The cardiovascular response to insertion of the intubating laryngeal mask airway

被引:48
作者
Choyce, A
Avidan, MS
Harvey, A
Patel, C
Timberlake, C
Sarang, K
Tilbrook, L
机构
[1] Kings Coll Hosp London, Dept Anaesthet, London SE5 9RS, England
[2] Aberdeen Royal Infirm, Dept Anaesthet, Aberdeen, Scotland
[3] Bromley Hosp, Dept Anaesthet, Bromley, England
[4] Princess Alexandra Hosp, Dept Biochem, Harlow, Essex, England
关键词
equipment; laryngeal mask airway; intubation; tracheal;
D O I
10.1046/j.1365-2044.2002.02463.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Sixty-one patients received a standardised anaesthetic and were randomly assigned to three groups: tracheal intubation via direct laryngoscopy, tracheal intubation via an intubating laryngeal mask airway with immediate removal of the device, and tracheal intubation via an intubating laryngeal mask airway with delayed removal. The cardiovascular response to intubation was of a similar magnitude in all groups, although delayed removal of the intubating laryngeal mask airway was associated with a second pressor response. Norepinephrine changed significantly over time following direct laryngoscopy and following immediate removal of the intubating laryngeal mask airway, but not after delayed removal. The findings of this study do not support using the intubating laryngeal mask instead of direct laryngoscopy purely to decrease the response to intubation.
引用
收藏
页码:330 / 333
页数:4
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