经I-gel喉罩盲探气管插管在全麻手术中的应用  

Application of blind orotracheal intubation via laryngeal mask airway I-gel in patients undergoing general anesthesia

作　　者：张玉龙[1] 夏闵涛[1] 浦江[1] 李月光[1] 

机构地区：[1]苏州大学附属常州肿瘤医院麻醉科,江苏常州213001

出　　处：《实用临床医药杂志》2013年第11期70-72,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察全麻患者经I-gel喉罩盲探气管插管的可行性和安全性。方法选择经口气管插管全麻患者40例,ASAⅠ~Ⅱ级,Mallampati分级Ⅰ~Ⅳ级,年龄19~75岁,随机分为盲探气管插管组（I组）和纤维支气管镜组（O组）各20例。记录2组气管插管时间及成功率、麻醉插管前后MAP、HR、SpO2的变化、拔除喉罩带血及术后24 h患者咽喉部气管插管相关并发症发生的情况。结果 I组和O组气管插管的第1次成功率和总成功率分别为80%、95%和95%、100%,I组气管插管时间（87.4±24.8）s,明显长于O组（73.1±12.0）s（P〈0.05）。2组插管期间血流动力学稳定,均未发生拔除喉罩带血,术后24h随访未见明显咽痛、声音嘶哑等气管插管相关并发症发生。结论 I-gel喉罩可安全用于引导气管导管盲探插管且成功率高。Objective To study the safety and efficacy of blind orotracheal intubation via laryngeal mask airway I-gel（LMA I-gel） in patients undergoing general anesthesia.Methods Forty ASAⅠorⅡand Mallampati Ⅰto Ⅳ patients,aged 19 to 75 years undergoing orotracheal intubation general anesthesia were randomly allocated to either blind orotracheal intubation group（group I） or fiberoptic bronchoscope group（group O） with 20 cases each.The patients in group I were blindly intubated via LMA I-gel,while in group O orotracheal intubation was guided with fiberoptic bronchoscope via LMA I-gel.The success rate of tracheal intubation and the duration of intubation were recorded.Changes of hemodynamic parameters（MAP,HR,SpO2）were monitored and recorded before and after tracheal intubation.The incidence of visible blood stain on the laryngeal mask during removal of LMA I-gel and the postsurgical complications（score throat,hoarseness,etc） related to orotracheal intubation were recorded.Results The success rates of the first attempt and total tracheal intubation were 80%（16/20）,95%（19/20） in group I and 95%（19/20）,100%（20/20） in group O.There was no significant difference in the success rate of tracheal intubation between the two groups（P〈0.05）.The total time of intubation in group I and in group O was（87.4±24.8） s and（73.1±12.0） s respectively（P〈0.05）.Hemodynamics during the intubation in two groups was stable.No complications were found between two groups.Conclusion Blind orotracheal intubation via LMA I-gel in patients under general anesthesia is safe and the total success rate is high.

关 键 词：I-gel喉罩 盲探气管插管 纤维支气管镜 

分 类 号：R614[医药卫生—麻醉学]