Airway complications in infants: comparison of laryngeal mask airway and the facemask-oral airway
Airway complications in infants: comparison of laryngeal mask airway and the facemask-oral airway
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DOI：
10.1007/bf03020944
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发表时间：
2000-04-01
期刊：
影响因子：
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通讯作者：
Casey, W
中科院分区：
文献类型：
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作者：
Harnett, M;Kinirons, B;Casey, W
目的：比较在麻醉期间使用喉罩气道 (LMA) 或面罩和口腔气道 (FM-OA) 维持气道的 1 岁以下儿童的气道并发症发生率。方法：我们将 49 名 ASA 1 级和 2 级婴儿随机分为 LMA 组或 FM-OA 组。所有婴儿均接受小型一般、泌尿科或骨科手术，用含 50% 一氧化二氮的氟烷和氧气诱导和维持麻醉。气道是。两组患者均在婴儿清醒时取出。记录麻醉诱导时、术中和苏醒时气道并发症（屏气、咳嗽、喉痉挛、分泌物、阻塞和氧饱和度<95%）的发生情况。结果：LMA组27例婴儿中15例发生气道并发症，FM-OA组22例婴儿中5例发生气道并发症（P：0.02）。结论：在婴儿中，与使用 FM-OA 相比，使用 LMA 会增加气道并发症的发生率。
Purpose: To compare the incidence of airway complications in children less than one year of age whose airways were maintained during anesthesia with either a laryngeal mask airway (LMA) or a facemask and oral airway (FM-OA),Methods: We randomized 49 - ASA class 1&2 - infants to an LMA or FM-OA group. All infants were undergoing minor general, urological or orthopedic procedures, Anesthesia was induced and maintained with halothane in nitrous oxide 50% and oxygen. The airway was. removed in both groups when the infant was awake. The occurrence of airway complications (breath-holding, coughing, laryngospasm, secretions, obstruction and oxygen saturation < 95%) at induction of anesthesia, intraoperatively and during emergence from anesthesia was recorded.Results: Airway complications occurred perioperaively in 15 of 27 infants in the LMA group and in 5 of 22 infants in the FM-OA group (P :0.02).Conclusion: In infants, the use of the LMA is associated with an increased incidence of airway complications compared with the use of the FM-OA.