腹腔镜胆囊切除术的肥胖患者的喉膜口罩气道保护器TM:一个案例系列
Vinisha Rv1, Anisha Pauline Paul1, Aruna Parameswari1
1Department of Anesthesiology, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, India.
Journal of perioperative practice
|February 3, 2026
概括
喉膜口罩呼吸道保护器在腹腔镜手术期间为肥胖患者提供安全的呼吸道管理. 这种supraglottic装置在一个案例系列中首次尝试成功放置和有效通风.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
- 手术气道管理手术气道管理
背景情况:
- 第二代节气道器件越来越多地被优先选择为腹腔镜手术的气管管道输入.
- 喉膜口罩气道保护器 (LM-Airway Protector) 提供了胃排水道和袖口压力指示器等优势,增加了其受欢迎程度.
- 关于LM-Airway Protector在肥胖患者中使用的数据有限.
研究的目的:
- 评估LM-Airway Protector在接受腹腔镜胆囊切除术的中度肥胖患者的初步临床经验和安全性.
- 在这个特定的患者群体中,评估设备在放置,通风和胃排水方面的有效性.
主要方法:
- 一个涉及十名肥胖患者的病例系列,他们在印度的第三级护理中心接受了腹腔镜胆囊切除术.
- 喉膜口罩气道保护器被用于所有参与者的气道管理.
- 收集的数据包括首次尝试的成功率,口腔漏压力,通风充足度,光纤眼球视图和胃排水.
主要成果:
- 在所有患者中,成功的首次尝试装置安置得到了实现.
- 观察到更高的口腔漏或密封压力.
- 人们注意到充足的通风,优秀的光纤眼球视图和改善的胃排水.
结论:
- 喉膜口罩气道保护器似乎是一种安全和可接受的替代方案,用于在腹腔镜手术期间对中度肥胖患者的气道管理.
- 麻醉师的临床经验对于LM-Airway Protector在这个患者群体中的成功应用至关重要.
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