摘要
目的探讨喉罩通气结合改良气道评估法在眼科小手术全麻婴幼患儿气道安全管理中的应用效果。方法回顾分析2015年1—12月在首都医科大学附属北京同仁医院手术室内行眼科小手术的全麻婴幼患儿252例，0～12月月龄儿120例、1—3岁幼儿132例，其中困难气道评估高风险患儿73例（29．0％），所有患儿全部采用喉罩通气的方式维持麻醉；并在传统术前评估的基础上，根据婴幼儿发育特点及手术要求，重新设计完善气道安全管理的术前护理评估，并细化护理措施。结果通过病例分析发现，气道安全高风险因素主要涉及患儿发育异常、合并症及困难气道3个方面；通过对护理难点与气道安全风险准确评估，对症处理，所有患儿未出现不良事件。结论喉罩通气结合改良气道评估法能够保障眼科小手术全麻婴幼患儿气道安全。
Objective To explore the application effect of combination of laryngeal mask airway and modified airway evaluation method in airway safety management of infants and young children with general anesthesia in minor ophthalmological operations. Methods 252 infants and young children undergone minor ophthalmological operations with general anesthesia in Beijing Tongren Hospital, Capital Medical Univering from January to December. 2015 were retrospectively analyzed, with 120 cases 0-12 months old, and 132 eases 1-3 years old, among whom, 73 cases （29.0%） were evaluated with high risk of difficult airway. All the young patients were anesthetized with laryngeal mask airway. On the basis of traditional preoperative assessment, according to characteristic of children development and operation requirements, preoperative nursing evaluation was redesigned to better airway safety management and nursing measures were refined. Results It can be found by case analysis that high-risk factors of airway safety involved abnormal development of patients, complications and difficult airway. Advert events happened to no patient due to accurate evaluation on nursing difficulty and airway safety risk, and measures taken accordingly. Conclusions Combination of laryngeal mask airway and modified airway evaluation method can guarantee airway safety of infants and young children with general anesthesia in minor ophthalmological operations.
出处
《中华现代护理杂志》
2016年第32期4659-4662,共4页
Chinese Journal of Modern Nursing
关键词
气道管理
喉罩通气
婴幼患儿
气道评估
Airway management
Laryngeal mask airway
Infants and young children patients
Airway evaluation
