摘要
喉罩(LMA)作为一种重要的声门上气道工具,目前在临床上应用更加广泛。除了在妇科、儿科小型择期手术中使用外,在老年患者手术、肥胖患者辅助通气、胸科手术、甚至紧急气道管理中也得到了应用。全麻手术过程中麻醉机有不同通气模式,但使用LMA时应选择何种模式目前尚无定论。对于不同患者,不同手术及不同类型的LMA,麻醉医生可以通过选择相对合适的呼吸机模式,调整呼吸参数,从而减少机械通气中的肺损伤,使患者获得最佳预后。
As an important supraglottic airway tool,laryngeal mask airway(LMA)has been used more and more widely in clinic.In addition to being used in gynaecological and pediatric small-scale elective surgery,it has also been used in elderly patients surgery,obese patients auxiliary ventilation,thoracic surgery,and even emergency airway management.There are different ventilation modes of anesthesia machine during general anesthesia operation,but there is no conclusion on which mode to choose when using LMA.For different patients,different operations and different types of LMA,anesthesiologists can choose a relatively suitable ventilator mode and adjust respiratory parameters to reduce lung injury during mechanical ventilation,so that patients can obtain the best prognosis.
作者
林雨琪
易杰
LIN Yuqi;YI Jie(Department of Anesthesiology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)
出处
《基础医学与临床》
2023年第5期842-847,共6页
Basic and Clinical Medicine
基金
北京协和医学院2021年中央高校教育教学改革专项基金(2021zlgc0111)。
关键词
喉罩
麻醉
通气模式
laryngeal mask
anesthesia
ventilation mode
