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在全身麻醉下进行剖腹产的最高喉膜呼吸道:一项为期10年的追溯队列研究

Zhiyu Geng¹, Chunqing Li¹, Hao Kong¹

¹Department of Anesthesiology, Peking University First Hospital, Beijing, China.

Frontiers in medicine

|August 7, 2023

概括

喉膜口罩气道最高是一个安全的替代方案,以内管管道输入剖腹产在全身麻醉下,显示没有增加的风险,对于母亲或新生儿. 这一发现支持其在产科麻醉实践中的应用.

科学领域:

产科麻醉产科麻醉产科麻醉
航空航道管理的管理.
患者安全患者安全

背景情况:

在产科麻醉中使用超隔膜气道,但对喉膜气道 (LMA) 对母亲和新生儿结果的影响的证据有限.
"LMA Supreme"是一个专门用于气道管理的设备.

研究的目的:

在全身麻醉下剖腹产期间使用LMA Supreme评估母亲和新生儿的结果.
将LMA Supreme和内道管 (ETT) 使用之间的结果进行比较.

主要方法:

在全身麻醉下进行剖腹产的723名患者的回顾性分析 (2010年1月至2019年12月).
倾向性得分匹配用于比较LMA最高组的189名患者与ETT组的189名患者.
主要结局:母亲的反,吸血,低氧化,低的阿帕格分数;次要结局:重症监护室入院,新生儿输管,心脏按摩,新生儿重症监护室入院.

主要成果:

在这两组中都没有出现反或吸血.
在LMA Supreme和ETT组之间,在1分钟或5分钟的Apgar分数低于7没有显著差异.
在二次结果中没有观察到差异,包括ICU/NICU入院或需要新生儿复苏.

结论:

与ETT相比,在全身麻醉下剖腹产中使用LMA Supreme与增加的孕产妇或新生儿不良结果无关.
在产科麻醉中,LMA Supreme可能是气管管道输液的可行替代方案.

关键词:

麻醉是一种麻醉.剖腹产是一个剖腹产.喉面具是一种喉面具.母亲的结果.新生儿的结局.产科产科产科产科

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