在接受手术的患者中,Baska口罩和Ambu AuraGain的临床性能比较:单盲随机比较试验
Rajesh Raman1, Rati Prabha1, Surbhi Rampal1
1Department of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Indian journal of anaesthesia
|January 8, 2024
概括
在成年患者中,巴斯卡口罩 (BM) 与阿姆布奥拉盖恩 (AAG) 相比,表现出更好的呼吸道管理,显示出更高的口腔漏压力和更少的并发症.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 超管气道装置 (SAD) 对于成年人的气道管理至关重要.
- 巴斯卡面具 (BM) 和阿姆布奥拉盖恩 (AAG) 是新兴的SAD,具有有希望的但无法比较的临床数据.
- 这项研究解决了直接比较BM和AAG性能的需要.
研究的目的:
- 为了比较巴斯卡口罩 (BM) 和Ambu AuraGain (AAG) 在成年患者的临床性能.
- 评估关键指标,包括口腔漏压力,插入成功和并发症.
- 为了确定哪种设备提供了优越的气道管理.
主要方法:
- 一项随机比较研究,涉及74名成年患者 (18-60岁).
- 患者被分配到BM或AAG,用于在2小时以下的程序中进行气道管理.
- 测量的关键性能指标包括口腔漏压力 (OLP),泄漏率 (LF),插入时间,成功率和并发症.
主要成果:
- 巴斯卡口罩组呈现出明显更高的OLP (31.32比27.54cmH2O) 和较低的LF (6.19%比7.24%).
- 第一次尝试和整体成功率,插入时间和插入容易度在BM和AAG组之间是相似的.
- 安布奥拉盖恩 (AAG) 组报告了更高的喉痛和咳的发生率.
结论:
- 巴斯卡面具 (BM) 在临床上表现优于阿姆布奥拉盖恩 (AAG).
- 较高的OLP和较低的LF表明气道与BM的密封性更好.
- 乳腺瘤与喉疼痛和咳等并发症较少相关.
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