Observation of clinical use of mask and intubation anesthesia in non-small cell lung cancer patients receiving radical resection
10.3969/j.issn.1006-5725.2017.12.023
- VernacularTitle:喉罩与气管插管全麻用于非小细胞肺癌根治术的临床观察
- Author:
Ruihong XU
;
Jing YE
;
Siyang FENG
;
Di LU
;
Kaican CAI
- Keywords:
Laryngeal mask;
Intubation anesthesia;
NSCLC;
Systemic inflammatory response;
Quality of life
- From:
The Journal of Practical Medicine
2017;33(12):1985-1988
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of thoracoscopic radical resection of non-small cell lung cancer(NSCLC)patients under laryngeal mask anesthesia. Methods A total of 40 patients with NSCLC from March to August 2016 in NanFang Hospital of Southern Medical University were recruited and divided into two groups,the laryngeal mask anesthesia(n=20)and the intubation anesthesia group(n=20). Patients from two groups were followed up. Post-operativerecovery ,systemic inflammation response and quality of life were assessed. Results There was no significant difference between the laryngeal mask anesthesia and the intubation anesthesia group in the operation time ,the lowest oxygen saturation ,the maximum end-tidal carbon dioxide partial pressure and the surgical field and the satisfaction of anesthesia and blood loss. Post-operative time to eat ,postoperative use of antibiotics , postoperative hospital stay and drainage time were much shorter in the laryngeal mask anesthesia group ,which also had lowerlevel of white blood cells ,neutrophils and C-reactive protein. Patients with NSCLC undergoing laryngeal mask anesthesia had much higher scores in the quality of life evaluation. Conclusion Thoracoscopic radical resectionunder laryngeal mask anesthesia is safe and feasible for NSCLC patients. It has advantages in reducing the systemic inflammatory response ,accelerating the recovery rate and improving postoperative life quality.
