基于舌骨环骨距离的方法与基于体重的方法在成人经典喉罩气道选择中选择合适的尺寸。

Q2 Medicine
Anesthesiology and Pain Medicine Pub Date : 2025-02-25 eCollection Date: 2025-02-28 DOI:10.5812/aapm-157335
Dariush Abtahi, Ardeshir Tajbakhsh, Shahram Sayadi, Mohsen Shojaeian, Gholamali Arab Hesarsheneh, Soudeh Tabashi
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引用次数: 0

摘要

背景:选择合适的喉罩气道(lma)尺寸已成为麻醉医师关注的问题。传统上,尺寸选择依赖于患者体重和性别等因素。然而,新兴的研究表明,结合人体测量数据可能有助于确定个体患者的最佳LMA大小。目的:本随机对照试验旨在比较基于体重的LMA尺寸选择与测量舌骨-环骨距离(HCD)确定的LMA尺寸选择的有效性。方法:将64例全麻眼科手术患者随机分为两组,每组32人。在“W组”中,LMA的大小是根据制造商的指南来选择的,而制造商的指南完全依赖于患者的体重。相反,在“HCD组”中,LMA大小的选择是基于测量HCD。我们比较了两组术后并发症和LMA插入的难易程度。结果:W组28例,HCD组30例。术后并发症发生率组间比较,W组16例,HCD组12例出现并发症(P = 0.1)。此外,尝试次数、插入时间、插入难易程度、气道峰值压力、异常曲线形状等指标差异无统计学意义(P < 0.05)。结论:根据本研究结果,基于HCD选择LMA大小的方法在统计学上并没有减少气道并发症,也没有促进插入过程。我们建议进行更大规模的研究来进一步调查这一主题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hyoid Cricoid Distance-Based Method Versus Weight‑Based Method for Choosing the Appropriate Size for Classic Laryngeal Mask Airway Selection in Adults.

Background: Selecting the appropriate sizes for laryngeal mask airways (LMAs) has become a concern for anesthesiologists. Traditionally, size selection has relied on factors like patient weight and gender. Nevertheless, emerging research indicates that incorporating anthropometric data could benefit the identification of the optimal LMA size for individual patients.

Objectives: This randomized controlled trial aims to compare the effectiveness of LMA size selection based on weight against that determined by measuring the hyoid-cricoid distance (HCD).

Methods: A total of 64 patients scheduled for eye surgery under general anesthesia were randomly assigned to two groups, each consisting of 32 participants. In the "W group", the size of the LMA was chosen based on the manufacturer's guidelines, which relied exclusively on the patient's weight. Conversely, in the "HCD group", the selection of LMA size was based on measuring the HCD. We compared postoperative complications and the ease of LMA insertion in these groups.

Results: Data from 28 patients in the W group and 30 in the HCD group were analyzed. The incidence of postoperative complications was comparable between groups, with 16 patients in the W group and 12 in the HCD group experiencing complications (P = 0.1). Additionally, metrics such as the number of attempts, time to insertion, ease of insertion, peak airway pressure, and abnormal curve shape showed no statistically significant differences (P > 0.05).

Conclusions: Based on the findings in this study, the method for selecting LMA size based on HCD did not statistically reduce airway complications nor did it facilitate the insertion process. We recommend conducting larger studies to further investigate this topic.

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来源期刊
Anesthesiology and Pain Medicine
Anesthesiology and Pain Medicine Medicine-Anesthesiology and Pain Medicine
CiteScore
4.60
自引率
0.00%
发文量
49
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