喉罩用于产科全麻气管插管失败后补救方案的应用体会
剖宫产术,全身麻醉
【摘 要】目的:探讨喉罩作为产科全麻气管插管失败后气道管理补救方案的安全性与有效性。方法:回顾性分析我院行气管插管失败后改插喉罩的3例剖宫产手术资料,分析从产妇麻醉开始到手术开始时间,术中生命体征,失血量,麻醉相关并发症,以及胎儿娩出后第1min,5min和第10min的Apgar评分。结果:3例产妇生命体征基本平稳,麻醉效果好,无麻醉并发症。新生儿第1min,5min和第10min的Apgar评分均大于8分。结论:喉罩是行剖宫产全身麻醉气管插管失败时安全有效的补救措施,值得推广。【关键词】剖宫产术;全身麻醉;气管插管失败;喉罩
【中图分类号】R614 【文献标识码】B 【文章编号】1004-7484(2014)07-4186-01
【Abstract】Objective:To investigate the safety and feasibility of laryngeal mask airway as alternatives for the failing of endotracheal intubation in cesarean section. Methods:To analyse the data of 3 cases that undergoing cesarean section under general anesthesia retrospectively. Laryngeal mask airway were inserted after endotracheal intubation failure in the 3 cases. To analyse the time from maternal anesthesia start to surgery start ......
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