Du Ru Fei , Ding Wei Xing , Liu Yun Song , Zhang Can Hua . Necessity of Application of Laryngeal Mask Airway in Laparoscopic Anesthesia[J]. Journal of Kunming Medical University, 2017, 38(08): 44-47.
Citation: Du Ru Fei , Ding Wei Xing , Liu Yun Song , Zhang Can Hua . Necessity of Application of Laryngeal Mask Airway in Laparoscopic Anesthesia[J]. Journal of Kunming Medical University, 2017, 38(08): 44-47.

Necessity of Application of Laryngeal Mask Airway in Laparoscopic Anesthesia

Funds:

基金: 国家自然科学基金资助项目 (81160035);

  • Received Date: 2017-05-14
  • Objective To analyze the necessity and clinical application of laryngeal mask airway anesthesia in laparoscopic surgery through comparing the efficacy of laryngeal mask airway and endotracheal intubation in laparoscopic surgery. Methods We selected 76 patients undergoing laparoscopic surgery in the Department of Anesthesiologyin Qujing Second People's Hospital From January 2013 to December. According to the random number table, the patients were divided into tracheal intubation group (n =38) and laryngeal mask group (n=38) . Tracheal intubation group was given disposable tracheal catheter, laryngeal mask group was given I-GEL laryngeal mask. Then the patients in the 2 groups were observed and compared in 6 points of HR, map, PETCO2, recovery time and postoperative restlessness, extubation cough, cough after surgery, the incidence of adverse reactions and hoarseness and sore throat, such as before induction of anesthesia (T1) , immediate intubation (cover) (T2) , pneumoperitoneum (T3) , at 10 min after pneumoperitoneum (T4) , pneumoperitoneum (T5) , stop extubation immediately (cover) (T6) . Results The HR and MAP values in laryngeal mask group at each time point was significantly lower than those in tracheal intubation group, there was no significant difference in PETCO2 between the 2 groups of patients (P >0.05) .The recovery time of patients in laryngeal mask group was (5.12±3.82) min, significantly shorter than that in the intubation group which was (10.14±4.15) min (P <0.05) . The incidence of adverse reaction in I-GEL laryngeal mask group was 5.26%, The incidence of adverse reactions in the tracheal intubation group was 23.68% (P <0.05) .Conclusion During laparoscopic anesthesia with I-GEL laryngeal mask airway, patients have stable hemodynamics in induction and recovery period, short postoperative recovery time, and low incidence of adverse reactions such as postoperative restlessness, extubation cough, postoperative cough, sore throat and hoarseness. The ventilation condition of patients during the operation is good and I-GEL laryngeal mask airway has higher safety, comfort and satisfaction degree, so it has good application value and deserves promoting.
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  • [1]潘子鹏, 李闻.腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效及其安全性评价[J].昆明医科大学学报, 2016, 37 (8) :119-122.
    [2]曹德钧, 祖存.不同全麻方式在老年高血压患者行单孔腹腔镜胆囊切除术的比较[J].昆明医科大学学报, 2015, 36 (9) :98-101.
    [3]章敏, 崔中璐, 疏树华, 等.I-gel喉罩与Supreme喉罩在腹腔镜肾脏手术中的应用比较[J].临床麻醉学杂志, 2014, 30 (04) :370-373.
    [4]马甫营, 王胜斌.气管插管与i-gel喉罩在腹腔镜手术麻醉中的应用比较[J].安徽医药, 2014, 18 (8) :1574-1576.
    [5] 曹江北, 王鹏, 米卫东, 等.腹腔镜手术患者i-gel喉罩气道管理的效果[J].军医进修学院学报, 2012, 33 (4) :362-363, 366.
    [6]胡胜红, 王胜斌, 居霞, 等.超声引导下髂腹下髂腹股沟神经阻滞对i-gel喉罩通气在腹腔镜小儿疝修补术中麻醉效应的影响[J].实用医学杂志, 2015, 31 (5) :859-860.
    [7]肖少华, 王伶俐, 吴健, 等.I-gel喉罩在妇科腹腔镜手术全麻苏醒期的应用效果评价[J].湖北医药学院学报, 2015, 34 (03) :270-273.
    [8]冯洁华, 李朝阳, 陈超, 等.Proseal、Supreme和I-gel三种双管喉罩用于妇科腹腔镜麻醉的气道管理比较[J].中国现代手术学杂志, 2015, 19 (04) :315-318.
    [9]孟剑.I-gel喉罩用于腹腔镜异位妊娠手术患者气道管理的效果[J].中国当代医药, 2011, 18 (14) :78-79.
    [10]李小锋.喉罩在小儿眼科手术麻醉中的临床应用观察[J].现代临床医学, 2011, 37 (1) :61-62.
    [11]唐苏红, 张建友, 孙建宏, 等.Supreme喉罩与i-gel喉罩在小儿腹腔镜手术气道管理中的应用[J].海南医学, 2016, 27 (24) :4105-4106, 4107.
    [12]胡玲, 康路, 王瑞婷, 等.I-gel喉罩与Supreme喉罩在小儿腹腔镜手术中的应用比较[J].实用医学杂志, 2016, 32 (13) :2245-2246.
    [13]
    [13]SRIVASTAVA A, TYAGI P.Comparison of I-gel and LMA-Supreme Laryngeal Mask Airway in Laparoscopic Surgery:A Prospective Randomized Study[J].Indian Journal of Public Health Research&Development, 2013, 4 (3) :298-298.
    [14]
    [14]SARDI A S D C, BRITTO M, RANGEL J.Comparison of Postoperative Throat and Neck Complaints after the Use of the i-Gel versus the Traditional Laryngeal Mask[J].Open Journal of Anesthesiology, 2013, 3 (4) :233-236.
    [15]
    [15]BERINGER R M, KELLY F, COOK T M, et al.A cohort evaluation of the paediatric i-gel (TM) airway during anaesthesia in 120 children[J].Anaesthesia, 2011, 66 (12) :1121-1126.
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