使用I-gel的逐步肺部招募机动可以改善呼吸系统参数:一项前性观察性研究
Ji Young Min1, Sung Woo Hyung1, Joon Pyo Jeon1
1Department of Anesthesiology and Pain Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Medicine
|June 28, 2024
概括
使用i-gel装置的肺部招募机动 (LRM) 显著改善了手术患者的肺部服从性和减少了呼吸道阻力. 这些积极的呼吸系统变化在术后持续了一段时间.
科学领域:
- 麻醉学 麻醉学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- I-凝上气道在各种临床环境中被使用.
- 肺部招募机动 (LRM) 旨在改善呼吸机制.
研究的目的:
- 为了研究使用i-gel的逐步肺部招募机动 (LRM) 对呼吸系统参数的影响.
- 评估肺部顺应性和呼吸道抵抗性的改善.
主要方法:
- 包括60名接受选择性泌尿外科手术的患者 (ASA类I-II,年龄30-75岁).
- 呼吸系统参数 (肺部顺应,呼吸道阻力,泄漏体积,呼吸道压力,氧储量指数) 在手术前,手术后立即,并在LRM后和手术结束后的30分钟间隔内进行测量.
- 使用I-gel气道进行了逐步的肺部招募机动.
主要成果:
- 动态肺部服从性显著增加,从49.2±1.8到70.15±3.2毫升/厘米H2O (P<.05).
- 静态肺部服从性显著增加,从52.4±1.7到65.0±2.5毫升/厘米H2O (P<.05).
- 气道阻力显著下降,从12.05±0.56降至10.41±0.64 L/cmH2O/s (P<.05).气道阻力显著下降,从12.05±0.56降至10.41±0.64 L/cmH2O/s (P<.05).气道阻力显著下降.
结论:
- 使用i-gel的逐步肺部招募机动可以增强肺部服从性并降低呼吸道阻力.
- 这些呼吸参数的改善可能在手术后持续一段时间.
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