|
| 喉罩首次置入失败的危险因素分析 |
| Analysis of risk factors for failed first-attempt insertion of laryngeal mask |
| |
| DOI：10.12089/jca.2022.04.010 |
| 中文关键词: 喉罩 首次置入失败 置入技术 全身麻醉 |
| 英文关键词: Laryngeal mask Failed first-attempt insertion Insertion technique General anesthesia |
| 基金项目: |
|
| 摘要点击次数: 1786 |
| 全文下载次数: 536 |
| 中文摘要: |
目的 分析影响喉罩首次置入失败的危险因素。
方法选择2019年7—12月全身麻醉下行择期手术的成年患者1 366例，男588例，女778例，年龄18～78岁，BMI 18～35 kg/m2，ASA Ⅰ或Ⅱ级。麻醉诱导后置入2种喉罩之中的任一种：加强型可弯曲喉罩（FLMA）或第2代双管喉罩（EDLMA）。根据首次置入是否成功将患者分为两组：首次置入成功组和首次置入失败组。记录性别、年龄、体重、BMI、ASA分级、是否牙列缺失、喉罩置入次数、喉罩类型、置入者和助手的经验、标准置入技术的使用情况、套囊压力以及麻醉时间。将组间差异有统计学意义的因素纳入二元Logistic回归模型，分析喉罩首次置入失败的危险因素。
结果 所有患者喉罩置入成功（100%），其中首次置入成功1 283例（93.9%）。二元Logistic回归分析结果显示，喉罩首次置入失败的危险因素包括选择使用FLMA（OR=34.52,95%CI 14.06~84.73,P<0.01）、置入者经验不足3年(OR=3.09，95%CI 1.84~5.23,P<0.01)、未使用标准置入技术(OR=29.88，95%CI 12.86~69.47,P<0.01)。
结论 选择使用FLMA、置入者经验不足3年、未使用标准置入技术是喉罩首次置入失败的危险因素。 |
| 英文摘要: |
Objective To investigate the risk factors for failed first-attempt insertion of laryngeal mask.
Methods A total of 1 366 patients from July to December 2019 who underwent general anesthesia were prospectively enrolled, including 588 males and 778 females, aged 18-78 years, BMI 18-35 kg/m2, ASA physical status Ⅰ or Ⅱ. The laryngeal mask, flexible laryngeal mask airway (FLMA) or esophageal drainage LMA (EDLMA) was inserted after anesthetic induction. According to the success of first insertion, the patients were divided into two groups: failed first-attempt insertion group and successful first-attempt insertion group. Gender, age, weight, BMI, ASA physical status, edentulous status, duration of anesthesia, type of laryngeal mask, cuff pressure, times of laryngeal mask insertion, the experience of the anesthesiologists and the assistants, and the use of standard insertion technique were recorded. The factors with statistically significant difference between the two groups were included in the binary logistic regression model to analyze the risk factors of failed first-attempt insertion of laryngeal mask.
Results Successful insertion of the laryngeal mask was achieved in all patients (100%), and successful first-attempt insertion were 1 283 (93.9%). Factors associated with failed first-attempt insertion with laryngeal mask were use of FLMA (OR = 34.52, 95% CI 14.06-84.73, P < 0.01), experience of anesthesiologists less than 3 years (OR = 3.09, 95% CI 1.84-5.23, P < 0.01), and no use of standard insertion technique (OR = 29.88, 95% CI 12.86-69.47, P < 0.01).
Conclusion Use of FLMA, experience of anesthesiologists less than 3 years, and no use of standard insertion technique contribute to the failed first-attempt insertion of laryngeal mask. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
