Progress in clinical application of esophageal drainage type laryngeal mask
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摘要: 食管引流型喉罩又称为双管喉罩，目前临床上广泛应用的食管引流型喉罩包括Proseal喉罩、在Proseal喉罩基础上进一步发展的Supreme喉罩、无套囊的I-gel喉罩和SLIPA喉罩。相比普通喉罩，食管引流型喉罩对通气罩进行了改进，并增加了对胃肠道起到密封和引流作用的引流管。作为第3代喉罩，其密闭性更强，可调整性更高，防误吸能力更好。随着食管引流型喉罩的有效性和安全性的大大提高，其临床应用在短期内迅速发展，并日益受到麻醉医生的青睐。Abstract: The esophageal drainage type laryngeal mask is called double tube laryngeal mask. Currently, the esophageal drainage type laryngeal mask widely used in clinical practice includes four kinds: Proseal laryngeal mask, Supreme laryngeal mask developed on the basis of Proseal laryngeal mask and cuffless I -gel Laryngeal mask and SLIPA laryngeal mask. The main feature of the esophageal drainage type laryngeal mask is the addition of a drainage tube that seals and drains the gastrointestinal tract, and the Ventilation mask is improved. As a third-generation laryngeal mask, it has stronger airtightness, higher adjustability and better anti-aspiration resistance. With the improvement of the effectiveness and safety of the esophageal drainage type laryngeal mask, its clinical application has developed rapidly in a short period of time and is increasingly favored by anesthesiologists.
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表 1 喉罩型号的选择与患者体质量的关系
体质量（kg） proseal supreme I gel slipa 2~5 - 1# 1# - 5~10 1.5# 1.5# 1.5# 35# 10~20 2# 2# 2# 39# 20~30 2.5# 2.5# 2.5# 43# 30~50 3# 3# 3# 47# 50~70 4# 4# 4# 49# 70~100 5# 5# 5# 51~53# 
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[1] Abd El, Aziz A, El-Feky. A comparative evaluation of different supraglottic ventilatory devices during general anesthesia with controlled ventilation:A pilot study[J]. Egyptian J Anaesthes, 2014, 30(4): 359-64 doi: 10.1016/j.egja.2014.05.003 [2] Brimacombe J, Keller C. The ProSeal laryngeal mask airway: A randomized, crossover study with the standard laryngeal mask airway in paralyzed, anesthetized patients[J]. Anaesthesia, 2000, 93(1): 104-9 doi: 10.1097/00000542-200007000-00019 [3] Singh J, Yadav MK, Marahatta SB, et al. Randomized crossover comparison of the laryngeal mask airway classic with i-gel laryngeal mask airway in the management of difficult airway in post burn neck contracture patients[J]. Indian J Anaesth, 2012, 56(4): 348-52 doi: 10.4103/0019-5049.100815 [4] Lim BG, Kim KJ, Kong MH, et al. SLIPATM May be more useful than other LMADs for difficult airway management[J]. Can J Anaesth, 2012, 59(1): 120-1 doi: 10.1007/s12630-011-9605-4 [5] 徐建设, 陈 辉, 唐 靖. SLIPATM喉罩在全麻气道管理中的应用[J]. 南方医科大学学报, 2009, 29(2): 368-9 doi: 10.3321/j.issn:1673-4254.2009.02.055 [6] 卢寒冬. 喉罩盲探徒手置入方法临床应用及并发症[J]. 中国临床新医学, 2010, 3(5): 51-2 [7] Keller C, Brimacombe JR, Keller K, et al. Comparison of four methods for assessing airway sealing pressure with the laryngeal mask airway in adult patients[J]. Br J Anaesth, 1999, 82(2): 286-7 doi: 10.1093/bja/82.2.286 [8] Jr OC, Borromeo MS. Stix, Assessing ProSeal laryngeal mask positioning:the suprasternal notch test[J]. Anesthes Analges, 2002, 94(5): 1374-5 [9] Brimacombe J, Keller C. Prime the ProSeal drain tube with lube from a tube[J]. Can J Anaesth, 2005, 52(3): 338-9 [10] Timmermann A, Cremer S, Eich C, et al. Prospective clinical and fiberoptic evaluation of the Supreme laryngeal mask airway[J]. Anesthesiology, 2009, 110(2): 262-5 [11] Stix S, Connor C. Depth of insertion of the ProSealTMlaryngeal mask airway[J]. British J Anaesthesia, 2003, 90(2): 235-7 doi: 10.1093/bja/aeg041 [12] Ho BY, Skinner. Mahajan, Gastro‐oesophageal reflux during day case gynaecological laparoscopy under positive pressure ventilation:laryngeal mask vs. tracheal intubation[J]. Anaesthesia, 1998, 53(9): 921-7 doi: 10.1046/j.1365-2044.1998.00461.x [13] Abdellatif AA, Ali MA. Comparison of streamlined liner of the pharynx airway (SLIPATM) with the laryngeal mask airway ProsealTM for lower abdominal laparoscopic surgeries in paralyzed, anesthetized patients[J]. Saudi J Anaesth, 2011, 5(3): 270-6 doi: 10.4103/1658-354X.84100 [14] Miller DM, Camporota L. Advantages of ProSeal and SLIPA airways over tracheal tubes for gynecological laparoscopies[J]. Can J Anaesth, 2006, 53(2): 188-93 doi: 10.1007/BF03021826 [15] 高 艳, 郭欣欣, 熊立红, 等. I-gel喉罩在合并肺部疾病老年患者腹腔镜辅助阴式子宫切除术中的应用[J]. 中国临床医生杂志, 2015, 43(11): 72-4 doi: 10.3969/j.issn.2095-8552.2015.11.027 [16] Zoremba M, Aust H, Eberhart L, et al. Comparison between intubation and the laryngeal mask airway in moderately obese adults[J]. Acta Anaesthesiol Scand, 2009, 53(4): 436-42 doi: 10.1111/aas.2009.53.issue-4 [17] Nicholson A. Supraglottic airway devices versus tracheal intubation for airway management during general anaesthesia in obese patients[Z], 2012: CD010105. [18] 吴 敏, 谢建华. 喉罩通气管在心肺复苏中的应用体会[J]. 临床肺科杂志, 2008, 13(3): 348-9 doi: 10.3969/j.issn.1009-6663.2008.03.044 [19] 周上策, 陈倩萍, 马湘云. 急诊困难气道中应用喉罩与传统气管插管临床并发症对比研究[J]. 临床急诊杂志, 2016, 13(3): 239-41 [20] Xu Z, Ma W, Hester D, et al. Anticipated and unanticipated difficult airway management[J]. Current Opinion Anaesthesiol, 2018, 31(1): 96-103 [21] 高 艳, 王 丽, 赵继波, 等. 不同类型喉罩在老年困难气道患者麻醉气道管理中的比较研究[J]. 中国临床医生杂志, 2015, 28(7): 67-9 doi: 10.3969/j.issn.2095-8552.2015.07.025 [22] 张和峰, 黄华君, 周志华, 等. 应用SLIPA喉罩置入处理困难气道的临床观察[J]. 实用医学杂志, 2010, 26(8): 1370-2 doi: 10.3969/j.issn.1006-5725.2010.08.037 [23] Barata I. The laryngeal mask airway: prehospital and emergency department use[J]. Emerg Med Clin North Am, 2008, 26(4): 1069-83 doi: 10.1016/j.emc.2008.07.006 [24] Francisco LD. European Resuscitation Council Guidelines 2000 for adult advanced life support[J]. Medicina clinica, 2002, 118(12): 1407-12 [25] 汤成波, 张 群, 张峰. 喉罩在院外急救困难插管中的应用[J]. 中国急救复苏与灾害医学杂志, 2014, 30(7): 660-1 doi: 10.3969/j.issn.1673-6966.2014.07.026 [26] Bosch J, de Nooij J, de Visser M, et al. Prehospital use in emergency patients of a laryngeal mask airway by ambulance paramedics is a safe and effective alternative for endotracheal intubation[J]. Emerg Med J, 2014, 31(9): 750-3 doi: 10.1136/emermed-2012-202283 [27] Gupta B, Gupta S, Hijam B, et al. Comparison of three supraglottic airway devices for airway rescue in the prone position: A manikin-based study[J]. J Emerg Trauma Shock, 2015, 8(4): 188-92 doi: 10.4103/0974-2700.166589 [28] 张 悦, 冷玉芳, 田金徽, 等. 喉罩与气管插管在小儿全身麻醉气道管理中价值的Meta分析[J]. 中国循证医学杂志, 2011, 11(9): 1047-53 doi: 10.3969/j.issn.1672-2531.2011.09.012 [29] Bhat C, Honnannavar K, Patil MP. Comparison of the Laryngeal Mask Airways:Laryngeal Mask Airway-classic and Laryngeal Mask Airway-proseal in Children[J]. Anesthesia Essays &Researches, 1994, 12(1): 51-2 [30] Bhattacharjee SS, Maitra. Comparison of LMA supremeTM with i-gelTM and LMA ProSealTM in children for airway management during general anaesthesia:a meta-analysis of randomized controlled trials[J]. J Clin Anesth, 2017, 41(1): 5-10 [31] Gupta SD, Chauhan K. Comparison of i-gel⢠and laryngeal mask airway supreme⢠in different head and neck positions in spontaneously breathing pediatric population[J]. Anesthes Essays Researches, 2017, 11(3): 647-54 doi: 10.4103/aer.AER_238_16 [32] Olsen KS, Petersen JT, Pedersen NA, et al. Self-positioning followed by induction of anaesthesia and insertion of a laryngeal mask airway versus endotracheal intubation and subsequent positioning for spinal surgery in the prone position: a randomised clinical trial[J]. Eur J Anaesthesiol, 2014, 31(5): 259-65 doi: 10.1097/EJA.0000000000000004 [33] Kubo Y. Use of supraglottic airway devices in the prone position[J]. J Anesth Clin Res, 2017, 8(12): 1136-43 -
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