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find Author "罗贞" 2 results
  • 食管引流型喉罩的临床应用进展

    食管引流型喉罩又称为双管喉罩,为第三代喉罩。目前临床上广泛应用的食管引流型喉罩包括3种:Proseal喉罩,在Proseal喉罩基础上加以改进的Supreme喉罩以及无套囊的I-gel喉罩。食管引流型喉罩的主要特点为增加了一根对胃肠道起到密封和引流作用的引流管,并对通气罩进行了改进。因此食管引流型喉罩具备防止返流误吸的作用,并改善了通气功能。目前,食管引流型喉罩除了广泛应用于全身麻醉下成人、儿童的短小体表和四肢手术,还进一步应用到腹腔镜手术、腹部外科开放性手术、肥胖患者的手术、困难气管等领域。其应用的有效性和安全性大大提高, 将逐渐取代普通喉罩。本文就食管引流型喉罩的应用进展作一综述,便于临床医生更方便、更快捷的掌握食管引流型喉罩使用技术,并在临床上进一步推广。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • Effect of bundled care on postoperative nausea and vomiting in patients undergoing day laparoscopic cholecystectomy

    Objective To explore whether bundled care for anesthesia management can reduce the risk of postoperative nausea and vomiting (PONV). Methods The data of laparoscopic cholecystectomy patients admitted to the Day Surgery Center of West China Hospital, Sichuan University between July and November 2021 were retrospectively collected. Patients were divided into a bundled care group and a control group based on whether anesthesia management was implemented according to the bundled care. The demographic characteristics, intraoperative anesthesia management methods, postoperative conditions, and incidence of PONV between the two groups of patients were analyzed and compared. Results A total of 314 patients were included. Among them, there were 124 cases in the bundled care group and 190 cases in the control group; PONV occurred in 52 cases, the incidence of PONV was 16.6% (52/314). Except for surgical time and postoperative incision infiltration (P>0.05), there were statistically significant differences in age, gender, body mass index, anesthesia time, airway establishment, and postoperative analgesic use between the two groups of patients (P<0.05). There was no statistically significant difference in the occurrence of PONV between the bundled care group and the control group (17 vs. 35 cases; χ2=1.205, P>0.05). The results of logistic regression analysis showed that PONV was correlated with gender [odds ratio=0.107, 95% confidence interval (0.030, 0.375), P<0.001], and using bundled care [odds ratio=0.388, 95% confidence interval (0.169, 0.894), P=0.026]. Conclusions Women are at high risk of PONV among patients undergoing day laparoscopic cholecystectomy. The risk of PONV is lower when using bundled care.

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