在肥胖患者中插入Ambu® AuraGainTM的斜坡与嗅探位置:一项随机对照研究
Hye-Won Jeong1, Hong-Beom Bae2,3, Leyeoin Lee1
1Department of Anesthesiology and Pain Medicine, Chonnam National University Hospital, Gwangju, Korea.
Korean journal of anesthesiology
|August 19, 2024
概括
在肥胖患者中,斜坡姿势显著加快了上气道 (SGA) 插入的速度. 与嗅探位置相比,这种方法提供了更容易的插入和可比的安全性.
科学领域:
- 麻醉学 麻醉学
- 航空航道管理的管理.
背景情况:
- 肥胖在呼吸道管理方面带来了挑战,包括口罩通风和内内管道输液.
- 众所周知,斜坡姿势可以促进肥胖患者的这些手术.
研究的目的:
- 为了评估在肥胖患者中插入上气道 (SGA) 的斜坡姿势的有效性.
- 为了比较SGA插入在斜坡位置与标准嗅探位置.
主要方法:
- 一项前性随机试验,涉及48名接受选择性手术的肥胖患者.
- 患者被分配到拉坡或嗅探位置组.
- 使用了Ambu® AuraGainTM超气道,主要结果是插入时间.
主要成果:
- 在增速组中,AuraGain 插入时间显著缩短 (13.0 vs 24.0,P < 0.001).
- 插入被评为更容易在增速组 (23/24对13/24,P=0.003),需要治疗的数量为2.4.
- 第一次尝试的成功率和口腔漏压力在各组之间是可比的.
结论:
- 斜坡姿势可以减少肥胖患者的SGA插入时间.
- 它可以更轻松地插入,而不损害气道密封或增加不良事件.
- 在这个患者群体中,斜坡位置是SGA插入的潜在优越选择.
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