Application of Nasopharyngeal Airway in Obesity Patients during General Anesthesia Induction_West China Medical Journal

Authors：

 GONGHua-qu , GONGGu ,  DAIXue-mei , LINLu , CAILin

Department of Anesthesiology, General Hospital of Chengdu Military Army, Chengdu, Sichuan 610083, P. R. China;

Corresponding?author：

DAIXue-mei, Email: 1017814096@qq.com

Keywords：

Nasopharyngeal airway; Obesity; Induction

DOI：

10.7507/1002-0179.20150307

Video：

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Objective To evaluate the superiority of nasopharyngeal airway on obesity patients during general anesthesia induction period. Method Forty-two trachea cannula and general anesthesia obesity patients treated from June to November in 2013 were chosen and divided equally into two groups:nasopharyngeal airway group (group A) and control group (group B). Mean arterial pressure (MAP), heart rate (HR), pulse oxygen saturation (SpO₂), arterial blood partial pressure of carbon dioxide (PaCO₂) were recorded when the patients entered the operation room, three minutes after man-made positive pressure ventilating and five minutes after intubation. Peak voltage (P_peak) of man-made positive pressure ventilation for three minutes was also observed, and intubation frequency and time, mouth mucosa bleeding, and sore throat examples were compared between the two groups. Results Compared with group B, MAP, HR, PaCO₂ and P_peak three minutes after man-made positive pressure ventilating were lower (P<0.05), but SpO₂ was higher in group A (P<0.05). Intubation frequency and time, mouth mucosa bleeding, and sore throat examples of group A were less than those in group B (P<0.05). Conclusions Nasopharyngeal airway is better for obesity patients during general anesthesia induction period, which also improves anesthesia safety level.

Citation： GONGHua-qu, GONGGu, DAIXue-mei, LINLu, CAILin. Application of Nasopharyngeal Airway in Obesity Patients during General Anesthesia Induction. West China Medical Journal, 2015, 30(6): 1071-1073. doi: 10.7507/1002-0179.20150307 Copy

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12.	駱建寧, 王安, 鄭河榮, 等. 預置鼻咽通氣管對改善插入或拔出氣管內導管期間急性上呼吸道阻塞的影響[J]. 廣東醫學, 2012, 33(6):800-802.
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15.	黃毓嬋, 姚曉琴, 陳旭素. 兩種開放氣道方法用于麻醉蘇醒期舌后墜的臨床觀察[J]. 中國醫學創新, 2012, 9(14):23-24.

1. 李文強, 周永明, 祁必富, 等. 急診困難氣管插管的危險因素分析[J]. 中華臨床醫師雜志:電子版, 2012, 6(22):7279-7281.
2. 王建珍, 薄志華, 李蔚波, 等. 肥胖患者的全身麻醉處理[J]. 臨床醫學, 2012, 32(4):106-107.
3. 司馬靚杰, 郭素香. 肥胖患者全身麻醉呼吸管理的研究[J]. 中國現代醫藥雜志, 2010, 12(9):134-136.
4. 龔華渠. 肥胖患者31例無痛胃鏡麻醉處理分析[J]. 中國誤診學雜志, 2010, 10(25):6254.
5. Likhvantsev W, Mironenko AV, Gabitov MV, et al. Successful implementation of shortened postoperative period program after ten hours of general anaesthesia in patient with morbid obesity[J]. Anesteziol Reanimatol, 2014, 6(3):77-79.
6. Nafisi S, Darabi ME, Rajabi M, et al. General anesthesia in cesarean sections:a prospective review of 465 cesarean sections performed under general anesthesia[J]. Middle East J Anaesthesiol, 2014, 22(4):377-384.
7. 馬衛東, 張廣順. 提拉前移下頜骨對改善過度肥胖麻醉患者喉鏡下氣管插管視野的影響[J]. 齊魯護理雜志, 2013, 19(14):122-123.
8. Prathanvanich P, Chand B. The role of capnography during upper endoscopy in morbidly obese patients:a prospective study[J]. Surg Obes Relat Dis, 2015, 11(1):193-198.
9. Cgaszynska E, Ratajczyk P, Wieczorek A, et al. Comparison of microaspiration around TaperGuard tube cuffs and standard tracheal tubes in obese patients subjected to surgery under general anesthesia[J]. PolPrzegql Chir, 2014, 86(3):107-110.
10. 李菁菁. 肥胖患者麻醉處理分析[J]. 中國衛生產業, 2013, 3(8):106.
11. 羅林麗, 周良學, 陳立君, 等. 鼻咽通氣道在神經外科患者麻醉恢復期的應用[J]. 四川大學學報:醫學版, 2013, 44(4):689-692.
12. 駱建寧, 王安, 鄭河榮, 等. 預置鼻咽通氣管對改善插入或拔出氣管內導管期間急性上呼吸道阻塞的影響[J]. 廣東醫學, 2012, 33(6):800-802.
13. 范海生, 王崢. 鼻咽通氣管在鼻中隔偏曲矯正術后應用的臨床研究[J]. 臨床耳鼻咽喉頭頸外科雜志, 2011, 25(14):660-661.
14. 魯愛武, 汪志偉, 李海鷗, 等. 鼻咽通氣管在保留懸雍垂改良腭咽成形術后的應用[J]. 中國耳鼻咽喉顱底外科雜志, 2014, 20(2):167-169.
15. 黃毓嬋, 姚曉琴, 陳旭素. 兩種開放氣道方法用于麻醉蘇醒期舌后墜的臨床觀察[J]. 中國醫學創新, 2012, 9(14):23-24.

West China Medical Journal

Application of Nasopharyngeal Airway in Obesity Patients during General Anesthesia Induction

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