Necessity of Application of Laryngeal Mask Airway in Laparoscopic Anesthesia

Du Ru Fei; Ding Wei Xing; Liu Yun Song; Zhang Can Hua

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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.

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:

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Necessity of Application of Laryngeal Mask Airway in Laparoscopic Anesthesia

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基金：国家自然科学基金资助项目 (81160035);

Received Date: 2017-05-14

Abstract

Abstract

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.
- I-GEL laryngeal mask,
- Laparoscopic anesthesia,
- Necessity,
- Clinical application effect

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References(15)

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