喉膜口罩呼吸道护与喉膜口罩呼吸道护用于腹腔镜手术:一个随机比较研究
Vinod K Srivastava1, Rajesh Raman1, Rati Prabha1
1Department of Anaesthesiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Journal of anaesthesiology, clinical pharmacology
|July 10, 2025
概括
喉膜口罩气道保护器 (LMPt) 和喉膜口罩气道检查器 (LMPs) 都适用于腹腔镜手术期间的气道管理. 然而,与LMP相比,LMPt表现出明显更高的口腔漏压力.
科学领域:
- 麻醉学 麻醉学
- 手术气道管理手术气道管理
- 医疗器械 医疗器械
背景情况:
- 喉膜口罩气道保护器 (LMPt) 和喉膜口罩气道保护器 (LMPs) 已知具有高口腔漏压力 (OLP).
- 对于它们在腹腔镜手术中的使用,没有直接的比较.
- 假设临床性能差异是假设的.
研究的目的:
- 为了比较LMPs和LMPt在气道管理中的临床性能.
- 评价口腔漏压力 (OLP) 作为一个主要的结果.
- 评估二次结果,包括插入成功和并发症.
主要方法:
- 预期的,单盲的,随机的比较试验.
- 成年患者 (ASA I/II) 接受选择性腹腔镜手术.
- 使用LMPs (n=60) 或LMPt (n=60) 的气道管理.
主要成果:
- 从统计学上讲,LMPt显示的OLP比LMPs在肺膜炎前和肺膜炎期间 (P < 0.001) 的OLP更大.
- 平均LMPt的OLP为肺前膜前的30.23厘米H2O和肺前膜期间的31.77厘米H2O.
- 两组之间没有观察到二次结果变量的显著差异.
结论:
- LMPt和LMP都适用于腹腔镜外科手术中的呼吸道管理.
- LMPt提供了优越的口腔漏压力.
- 需要进一步的试验来证实在不同环境中发现的结果.
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