国际麻醉学与复苏杂志   2018, Issue (10): 2-2
    
喉罩平稳拔除时机的研究现状与进展
张竞泾, 卞谦, 张晓颖, 刘雅1()
1.河北医科大学第二医院
The systematic evaluation of the timing to remove laryngeal mask in respiration management
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摘要:

背景 喉罩是一种介于气管内插管和面罩之间的通气工具,已在呼吸管理中广泛应用,但平稳拔除喉罩的最佳时机尚未确定。 目的 探讨影响喉罩拔除时机的因素。 内容 最佳时机拔除喉罩应实现术后顺利康复并避免不良反应,如屈曲,喉痉挛,气道梗阻等。为实现这一目标,从业人员应系统评估患者的情况,如年龄、静脉麻醉药靶控输注浓度、呼气末吸入麻醉药浓度、体位、BIS评分和PETCO2等。 趋向 对于非困难气道及气道手术的患者,当患者恢复自动呼吸但尚未苏醒时,应拔除喉罩。

关键词: 喉面罩;人工气道
Abstract:

Background Laryngeal mask is an apparatus for ventilation with efficiency and complexity between tracheal intubation and face mask. It has been frequently used in respiration management. The criteria to determine the timing to remove laryngeal mask but assuring smooth postoperative recovery has not yet been established. Objective To discuss factors affecting the timing for laryngeal mask removal. Content Successful laryngeal mask removal with the optimal timing should achieve smooth postoperative rehabilitation and avoid adverse effects, such as, bucking, branchial spasm, airway obtrusion, etc. To fulfill this goal, practitioners should systemically evaluate the situation of the patients, such as, age, target control infusion of anesthetics, end?蛳tidal concentrations of inhalation anesthetics, postures, BIS scores, and PETCO2, as well. Trend In patients without airway difficulty or airway surgery, laryngeal mask removal should be performed when patients regain automatic respiration, but are still anesthetized.

Key words: Laryngeal masks; Artificial airway