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《The Journal of Clinical Anesthesiology》 2013-01
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Clinical appliation of three-way laryngeal mask in airway management of balloon dilatation bronchoplasty under general anesthesia

SONG Jiong,DUAN Ruo-wang.Department of Anesthesiology,Shanghai Pulmonary Hospital Tongji University School of Medicine,Shanghai 200433, China  
Objective To evaluate the effect of appliation of three-way laryngeal mask in airway management of balloon dilatation bronchoplasty under general anesthesia. Methods Thirty-eight ASA ⅠorⅡpatients of both sexes(9 male, 29 female) aged 16-65 years, weighing 38-74 kg, underwent balloon dilatation bronchoplasty under general anesthesia in shanghai pulmonary hospital, were divided into 2 groups according to the location of stenosis: tracheal stenosis (group A, n =13) and bronchial stenosis (group B, n =25). The three-way laryngeal mask was inserted after induction of anesthesia which was maintained with propofol and vecuronium. HR, SBP, DBP and SpO2 were recorded respectively before anesthesia(T0 ), the time when inserting laryngeal mask(T1 ), before dilatation(T2 ), the time of dilatation(T3 ), after dilatation(T4 ) and after operation(T5 ). VT , Ppeak and PETCO2 were recorded at T1 -T5 . Radial artery was cannulated for blood gas analysis at T0 , T2 -T5 . Results As compared with T0 , SpO2 was improved significantly in all patients ventilated with the three-way laryngeal mask except at T3 in group A( P 0.01), PaCO2 decreased and PaO2 , SaO2 incresed significantly at T2 -T5 in both groups( P 0.05或 P 0.01). Compared with T1 , VT and PETCO2 at T3 was obviously lower in group B( P 0.01), while VT , RR, Ppeak and PETCO2 at T4 , T5 showed no statistical significance. Conclusion The three-way laryngeal mask could be effectively and safely used in airway management of balloon dilatation bronchoplasty under general anesthesia.
【Fund】: 上海市级医院适宜技术联合开发推广应用项目(SHDC12010214)
【CateGory Index】: R614
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