Application effect of I-gel laryngeal mask in laparoscopic combined with choledochoscope cholelithotomy
HAN lei1 LI yueting2
1.Department of Anesthesiology，Beijing Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 100039, China;
2.Department of General Surgery, Beijing Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 100039, China
Abstract：Objective To investigate the application effect of I-gel laryngeal mask in laparoscopic combined with choledochoscope cholelithotomy. Methods From August 2016 to August 2018, 64 cases with laparoscopic combined with choledochoscopic choledochoscopy under general anesthesia in Beijing Hospital of Integrated Traditional Chinese and Western Medicine were selected. According to the Excel randomizer, they were randomly divided into I-gel laryngeal mask group (A group) and endotracheal intubation group (B group), with 32 cases in each group. After anesthesia induction, laryngeal mask was placed in group A and endotracheal intubation was performed in group B. The anesthesia time, pneumoperitoneum time and tube extubation time in two groups were compared. The changes of heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) in two groups were observed immediately after anesthesia induction (T1), laryngeal mask placement (or intubation) (T2), laryngeal mask placement (or intubation) 3 min (T3), and laryngeal mask placement (or intubation) 10 min(T4). Meanwhile, intubation time, degree of tube tolerance, cough, agitation and pharyngeal pain in two groups were observed. Results There were no significant differences in anesthesia time, pneumoperitoneum time and tube extubation time between two groups (P > 0.05). There were no significant differences in HR, SBP and DBP at each time point in group A (all P > 0.05). HR, SBP and DBP at time points T2, T3 and T4 in group B were all higher than those in group A, and the differences were statistically significant (all P < 0.05). In group B, HR, SBP and DBP at time points T2, T3 and T4 were all higher than T1, and the differences were statistically significant (all P < 0.05). Conclusion I-gel laryngeal mask is used for laparoscopic combined with choledochoscope cholelithotomy under general anesthesia, which is more convenient than endotracheal intubation, more stable hemodynamics and fewer complications. The application effect is safe and reliable.
2019, Vol. 16 
京公网安备 11010502046598号