Clinical application of double-lumen laryngeal mask airway in endoscopic retrograde cholangiopancreatography under total intravenous anesthesia
10.3969/j.issn.1007-1989.2018.03.012
- VernacularTitle:全凭静脉麻醉下经内镜逆行胰胆管造影术中双腔喉罩的临床应用研究
- Author:
Ning-Juan QIANG
1
;
Rui-Ling WANG
Author Information
1. 陕西省宝鸡市人民医院 麻醉科
- Keywords:
sedation;
double-lumen laryngeal mask airway;
endoscopic retrograde cholangiopancreatography
- From:
China Journal of Endoscopy
2018;24(3):55-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical application of double tube laryngeal mask airway in endoscopic retrograde cholangiopancreatography under total intravenous anesthesia. Method 60 patients between the ages of 60 and 80 years who were scheduled for elective ERCP were enrolled. The patients were randomly assigned to two groups: groups A and B. Those in group A underwent the procedure with sedation without any airway instruments and those in group B underwent procedure after sedation and airway management with double tube laryngeal mask airway. Intraoperative and postoperative vital signs as well as the satisfaction of the endoscopists were recorded. Result The time of successful insertion of esophagus in group B was shorter than that in group A, and the visual analogue score of pain in group B was lower than that in group A, and the satisfaction degree of endoscopic physicians in group B was higher than that in group A. The incidence of desaturation during ERCP was significantly higher in group A than in group B. Conclusion In conclusion, ERCP should be performed under optimal conditions to avoid the occurrence of unwanted complications, such as aspiration-related disorders. Therefore, according to the structural properties of double tube laryngeal mask airway, sedation anesthesia application with double tube laryngeal mask airway in ERCP will be safer, more comfortable, and more effective.
