挿管用ラリンジアルマスクを介する気管挿管時の循環反応　　喉頭鏡下挿管との比較

• 中畑 克俊

  和歌山県立医科大学麻酔学教室

• 伊良波 浩

  日本赤十字社和歌山医療センター麻酔科

• 畑埜 義雄

  和歌山県立医科大学麻酔学教室

• 箕西 利之

  和歌山労災病院麻酔科

• 上野 脩

  和歌山労災病院麻酔科

書誌事項

タイトル別名

• Circulatory Responses to Tracheal Intubation using the Intubating Laryngeal Mask Airway (LMA-Fastrach). A Comparison with Intubation following Laryngoscopy.
• A Comparison with Intubation following Laryngoscopy
• 喉頭鏡下挿管との比較

抄録

The intubating laryngeal mask airway (ILMA; LMA-Fastrach^TM, Laryngeal Mask Company, Ltd., Henley on Thames, UK) has been shown to provide successful blind tracheal intubation through the airway. Laryngeal mask airway insertion is associated with fewer circulatory responses than tracheal intubation using a laryngoscope. We studied the circulatory responses to either endotracheal intubation performed through the ILMA or to those following laryngoscopy in 57 patients with ASA physical status I or II. In a randomized manner, endotracheal intubations using ILMA or a laryngoscope were performed after the induction of anesthesia with 2 mg•kg^-1 of propofol, followed by vecuronium (0.1-0.15mg•kg^-1) and a continuous infusion of propofol at a rate of 10mg•kg^-1•h^-1. Systolic arterial pressure and heart rate increased significantly (p<0.05) after tracheal intubation in both groups, and there was no difference in the magnitude of those increases between the groups. These results indicate that ILMA does not have an advantage over direct laryngoscopy in reducing the circulatory responses to tracheal intubation.

収録刊行物

• 日本臨床麻酔学会誌

  日本臨床麻酔学会誌 21 (1), 42-45, 2001

  日本臨床麻酔学会

キーワード

• 挿管用ラリンジアルマスク,気管挿管,循環反応

詳細情報

• CRID: 1390282679735745408
• NII論文ID: 130003581778
• NII論文ID: 10010154351
• NII書誌ID: AN00330159
• DOI: 10.2199/jjsca.21.42
• ISSN: 13499149
• ISSN: 02854945
• ISSN: http://id.crossref.org/issn/02854945
• Web Site: https://search.jamas.or.jp/link/ui/2001156132
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可