在全身麻醉下非的儿科患者中,LTS-D和i-gel的比较:一项随机试验
Mostafa Somri1, Feras Somri2, Luis Gaitini1
1Department of Anesthesia, Bnai Zion Medical Center, Haifa, Israel.
Anaesthesiology intensive therapy
|October 3, 2025
概括
液体凝和喉管吸入一次性 (LTS-D) 是用于儿科麻醉的安全上方气道装置. 该i-gel提供更快的插入和更好的可视化,而LTS-D提供更高的泄漏压力.
科学领域:
- 麻醉学 麻醉学
- 儿科气道管理 儿童气道管理
背景情况:
- 像LTS-D和i-gel这样的第二代上气道装置 (SGA) 在儿科麻醉中是首选的.
- 这些设备提供了包括改善密封和胃排水在内的好处.
研究的目的:
- 为了比较LTS-D和i-gel在非的儿科患者中的疗效和安全性.
- 评估关键性能指标,包括氧化,插入时间和可视化.
主要方法:
- 一个随机对照试验,涉及80名ASA I儿童,年龄在2-8岁.
- 患者被随机分配到LTS-D (n=40) 或i-gel (n=40) 组.
- 主要结局包括氧和度 (SpO2) 和潮尾CO2 (EtCO2);次要结局评估了插入时间,泄漏压力,可视化,潮体积和不良事件.
主要成果:
- 这两种设备都保持了可比的氧化度.
- 该i-gel显示了显著更快的插入时间 (24.53s vs. 31.20s) 和优越的光纤可视化 (99%最佳 vs. 70%).
- 该LTS-D实现了更高的口腔漏压力 (37.63cmH2O与24.43cmH2O),与类似的潮体积和不良事件率.
结论:
- 无论是LTS-D还是i-gel,都在短时间的手术中对儿科呼吸道管理是安全有效的.
- 在速度和可视化方面,i-gel卓越,而LTS-D则提供了卓越的密封.
- 临床背景和患者因素应指导这些SGA之间的选择.
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