Title: The feasibility of aaryngeal mask airway supreme in general anesthesia undergoing laparoscopic cholecystectomy
Abstract: Objective To explore the clinical effects of laryngeal mask airway supreme(LMA Supreme) and endotracheal intubation used for laparoscopic cholecystectomy(LC).Methods 80 cases ASA grade I-II patients undergoing elective LC under general anesthesia were randomly allocated to two groups with 40 cases each.GroupⅠ(n = 40) received LMA Supreme and group Ⅱ(n = 40) received endotracheal tube(ETT).The hemodynamic changes of two groups were compared and analyzed during anesthesia.HR,SBP,DBP,SpO2 were recorded before anesthesia(T0),after induction(T1),at the time of LMA Supreme/ETT(T2),3 min after LMA Supreme/ETT(T3),at the time of extubation(T4) and 3 min after extubation(T5),the complications and adverse reactions of anesthesia were recorded during each operation.Results SBP and DBP were found significantly lower than baseline at the time of T1 in both groups and at the time of T2 in group I(P0.05),HR,SBP and DBP were not significantly different at each point of T2、T3、T4 and T5 in group I(P0.05);HR,SBP,DBP were significantly higher than T0 and group I at each point of T2、T3、T4and T5 in groupⅡ(P0.05).The patients` choke and body movement in group I were found significantly lower than those in groupⅡ(P0.05),the occurrence of postoperative sore throat was obviously lower than that in groupⅡ(P0.05).The incidence of complication and adverse reactions in both groups was not significant(P0.05).Conclusion General anesthesia of LMA Supreme has a stability on the hemodynamic change and can reduce the adverse cardiovascular effects,insertion easy with fewer complications,making it can be safely and effectively used for laparoscopic cholecystectomy.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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