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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
气道器件对儿童眼手术中出现神经的影响
Eun Ji Park1, Boo-Young Hwang1,2, Jae-Young Kwon1,2
1Department of Anesthesia and Pain Medicine, Biomedical Research Institute, Pusan National University Hospital, Pusan, South Korea.
喉膜口罩呼吸道 (LMA) 与内管 (ETT) 相比,减少了儿科斜视手术中的出现妄想. 这导致儿童的恢复时间缩短,手术后疼痛减少.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 关键护理医学 关键护理医学
背景情况:
- 儿科麻醉出现妄想 (PAED) 是儿童全身麻醉后的一个常见并发症.
- 压迫性精神障碍的症状包括动荡,过度活跃和混乱,影响患者的康复.
- 眼手术是儿童群体中常见的手术,需要全身麻醉.
研究的目的:
- 在接受眼手术的儿童中,比较喉膜口罩呼吸道 (LMA) 和内管 (ETT) 使用之间的出现 Delirium (ED) 的发生率和严重程度.
- 评估二次结果,包括疼痛评分,输管/输出管时间和麻醉后护理单位 (PACU) 逗留.
主要方法:
- 一项随机对照试验,涉及73名3至9岁的儿童接受眼手术.
- 患者被分配到LMA组 (n=36) 或ETT组 (n=37).
- 使用PAED尺度 (得分>10) 和FLACC尺度进行评估,并在手术后定期间隔进行测量.
主要成果:
- 与ETT组相比,LMA组的输入管和PACU停留时间明显缩短 (P=0.02).
- 在外科手术后的多个时间点 (P<0.05) 中,在ETT组中观察到更高的PAED评分.
- 在手术后5分钟,10分钟和15分钟LMA组中,ED的发生率明显较低 (P<0.05).
结论:
- 喉膜口罩呼吸道 (LMA) 的使用与儿科斜视手术中出现 Delirium 的发病率和严重程度降低有关.
- 与ETT相比,LMA促进了更快的康复,这可以通过较短的PACU停留和减少术后疼痛来证明.
- LMA代表了一种潜在的优越的气道管理策略,用于儿科视手术.
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