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소아의 외래수술을 위한 Propofol 마취시 후두마스크 사용의 임상경험
Use of Laryngeal Mask Airway for Ambulatory Surgery in Children : A Clinical Experience
길혜금(Hye Geum Kil),김원옥(Won Ok Kim),김승호(Seung Ho Kim)
정맥마취 4권 2호 109-113(5pages)
UCI I410-ECN-0102-2009-510-005259144
* 발행 기관의 요청으로 이용이 불가한 자료입니다.

Background: Advantages of LMA included increased ease and speed of placement by non-expert, improved hemodynamic stability during insertion and removal, lower incidence of coughing and sore throat, and reduced anesthetic requitements for airway tolerance. This study was designed to determine the ease and speed of LMA insertion, the imeidence of perioperative complications, and time to first oral intake after recovery from anesthesia in children. In addition, cuff volume changes following anesthetic duretion was evaluated. Methods: The study sample consisted of 30 pediatric patients (2 to 13 yr of age) who presented for elective ambulatory surgery. Anesthesia was induced and maintained with fentanyl and target controlled infusion of propofol. LMA cuff volume changes and perioperative complications, such as cough, laryngospasm, sore throat, and hoarseness, were evaluated. In addition, time to oral intake after recovery from anesthesia was recorded. Results: Successful insertion rates on the first attempt showed 93.3% and mean insertion time was 11.7 ± 12,8 seconds. Coughing (1/30) and mild laryngeal spasm (2/30) were occurred following removal of LMA. Mean time to first oral intake after recovery was 56.6 ± 23.9 minutes. Cuff volume was increased 1.6 ± 1.2 ml following anesthetic duration of 81.5 ± 30.9 minutes. Conclusions: The LMA triggers less perioperative complications in children. Moreover, the time to first oral intake can be shorten with LMA under general anesthesia with propofol and it can be a contributing factor of rapid discharge from hospital.

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