Efficacy of laryngeal mask airway i-gel in patients undergoing neuro-interventional surgery
10.3760/cma.j.issn.0254-1416.2010.07.014
- VernacularTitle:i-gel喉罩用于神经介入术患者气道管理的效果
- Author:
Yan XING
;
Lili WANG
;
Ruquan HAN
- Publication Type:Journal Article
- Keywords:
Laryngeal mask;
Respiration artificial
- From:
Chinese Journal of Anesthesiology
2010;30(7):808-810
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy of the laryngeal mask airway i-gel (LMA i-gel) in patients undergoing neuro-interventional surgery. Methods Forty ASA Ⅰ or Ⅱ patients of both sexes, aged 20-60 yr,body mass index ＜ 30 kg/m2, undergoing elective neuro-interventional surgery, were randomized into 2 groups (n = 20 each):LMA i-gel group (group I) and LMA ProSeal group (group P). After induction of anesthesia with TCI of propofol and remifentanil, LMA i-gel and LMA ProSeal were inserted in group I and P respectively. The patients were mechanically ventilated and PETCO2 was maintented at 35-40 mm Hg,SpO2 at 99%-100%. BP and HR were monitored and recorded before induction, immediately after induction, at 1, 3 and 5 min after insertion of LMA and immediately after removal of LMA. The success rate, LMA placement time, leak pressure, peak airway pressure and complications were recorded. Results There was no significant difference in the success rate, the LMA platcement time and peak airway pressure between the two groups (P ＞ 0.05). BP and HR were within the normal range during operation in both groups. The leak pressure and incidence of blood stain and sore throat were significantly lower in group I than in group P (P ＜ 0.05). Conclusion LMA i-gel can provide adequate ventilation during operation with less complications and can be used effectively for neuro-interventional surgery.
