i-gel® 和 BlockBuster™ 声门上装置对全身麻醉下烧伤后挛缩颈部患者气道管理的临床实用性:随机对照试验。

Q3 Medicine
Manish Kumar Tripathi, Tanmay Tiwari, Bhavya Naithani, Divya Narain Upadhyaya, Prem Raj Singh, Ila Tripathi
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引用次数: 0

摘要

背景:烧伤后颈部挛缩(PBC)患者给麻醉医生带来了独特的挑战。使用声门上装置(SGD)管理此类患者的情况越来越多。我们比较了 i-gel® 和 LMA BlockBuster™ 在全身麻醉(GA)下对 PBC 成年患者的应用情况:研究对象包括 63 名轻度/中度 PBC 颈部患者,男女不限,美国麻醉医师协会体能状态 I 级和 II 级。患者口腔内有病变,分为张口 ® (I) 组和 BlockBuster™ (B) 组。研究的主要目标是成功插入的时间。此外,还对首次尝试成功率、口咽漏压(OLP)和并发症进行了评估:结果:与 B 组相比,I 组的平均插入时间明显更短(17.35 ± 1.43 对 21.32 ± 1.10 秒;P < 0.001),B 组的 OLP 明显高于 I 组(34.03 ± 1.33 对 25.23 ± 3.04 cm H2O;P < 0.001)。与 B 组相比,I 组在统计学上更容易插入装置(P = 0.011),插入装置时对气道操作的要求也更低(P = 0.017)。各组的并发症情况相似:i-gel®插入时间短,插入更容易,在紧急情况下非常适合,而 LMA BlockBuster™ 由于 OLP 较高,可作为降低吸入风险的首选。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical utility of i-gel® and BlockBuster™ supraglottic devices for airway management in postburn injury contracture neck patients under general anesthesia: A randomized controlled trial.

Background: Post burn injury contracture (PBC) neck patients pose a unique challenge for the anesthesiologists. The use of supraglottic device (SGDs) for managing such patients is being increasingly used. We compared i-gel® and LMA BlockBuster™ in PBC adult patients under general anesthesia (GA).

Methods: The study included 63 subjects with mild/moderate PBC neck of either sex with American Society of Anesthesiologists Physical Status I and II under GA. Patients with intraoral pathology, mouth opening <2.5 cm, and severe contracture were excluded. Patients were randomly assigned to i-gel® (I) and BlockBuster™ (B) groups. The primary objective of the study was the time for successful insertion. First attempt success rate, oropharyngeal leak pressures (OLP), and complications were also assessed.

Results: Mean insertion time was significantly less in Group I as compared to Group B (17.35 ± 1.43 vs. 21.32 ± 1.10 s; P < 0.001), OLP in Group B was significantly higher as compared to Group I (34.03 ± 1.33 vs. 25.23 ± 3.04 cm of H2O; P < 0.001). Group I was found to be statistically easier to insert as compared to Group B (P = 0.011) with reduced requirement of airway maneuvering to insert the device (P = 0.017). Groups were similar in terms of complications.

Conclusion: SGDs are attractive option for airway management in mild/moderate degree of PBC neck. i-gel® having shorter insertion time with easier insertion can be favorable at times of emergency while use of LMA BlockBuster™ can be preferred to reduce the risk of aspiration owing to higher OLP.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
37
期刊介绍: IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.
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