|本期目录/Table of Contents|

[1]陈韬,王祥和,黄娟娟,等.SLIPA喉罩用于纤维支气管镜检查的肺通气效果观察[J].医学研究与战创伤救治(原医学研究生学报),2010,12(06):503-505.
　CHEN Tao,WANG Xiang-he,HUANG Juan-juan,et al.Observation of lung ventilation effects in bronchoscopy with streamlined liner pharynx airway[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(06):503-505.
点击复制

SLIPA喉罩用于纤维支气管镜检查的肺通气效果观察()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年06期
页码:
503-505
栏目:
出版日期:
2010-11-20

文章信息/Info

Title:
Observation of lung ventilation effects in bronchoscopy with streamlined liner pharynx airway
文章编号:
1672-271X(2010)06-0503-03
作者:
陈韬; 王祥和; 黄娟娟; 丰浩荣
313000 浙江湖州，解放军98医院麻醉科
Author(s):
CHEN Tao; WANG Xiang-he; HUANG Juan-juan; FENG Hao-rong.
Department of Anesthesiology， 98 Hospital of PLA，Huzhou, Zhejiang 313000，China
关键词:
SLIPA; 喉罩; 纤支镜; 肺通气
Keywords:
SLIPA;  larygeal mask;  ronchoscopy;  lung ventilation
分类号:
R768.1
DOI:
-
文献标志码:
A
摘要:
目的采用自身对照设计方法比较咽通气道衬垫(streamlined liner of the pharynx airway，SLIPA)喉罩在置入纤维支气管镜前后机械通气的有效性。方法选择25例美国麻醉医师协会(American Society of Anesthesiologists，ASA)体格状况分级Ⅰ-Ⅱ级，拟在全身麻醉下行下肢内固定取出术的患者，在常规诱导后插入SLIPA喉罩。检查无漏气，位置满意后，通过Y型接头接呼吸机，将潮气量设为10 ml/kg，实施容量控制强制通气模式(CMV)。记录此后连续5次呼吸的平均吸气流速、呼气流速、吸气峰压、吸气气道阻力及气道的顺应性。再经Y型接头的吸痰口、以SLIPA喉罩为引导置入纤维支气管镜至气管隆突上方约1 cm处，再次记录此后连续5次呼吸的平均吸气流速、呼气流速、吸气峰压、吸气气道阻力及气道的顺应性。结果所有患者在置入纤维支气管镜前后均能获得良好的通气效果，平均吸气流速、呼气流速、吸气峰压、吸气气道阻力及气道的顺应性均无显著差异。结论SLIPA喉罩可以为纤维支气管镜检查提供有效、安全、长时间的通气支持。
Abstract:
ObjectiveTo compare the effect of the Streamlined liner pharynx airway (SLIPA) pre- and post-ventilation with a randomized auto control design. MethodsTwenty five patients with ASAⅠorⅡ, scheduled for internal fixation dislodgment surgery in lower limb under general anesthesia. After the routine intravenous anesthesia induction, the SLIPA were inserted. To connect respirator by a Y-shaped joint after checking the airway seal and location is satisfactory. The mean inspired flow, expired flow, peak inspiratory pressure, airway resistance and airway compliance of five continuous breaths were measured after CMV+ ventilation strategy with 10 ml/kg tidal volume were enforced. Then bronchoscopy were inserted and situated 1cm above the tracheal carina with SLIPA for the guide by the Y-shaped joint .The mean expired flow, inspired flow, peak inspiratory pressure the mean airway resistance and airway compliance of five continuous breaths were measured again. ResultsAdequate ventilation were obtained in all patients pre-and post-insertion of SLIPA. The mean expired flow, inspired flow, peak inspiratory pressure, airway resistance and airway compliance did not show significant difference. ConclusionSLIPA is safe and effective ventilation that can be used in bronchoscopy for long time.

参考文献/References:

[1]庄心良, 曾因明, 陈伯銮, 等．现代麻醉学[M].3版．北京:人民卫生出版社,2009:904.
[2]李渭敏,李恒．纤维支气管镜检查麻醉的研究[J]. 广东医学,2010,31(9):1208-1209.
[3]Miller DM，Camporota L．Advantages of ProSealTM and SLIPATM airways over tracheal tubes for gynecological laparoseopies [J].Can J Anaesth,2006,53(2):188-193．
[4]Hein C, Plummer J, Owen H. Evaluation of the SLIPA (streamlined liner of the pharynx airway), a single use supraglottic airway device, in 60 anaesthetized patients undergoing minor surgical procedures[J]. Anaesth Intensive Care , 2005, 33(6):756-761.
[5]Miller DM, Light D. Laboratory and clinical comparisons of the Streamlined Liner of the Pharynx Airway (SLIPA) with the laryngeal mask airway[J]. Anaesthesia, 2003,58(2):136 -142.
[6]Puri GD, Hegde HV, Jayant A,et al. Haemodynamic and Bispectral index response to insertion of the Streamlined Liner of the Pharynx Airway (SLIPA): comparison with the laryngeal mask airway[J].Anaesth Intensive Care, 2008,36(3):404-410.
[7]范从源，郑方. 麻醉设备学[M].2版. 北京:人民卫生出版社,2005:15-16.
[8]Xu J, Zhong TD. Comparison and superiority of streamlined liner of the pharynx airway to laryngeal mask airway or tracheal tubes for gynecological laparoscopy [J]. Zhonghua Yi Xue Za Zhi, 2010,90(1):49-52.
[9]Lange M， Smul T， Zimmermann P，et a1．The effectiveness and patient comfort of the novel streamlined pharynx airway liner (SLIPA) compared with the conventional laryngeal mask airway in ophthalmic surgery[J]．Anesth Anal, 2007,104(2):431-434．

相似文献/References:

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2010-11-20