两种不同的ProSealTM喉面具固定方法的比较
Funda Atar1, Gülsen Keskin1, Filiz Karaca Akaslan1
1Department of Anaesthesiology and Reanimation, Etlik City Hospital, University of Health Sciences Turkey, Ankara, Turkey.
Turkish journal of anaesthesiology and reanimation
|October 25, 2023
概括
可调节的弹性带提供优越的ProsealTM喉膜气道 (PLMA) 固定与带相比. 这种方法确保了更好的呼吸道可视化,并减少了手术期间设备的位移.
科学领域:
- 麻醉学 麻醉学
- 手术设备 手术设备
- 航空航道管理的管理.
背景情况:
- 在全身麻醉期间,安全固定ProsealTM喉膜气道 (PLMA) 对于保持气道通透性至关重要.
- 目前的固定方法,如粘贴带,可能在稳定性和易用性方面存在局限性.
- 需要使用其他固定技术来优化PLMA性能和患者安全.
研究的目的:
- 为了比较可调节的弹性带固定与ProsealTM喉膜气道 (PLMA) 的带固定的有效性.
- 评估不同PLMA固定方法对纤维光学支气管镜 (FOB) 可视化和尿管光学石灰管透症期间设备稳定性的影响.
主要方法:
- 一项前性随机研究,涉及116名患者,这些患者在全身麻醉下接受尿尿透镜性石.
- 患者被随机分为两组:I组 (可调节的弹性带固定) 和II组 (粘贴带固定).
- 在手术前后进行了光纤支气管镜 (FOB) 评估喉图像分级和测量PLMA唇边缘距离.
主要成果:
- 在弹性带组 (I组) 中,显著更高比例的患者在固定后实现了最佳FOB级1可视化 (P = 0.01).
- 在手术结束时,最糟糕的FOB 4级可视化的发生率在I组为0%,而在II组为10.5%.
- 超过1厘米的PLMA位移发生在I组18.9%的患者中,而II组56.6%的患者中.
结论:
- 可调节的弹性带固定是一种简单,容易和方便的方法来固定PLMA.
- 与带相比,这种方法在维持PLMA位置和呼吸道可视化方面表现出更高的有效性.
- 可调节的弹性带提供了一个可靠的选择,用于在各种手术过程中固定PLMA.
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