Huang Weijian,Li Yongle,Chen Peiling,et al.Application of laryngeal mask airway with spontaneous breathing under general anesthesia during holmium laser ablation for infantile subglottic stenosis[J].Journal of Clinical Pediatric Surgery,,18():319-322.[doi:10.3969/j.issn.1671-6353.2019.04.014]
Application of laryngeal mask airway with spontaneous breathing under general anesthesia during holmium laser ablation for infantile subglottic stenosis
- Keywords:
- Glottis; Tracheal Stenosis; Catheter Ablation; Laser Therapy; Low-Level; Infant
- CLC:
- R729;R614.2;R767.4+4
- Abstract:
- Objective To explore the feasibility and safety of laryngeal mask airway (LMA) with spontaneous breathing under general anesthesia during holmium laser ablation for infants with subglottic stenosis.Methods Eight infants with acquired subglottic stenosis undergoing holmium laser ablation from January 2017 to December 2017 were enrolled.All of them received general anesthesia with spontaneous breathing using LMA.Patient characteristics,cause of subglottic stenosis,operative duration,induction time,SpO2 changes,complications and managements were recorded.Results All children were operated successfully.And all stenoses were less than 2.8mm and the narrowest one 1 mm.The mean operation duration was (50±5.81) min while induction time (10.62±1.49) min.Oxygen desaturation occurred mostly during the first two ablation attempts when operations ceased and assisted ventilation was supplied.Other adverse events included airway spasm,vocal cord overmoving and airway hypersecretion.Conclusion LMA insertion is safe and effective for infantile subglottic stenosis.Sufficient airway surface anesthesia with spontaneous breathing allow surgeons to gain more operation time.And it can reduce operative duration and anesthetic risk.Wider clinical promotion is recommended.
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Memo
收稿日期:2018-08-25。
通讯作者:胡祖荣,Email:hzrong136@163.com