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《China Journal of Endoscopy》 2011-12
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Application of laryngeal mask airway in the indolent fiberoptic bronchoscopy

CHEN Shun-fu,CHEN Lei,CHEN Dong-liang,LU Yue-jun,LOU Jing-zhi (Department of Anesthesiology,Shaoxing People's Hospital,Shaoxing,Zhejiang 312000,P.R.China)  
Objective To evaluate the safety and feasibility of laryngeal mask airway for painless fiberoptic bronchoscopy.Methods Eighty ASA Ⅰ or Ⅱpatients aged 20~71 years underwent painless fiberoptic bronchoscopy were randomly divided into two groups (forty patients each group):group I were used laryngeal masks for painless fiberoptic bronchoscopy,group Ⅱcontrol group (no Laryngeal masks).The variation of mean arterial pressure (MAP),heart rate (HR),pulse oxygen saturation (SPO2),and respiratory rate (RR) during anesthesia and scopy were recorded,and the difficult extend of fiberoptic bronchoscope insertion,scopy duration,and complications were recorded too.Results MAP,HR,SPO2,RR of two groups significantly fell after anesthesia (P 0.05),but were still in normal range,and there were no significant differences between two groups.Compared with that before scopy,SPO2 of two groups during scopy fell,but SPO2 of group Ⅱ were significantly lower than that of group I (P 0.05).In group I,fiberoptic bronchoscope insertion were easier than group Ⅱ,scopy duration of group I was shorter than that of group Ⅱ (P 0.01),and many complications such as bucking,epistaxis and breath holding occurred in group Ⅱ.Conclusion Laryngeal masks using for painless fiberoptic bronchoscopy can enhance the safety and efficiency of fiberoptic bronchoscopy,and decrease complications.
【CateGory Index】: R614.2
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