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《Chinese Journal of Cancer Prevention and Treatment》 2007-08
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Application of NLMA in anesthesia of pelvic tumor laparoscopic excision

XIAO Hong, LIU Ling, LI Jia-feng, LI Jin-chengDepartment of Anesthesiology,Tianjin Medical University Cancer Hospital, Tianjin 300060, P.R.China  
The objective of this stady was to investigate the safety of using new laryngeal mask airway (NLMA) in anesthesia of pelvic tumor laparoscopic excision. Methods: Laparoscopic surgery was performed in 68 ASA Ⅰ-Ⅲ patients with pelvic tumors. NLMA was inserted by using gum-elastic bougie-guided technique. BP, HR, SpO2 and PETCO2 were continuously monitored during the anesthesia. The airway sealing effect of NLMA was examined with cuff deflated and inflated with 10, 20 and 30 mL of air when airway pressure (Paw) was maintained at 20,30 and 40 cm H2O respectively in 4 head and neck positions (neutral, flexed, extended and turned to side). Fiberoptic bronchoscope was inserted into the airway tube of NLMA to check its position and into the drainage tube to check its patency.The overall success rate of NLMA insertion was 100%. BP, HR, SpO2 and PETCO2 were stable (P0.05). With cuff deflated 76.5%-77.9% of NLMA didn’t leak at 20 cm H2O of Paw; with 30 mL cuff volume 91.8%-97.5% of NLMAs did not leak at Paw 30 cm H2O; with 30 mL cuff volume only 5 NLMAs developed mild leakage at Paw of 40 cm H2O. Different head and neck positions didn’t change NLMA airway sealing effect. The success rate of gastric tube insertion at first-attempt was 95.6%. Fiberoptic bronchoscopy showed that NLMA was in good positon and drainage tube patent. No complications developed after the operation. Conclusion:NLMA can be safely used in anesthesia of pelvic tumor laparoscopic excision.
【CateGory Index】: R614
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Chinese Journal Full-text Database 5 Hits
1 WU Chun-mei,KUANG Rao-xian,LI Shi-bo(Department of Anesthesia,Central Hospital of Kaiping,Kaiping 529300,China);Application of SLIPA laryngeal mask in laparoscopic surgery[J];Journal of Hainan Medical University;2011-05
2 WANG Zhe, LI Rui-guang (Department of Endoscopy, Affiliated Tumour Hospital, Xinjiang Medical University, Urumqi 830011, China);Endoscopic electric coagulation for 2 cases with respiratory tract tumor[J];Journal of Xinjiang Medical University;2006-03
3 ;喉罩用于高血压患者腹腔镜胆囊切除术麻醉的临床观察[J];China Practical Medicine;2009-24
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China Proceedings of conference Full-text Database 1 Hits
1 XU Li,YAN Jian-qin,GUO Qu-lian,LIU Yao (Department of Anesthesia, Xiangya Hospital, Central South University, Changsha 410008,P.R.China);Application of laryngeal mask airway in general anesthesia[A];[C];2005
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