食管引流型喉罩的臨床應用進展_《華西醫學》

作者：

羅貞 ,  魏新川

四川大學華西醫院麻醉科(成都，610041）;

關鍵詞：

食管引流型喉罩雙管喉罩 Proseal喉罩 Supreme喉罩 I-gel喉罩

DOI：

10.7507/1002-0179.20130153

視頻：

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摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

食管引流型喉罩又稱為雙管喉罩，為第三代喉罩。目前臨床上廣泛應用的食管引流型喉罩包括3種：Proseal喉罩，在Proseal喉罩基礎上加以改進的Supreme喉罩以及無套囊的I-gel喉罩。食管引流型喉罩的主要特點為增加了一根對胃腸道起到密封和引流作用的引流管，并對通氣罩進行了改進。因此食管引流型喉罩具備防止返流誤吸的作用，并改善了通氣功能。目前，食管引流型喉罩除了廣泛應用于全身麻醉下成人、兒童的短小體表和四肢手術，還進一步應用到腹腔鏡手術、腹部外科開放性手術、肥胖患者的手術、困難氣管等領域。其應用的有效性和安全性大大提高, 將逐漸取代普通喉罩。本文就食管引流型喉罩的應用進展作一綜述，便于臨床醫生更方便、更快捷的掌握食管引流型喉罩使用技術，并在臨床上進一步推廣。

引用本文： 羅貞,魏新川. 食管引流型喉罩的臨床應用進展. 華西醫學, 2013, 28(3): 473-477. doi: 10.7507/1002-0179.20130153 復制

1.	Kihara S, Brimacombe J, Yaguchi Y, et al. A comparison of sex-and weight- based proSealTM laryngeal mask size selection criteria[J]. Anesthesiology,2004, 101(2): 340-343.
2.	Keller C, Brimacombe J, Keller K, et al. Comparison of four methods for assessing airway sealing pressure with the laryngeal mask airway in adult patients [J]. Br J Anaesth, 1999, 82 (2): 826-827.
3.	O’Connor CJ, Davies SR, Stix MS. ‘‘Soap bubbles’’ and‘‘gauze thread’’ drain tube tests (Letter)[J]. Anesth Analg, 2001, 93(4): 1082.
4.	Brimacombe J, Keller C, Berry A. Assessing ProSeal? laryngeal mask positioning: the suprasternal notch test (Letter,reply) [J]. Anesth Analg， 2002, 94(5): 1375-1376.
5.	Brimacombe J, Berry A. A proposed fiber-optic scoring system to standardize the assessment of laryngeal mask airway position[J]. Anesth Analg, 1993, 76(2): 4.
6.	Brimacombe J, Richardson C, Keller C, et al. Mechanical closure of the vocal cords with the LMA ProsealTM[J]. Br J Anaesth, 2002, 89(6): 937.
7.	Lu PP, Brimacombe J,Yang C, et al. The proseal versus the classic laryngeal mask airway for positive pressure ventilation during laparoscopic cholecystectomy[J]. Br J Anaesth, 2002, 88(6): 824-825.
8.	Keller C, Brimacombe J. Mucosual preesure and oropharyngeal leak pressure with the Proseal versus the classic laryngeal mask airway[J]. Br J Anaesth, 2000, 85(2): 262-266.
9.	Howes BW, Wharton NM, Gibbison B, et al. LMA Supreme insertion by novices in manikins and patients[J]. Anaesthesia, 2010, 65(4): 343-347.
10.	Abdi W, Amathieu R, Adhoum A, et al. Sparing the larynx during gynecological laparoscopy: a randomized trial comparing the LMA Supreme and the ETT[J]. Acta Anaesthesiol Scand, 2010, 54 (2): 141-146.
11.	Carron A, MarchetC. Supreme laryngeal mask airway for laparoscopic cholecystectomy in patient with severe pulmonary fibrosis[J]. Br J Anaesth 2009, 103(5): 778-779.
12.	Uppal V, Kinsella J, Fletcher G. Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation[J]. Br J Anaesth, 2009, 102(2): 264-268.
13.	Keller C, Brimacombe J, Kleinsasser A, et al. The laryngeal mask airway ProsealTM as a temporary ventilatory device in grossly and morbidly obese patients before laryngoscope-guided tracheal intubation[J]. Anesth Analg, 2002, 94(3): 737-740.
14.	Natalini G, Franceschetti ME, Pantelidi MT, et al. Comparison of the standard laryngeal mask airway and the Proseal laryngeal mask airway in obese patients[J]. Br J Anaesth, 2003, 90(3): 323-326.
15.	American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway[J]. An updated report by the american society of anesthesiologists task force on management of the difficult airway[J]. Anesthesiology 2003, 98(5): 1269-77.
16.	Brimacombe J, Keller C. Awake fibreoptic-guided insertion of the Proseal laryngeal mask airwy[J]. Anaesthesia, 2002, 57(7): 719.
17.	Carron M, Freo U, Ori C. Bronchoscope-guided intubation through a laryngeal mask airway supreme in a patient with a difficult-to-manage airway[J]. J Anesth, 2009, 23(4): 613-615.
18.	Theiler, L, Kleine M, Urwyler N, et al. Randomized clinical trial of the i-gel(TM) and Magill tracheal tube or single-use ILMA(TM) and ILMA(TM) tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway[J]. Br J Anaesth, 2011, 107(2): 243-250.
19.	Brimacombe J, Keller C. A modified rapid sequence induction using the ProSealTM laryngeal mask airway and an Eschmann tracheal tube introducer or gum elastic bougie (Letter)[J]. Anesthesiology, 2004, 101(5): 1251.
20.	Keller C, Brimacombe J, Lirk P, et al. Failed obstetric tracheal intubation and postoperative respiratory support with the ProSeal? laryngeal mask airway[J]. Anesth Analg, 2004, 98(5): 1467-1470.
21.	Craven RM, Laver SR, Cook TM, et al. Use of the Pro-Seal LMA facilitates percutaneous dilatational tracheostomy[J]. Can J Anesth, 2003, 50(7): 718-720.
22.	Goldmann K, Jakob C. Size 2 ProSealTM laryngeal mask airway: a randomized, crossover investigation with the standard laryngeal mask airway in paediatric patients[J]. Br J Anaesth, 2005, 94(3): 385-389.
23.	Shimbori H, Ono K, Miwa T, et al. Comparison of the LMA-ProSealTM and LMA-ClassicTM in children[J]. Br J Anaesth, 2004, 93(4): 528-531.
24.	Jagannathan N, Sohn LE, Sawardekar A, et al. A randomised trial comparing the laryngeal mask airway Supreme(TM) with the laryngeal mask airway Unique(TM) in children[J]. Anaesthesia, 2012, 67(2): 139-144.
25.	Beringer RM, Kelly F, Cook TM, et al. A cohort evaluation of the paediatric i-gelTM airway during anaesthesia in 120 children[J]. Anaesthesia, 2011, 66(12): 1121-1126.
26.	Lopez AM, Valero R, Brimacombe J. Insertion and use of the LMA supreme(TM) in the prone position[J]. Anaesthesia, 2010, 65(2): 154-157.
27.	蔡珺, 關健強, 周少麗, 等. Proseal 喉罩全麻在側臥位手術應用的研究[J]. 中山大學學報, 2007, 28(3): 340-343.

1. 　Kihara S, Brimacombe J, Yaguchi Y, et al. A comparison of sex-and weight- based proSealTM laryngeal mask size selection criteria[J]. Anesthesiology,2004, 101(2): 340-343.
2. 　Keller C, Brimacombe J, Keller K, et al. Comparison of four methods for assessing airway sealing pressure with the laryngeal mask airway in adult patients [J]. Br J Anaesth, 1999, 82 (2): 826-827.
3. 　O’Connor CJ, Davies SR, Stix MS. ‘‘Soap bubbles’’ and‘‘gauze thread’’ drain tube tests (Letter)[J]. Anesth Analg, 2001, 93(4): 1082.
4. 　Brimacombe J, Keller C, Berry A. Assessing ProSeal? laryngeal mask positioning: the suprasternal notch test (Letter,reply) [J]. Anesth Analg， 2002, 94(5): 1375-1376.
5. 　Brimacombe J, Berry A. A proposed fiber-optic scoring system to standardize the assessment of laryngeal mask airway position[J]. Anesth Analg, 1993, 76(2): 4.
6. 　Brimacombe J, Richardson C, Keller C, et al. Mechanical closure of the vocal cords with the LMA ProsealTM[J]. Br J Anaesth, 2002, 89(6): 937.
7. 　Lu PP, Brimacombe J,Yang C, et al. The proseal versus the classic laryngeal mask airway for positive pressure ventilation during laparoscopic cholecystectomy[J]. Br J Anaesth, 2002, 88(6): 824-825.
8. 　Keller C, Brimacombe J. Mucosual preesure and oropharyngeal leak pressure with the Proseal versus the classic laryngeal mask airway[J]. Br J Anaesth, 2000, 85(2): 262-266.
9. 　Howes BW, Wharton NM, Gibbison B, et al. LMA Supreme insertion by novices in manikins and patients[J]. Anaesthesia, 2010, 65(4): 343-347.
10. 　Abdi W, Amathieu R, Adhoum A, et al. Sparing the larynx during gynecological laparoscopy: a randomized trial comparing the LMA Supreme and the ETT[J]. Acta Anaesthesiol Scand, 2010, 54 (2): 141-146.
11. 　Carron A, MarchetC. Supreme laryngeal mask airway for laparoscopic cholecystectomy in patient with severe pulmonary fibrosis[J]. Br J Anaesth 2009, 103(5): 778-779.
12. 　Uppal V, Kinsella J, Fletcher G. Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation[J]. Br J Anaesth, 2009, 102(2): 264-268.
13. 　Keller C, Brimacombe J, Kleinsasser A, et al. The laryngeal mask airway ProsealTM as a temporary ventilatory device in grossly and morbidly obese patients before laryngoscope-guided tracheal intubation[J]. Anesth Analg, 2002, 94(3): 737-740.
14. 　Natalini G, Franceschetti ME, Pantelidi MT, et al. Comparison of the standard laryngeal mask airway and the Proseal laryngeal mask airway in obese patients[J]. Br J Anaesth, 2003, 90(3): 323-326.
15. 　American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway[J]. An updated report by the american society of anesthesiologists task force on management of the difficult airway[J]. Anesthesiology 2003, 98(5): 1269-77.
16. 　Brimacombe J, Keller C. Awake fibreoptic-guided insertion of the Proseal laryngeal mask airwy[J]. Anaesthesia, 2002, 57(7): 719.
17. 　Carron M, Freo U, Ori C. Bronchoscope-guided intubation through a laryngeal mask airway supreme in a patient with a difficult-to-manage airway[J]. J Anesth, 2009, 23(4): 613-615.
18. 　Theiler, L, Kleine M, Urwyler N, et al. Randomized clinical trial of the i-gel(TM) and Magill tracheal tube or single-use ILMA(TM) and ILMA(TM) tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway[J]. Br J Anaesth, 2011, 107(2): 243-250.
19. 　Brimacombe J, Keller C. A modified rapid sequence induction using the ProSealTM laryngeal mask airway and an Eschmann tracheal tube introducer or gum elastic bougie (Letter)[J]. Anesthesiology, 2004, 101(5): 1251.
20. 　Keller C, Brimacombe J, Lirk P, et al. Failed obstetric tracheal intubation and postoperative respiratory support with the ProSeal? laryngeal mask airway[J]. Anesth Analg, 2004, 98(5): 1467-1470.
21. 　Craven RM, Laver SR, Cook TM, et al. Use of the Pro-Seal LMA facilitates percutaneous dilatational tracheostomy[J]. Can J Anesth, 2003, 50(7): 718-720.
22. 　Goldmann K, Jakob C. Size 2 ProSealTM laryngeal mask airway: a randomized, crossover investigation with the standard laryngeal mask airway in paediatric patients[J]. Br J Anaesth, 2005, 94(3): 385-389.
23. 　Shimbori H, Ono K, Miwa T, et al. Comparison of the LMA-ProSealTM and LMA-ClassicTM in children[J]. Br J Anaesth, 2004, 93(4): 528-531.
24. 　Jagannathan N, Sohn LE, Sawardekar A, et al. A randomised trial comparing the laryngeal mask airway Supreme(TM) with the laryngeal mask airway Unique(TM) in children[J]. Anaesthesia, 2012, 67(2): 139-144.
25. 　Beringer RM, Kelly F, Cook TM, et al. A cohort evaluation of the paediatric i-gelTM airway during anaesthesia in 120 children[J]. Anaesthesia, 2011, 66(12): 1121-1126.
26. 　Lopez AM, Valero R, Brimacombe J. Insertion and use of the LMA supreme(TM) in the prone position[J]. Anaesthesia, 2010, 65(2): 154-157.
27. 　蔡珺, 關健強, 周少麗, 等. Proseal 喉罩全麻在側臥位手術應用的研究[J]. 中山大學學報, 2007, 28(3): 340-343.

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食管引流型喉罩的臨床應用進展

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食管引流型喉罩的臨床應用進展

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