食管引流型喉罩的临床应用进展_《华西医学》

作者：

罗贞 ,  魏新川

四川大学华西医院麻醉科(成都，610041）;

关键词：

食管引流型喉罩双管喉罩 Proseal喉罩 Supreme喉罩 I-gel喉罩

DOI：

10.7507/1002-0179.20130153

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

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。

引用本文： 罗贞,魏新川. 食管引流型喉罩的临床应用进展. 华西医学, 2013, 28(3): 473-477. doi: 10.7507/1002-0179.20130153 复制

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, 关健强, 周少丽, 等. Proseal 喉罩全麻在侧卧位手术应用的研究[J]. 中山大学学报, 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, 关健强, 周少丽, 等. Proseal 喉罩全麻在侧卧位手术应用的研究[J]. 中山大学学报, 2007, 28(3): 340-343.

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《华西医学》

食管引流型喉罩的临床应用进展

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