Application of a reinforced laryngeal mask airway with drain tube in elderly patient undergoing endoscopic sinus surgery
10.3760/cma.j.issn.0254-9026.2016.04.010
- VernacularTitle:加强引流型喉罩在老年患者鼻内镜手术中的应用
- Author:
Hongye ZHANG
;
Dongjin WU
;
Mingzhang ZUO
- Publication Type:Journal Article
- Keywords:
Intubation,intratracheal;
Endoscopy
- From:
Chinese Journal of Geriatrics
2016;35(4):387-390
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficiency of a reinforced laryngeal mask airway(LMA) with drain tube in elderly patient undergoing endoscopic sinus surgery.Methods Sixty elderly patients were selected and randomly divided into two groups:a reinforced LMA group (group R,n=30)and a reinforced endotracheal tube group(group T,n=30).Observation items include the difficulty degree of device insertion,the time for successful insertion,the number of attempts required for successful insertion,fiberoptic view of glottis,the difficulty degree of gastric tube insertion,oropharyngeal leak pressure(OLP),ventilatory indicators at a certain time,haemodynamics during insertion,the blood stain on the mask were compared between the two group.The postoperative complications 1,6,24 hours after operation were recorded.Results There were no significant differences in general conditions,the successful insertion rate at first attempt,the total success insertion rate,airway quality and the anesthetic drug dosage between the two groups.The insertion time was shorter in group R than in group T [(34.1± 13.0 s)vs (45.4± 15.6 s),t =5.274,P=0.001].The incidence of cough during extubation was less in group R than in group T [0％ (0/30) vs.53.3％(16/30),x2 =21.222,P=0.000].Conclusions The reinforced LMA with drain tube is safe and effective for elderly patients during endoscopic sinus surgery.
