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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.5
- 발행연도
- 2015.1
- 수록면
- 455 - 461 (7page)
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초록· 키워드
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Background: In laparoscopic surgical procedures, many clinicians recommend supraglottic airway devices as good alternatives to intubation. We compared the i-gelⓇ (i-gel) and LMA SupremeⓇ (Supreme Laryngeal Mask Airway, SLMA) airway devices during laparoscopic cholecystectomy regarding sealing pressure and respiratory parameters before, during, and after pneumoperitoneum. Methods: Following Institutional Review Board approval and written informed consent, 93 patients were randomly allocated into the i-gel (n = 47) or SLMA group (n = 46). Insertion time, number of insertion attempts, and fiberoptic view of glottis were recorded. Oropharyngeal leak pressure (OLP), the use of airway manipulation, peak inspiratory pressure, lung compliance, and hemodynamic parameters were measured before, during, and after pneumoperitoneum. Results: There were no significant differences between the two groups regarding demographic data, insertion time, fiberoptic view of glottis, and the use of airway manipulation. The gastric tube insertion time was longer in the i-gel group (20.4 ± 3.9 s) than in the SLMA group (16.7 ± 1.6 s) (P < 0.001). All devices were inserted on the first attempt, excluding one case in each group. Peak inspiratory pressure, lung compliance, and OLP changed following carbon dioxide pneumoperitoneum in each group, but there were no significant differences between the groups. Conclusions: Both the i-gel and SLMA airway devices can be comparably used in patients who undergo laparoscopic cholecystectomy, and they offer similar performance including OLP.
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참고문헌 (27)
참고문헌 신청
Sharma B / 2010 / PLMA vs. I-gel : A comparative evaluation of respiratory mechanics in laparoscopic cholecystectomy / J Anaesthesiol Clin Pharmacol 26:451~457
전우재 / 2012 / Comparison of the Proseal LMA and intersurgical I-gel during gynecological laparoscopy / Korean Journal of Anesthesiology 63(6):510~514
Uppal V / 2009 / Randomized crossover comparison between the i-gel and the LMA-Unique in anaesthetized, paralysed adults / Br J Anaesth 103:882~885
Francksen H / 2009 / A comparison of the i-gel with the LMA-Unique in non-paralysed anaesthetised adult patients / Anaesthesia 64:1118~1124
Uppal V / 2009 / Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation / Br J Anaesth 102:264~268
전우재 / 2012 / Comparison of the Proseal LMA and intersurgical I-gel during gynecological laparoscopy / Korean Journal of Anesthesiology 63(6):510~514
Uppal V / 2009 / Randomized crossover comparison between the i-gel and the LMA-Unique in anaesthetized, paralysed adults / Br J Anaesth 103:882~885
Francksen H / 2009 / A comparison of the i-gel with the LMA-Unique in non-paralysed anaesthetised adult patients / Anaesthesia 64:1118~1124
Uppal V / 2009 / Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation / Br J Anaesth 102:264~268
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