Effect of laryngeal mask anesthesia in video-assisted thoracoscopic surgery and nursing strategies

VernacularTitle:喉罩全麻在胸腔镜手术中的应用效果及护理
Author: Mei LI ; Wen DONG ; Kaican CAI ; Ruijun CAI ; Jing YE
Keywords: laryngeal mask; thoracoscope; nursing
From: Modern Clinical Nursing 2017;16(7):43-46
CountryChina
Language:Chinese
Abstract: Objective To assess the effect of thoracoscopic surgery under laryngeal mask anesthesia and explore the nursing strategies. Methods Thirty-five patients from April to December in 2014 undergoing video-assisted thoracoscopic surgery (VATS) were given intubation anesthesia and another thirty-five ones undergoing the same surgery in 2015 received laryngeal mask anesthesia. The two groups were compared in terms of surgery conditions, surgery complication and ambulation time. Results No significant differences were found in surgery time or blood loss between two groups (P>0.05). The postoperative waking time in the mask anesthesia group was significantly shorter than that of the intubation anesthesia group (P<0.05), and ambulation time was significantly shortened (P<0.05). The rates of throat discomfort, hoarseness and gastrointestinal reactions were significantly lower. Conclusions Laryngeal mask anesthesia used in small thoracoscopic surgery for airway management is safe and feasible. Combined with training in respiration and limb function, better analgesia and nursing, it can keep away complications related to intubation anesthesia, shorten hospital stay and accelerate postoperative rehabilitation.