway in all patients, lntubation was successful at the first attempt on 22/33 （66.7%） occasions and at the second attempt on 6/33 （18.2%）. Intubation failed in 5 （15.1%） patients who suffered from severe limitation of head extension due to scar contracture of the neck. These patients＇ tracheas were finally intubated using a fibreoptic bronchoscope via the ILA. Conclusions The SOS-guided intubating method via the ILA is a feasible technique in patients with scar contracture of the face and neck. However, in patients with severe limitation of head extension, the use of SOS cannot be recommended. The SOS can be used as an alternative apparatus when the fibreoptic bronchoscope is not available.
文摘目的:评估保留自主呼吸的喉罩全麻在单孔胸腔镜下肺叶切除术中应用的可行性。方法:喉罩组与双腔支气管组各20例肺占位行胸腔镜肺叶切除术淋巴结清扫术患者。两组均行肋间神经阻滞,术中喉罩组不使用肌松药,保留自主呼吸;双腔管组使用肌松药,术中行单肺通气。结果:喉罩组与双腔管组在手术时间、术中最低SpO_2、术前、术后1 h PaCO_2无明显差异。喉罩/双腔管放置满意用时、拔管时间、恢复室停留时间、术后住院时间喉罩组均短于双腔管组。插喉罩/双腔管前后,△MAP、△HR喉罩组低于双腔管组。术中每千克体重舒芬太尼、丙泊酚用量喉罩组显著少于双腔管组。肺叶切除后血气PaCO_2、术中最高PETCO_2,喉罩组显著高于双腔管组。术后咽喉痛发生率、住院总费用喉罩组低于双腔管组。结论:保留自主呼吸的喉罩全麻用于胸腔镜肺叶切除术具有明显优势。
