Effect of Continuous Cuff Pressure Regulator in General Anaesthesia with Laryngeal Mask Airway
Effect of Continuous Cuff Pressure Regulator in General Anaesthesia with Laryngeal Mask Airway
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连续袖带压力调节器在喉罩气道全身麻醉中的作用
DOI：
10.1177/147323001103900534
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发表时间：
2011
影响因子：
1.6
通讯作者：
J
中科院分区：
文献类型：
--
作者：
Y. Jeon;J.W. Choi;H. Jung;Y. Kim;D. Kim;J. Kim;J
术后咽喉并发症（PPLC）发生在麻醉期间，由于喉罩气道插入后袖带压力增加。在一项前瞻性随机研究中，对使用压力调节器预防PPLC进行了评价。60名计划接受全身麻醉的患者被随机分配到两个相等的组，每组30人，使用或不使用调节剂。在术后1和24 h评价“刚好密封”袖带压力（JSCP）、麻醉期间5 min间隔的袖带压力、咽喉痛（PST）、吞咽困难、发音困难和其他并发症的发生率。两组的合并平均值± SD JSCP为20.3 ± 3.2 mmHg。在使用调节器的组中，麻醉期间袖带压力保持在恒定水平。这项研究表明，调节器是一个简单的，功能性的设备，可以减少PST的发生率显着在术后1小时，全身麻醉。
Postoperative pharyngolaryngeal complications (PPLC) occur during anaesthesia due to increased cuff pressure following the insertion of laryngeal mask airways. The use of a pressure regulator to prevent PPLC was evaluated in a prospective, randomized study. Sixty patients scheduled to receive general anaesthesia were randomly assigned to two equal groups of 30, either with or without the regulator. The ‘just seal’ cuff pressure (JSCP), cuff pressure at 5-min intervals during anaesthesia, incidence of pharyngeal sore throat (PST), dysphagia, dysphonia and other complications were evaluated at 1 and 24 h postoperatively. The combined mean ± SD JSCP of both groups was 20.3 ± 3.2 mmHg. In the group with the regulator, cuff pressure was maintained at a constant level during anaesthesia. This study demonstrated that the regulator is a simple, functional device that can reduce the incidence of PST significantly at 1 h postoperatively, following general anaesthesia.