개인구독
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
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- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.66 No.2
- 발행연도
- 2014.1
- 수록면
- 127 - 130 (4page)
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초록· 키워드
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Background: I-gelTM is a new single-use supraglottic airway device without an inflatable cuff. This study was designed to compare the usefulness of i-gelTM versus a classic laryngeal mask airway (cLMA) in small children.
Methods: Sixty-three children (age range : 4-72 months) were randomly assigned to an i-gelTM or cLMA group. We evaluated hemodynamic data, airway sealing ability, the success rate of insertion, and adverse events including an inadvertent sliding out during ventilation.
Results: Demographic data and hemodynamic data obtained immediately after the insertion of these devices did not differ between the two groups. The success rates for insertion on the first attempt were 77 and 84% for i-gelTM and cLMA, respectively (P = 0.54), and the overall success rates were 87 and 100% respectively (P = 0.14). There were no significant differences in terms of airway leak pressure. The inserted i-gelTM inadvertently slid out in 8 of 31 patients but only one sliding out case occurred in the cLMA group (P = 0.02). There were no differences between the groups in terms of other side effects (e.g., coughing, bleeding) associated with the use of i-gelTM and cLMA (P = 0.75 and 0.49, respectively).
Conclusions: Oropharyngeal leak pressure and insertion success rate of i-gelTM are similar to those of cLMA. However, i-gelTM is prone to inadvertent sliding out of the mouth in small children. Therefore, it is recommended that the i-gelTM should be secured more tightly to avoid displacement of the device.
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참고문헌 (8)
참고문헌 신청
Intersurgical / 2010 / I-gel User Guide. I-gel supraglottic airway, adult and paediatric sizes / Intersurgical
Beringer RM / 2011 / A cohort evaluation of the paediatric i-gel(TM) airway during anaesthesia in 120 children / Anaesthesia 66:1121~1126
Beylacq L / 2009 / The I-gel, a single-use supraglottic airway device with a non-inflatable cuff and an esophageal vent: an observational study in children / Acta Anaesthesiol Scand 53:376~379
Lee JR / 2012 / A randomised trial comparing the i-gel (TM) with the LMA Classic (TM) in children / Anaesthesia 67:606~611
Theiler LG / 2011 / Performance of the pediatric-sized i-gel compared with the Ambu AuraOnce laryngeal mask in anesthetized and ventilated children / Anesthesiology 115:102~110
Beringer RM / 2011 / A cohort evaluation of the paediatric i-gel(TM) airway during anaesthesia in 120 children / Anaesthesia 66:1121~1126
Beylacq L / 2009 / The I-gel, a single-use supraglottic airway device with a non-inflatable cuff and an esophageal vent: an observational study in children / Acta Anaesthesiol Scand 53:376~379
Lee JR / 2012 / A randomised trial comparing the i-gel (TM) with the LMA Classic (TM) in children / Anaesthesia 67:606~611
Theiler LG / 2011 / Performance of the pediatric-sized i-gel compared with the Ambu AuraOnce laryngeal mask in anesthetized and ventilated children / Anesthesiology 115:102~110
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