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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