使用Air-Q ILA和LMA大片在接受选择性手术的成年人中进行气管管道输入的比较:随机对照试验
Kavitha Girish1, Thilaka Muthiah2, Dalim Kumar Baidya3
1Baby Memorial Hospital, Clinic of Anaesthesiology, Kozhikode, India.
Turkish journal of anaesthesiology and reanimation
|September 17, 2024
概括
与成年人Air-Q ILA相比,LMA大片显著提高了内内管管道输入成功率. 这项研究强调LMA大片作为盲人输液管道更有效的设备.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
背景情况:
- 据报道,Air-Q输入喉气道 (ILA) 的盲管输入成功率为58-77%.
- 这种LMA大片是一种较新的超气道 (SGA),旨在简化内管道输入.
研究的目的:
- 在正常呼吸道的成年患者中,比较Air-Q ILA和LMA大片之间的内内管成功率.
主要方法:
- 一项随机对照试验,涉及140名接受选择性手术的成年患者.
- 试图使用Air-Q ILA或LMA大片的盲目内管道输入.
- 如果有必要,在第三次尝试中使用光纤支气管镜 (FOB) 引导.
主要成果:
- 与Air-Q ILA组 (55.7%) 相比,LMA大片组在没有FOB指导的情况下 (91.4%) 的输入管成功率显著更高.
- 试图插入SGA的次数和SGA插入和整体输管所需的时间在两组之间是相似的.
结论:
- 在没有FOB指导的情况下,LMA大片产品在没有FOB指导的情况下为内内管管道输入提供了优越的成功率,与正常呼吸道的成年患者的Air-Q ILA相比.
- 使用专门设计的柔性内管和特定的机动进一步提高了输管成功率.
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