Efficacy of Non-muscle Relaxation Combined with Gastroscopic Laryngeal Mask Airway for Patients with Liver Cirrhosis Undergoing Endoscopic Esophageal Variceal Ligation
Objective To evaluate the application effect of non-muscle relaxation combined with gastroscopy laryngeal mask in endoscopic variceal ligation(EVL)in patients with liver cirrhosis.Methods Eighty patients with liver cirrhosis who underwent elective EVL at the First Affiliated Hospital of Zhengzhou University from December 2021 to August 2022 were selected and randomly divided into control group(40 cases)and observation group(40 cases)using the random number table method.Both groups received gastroscopy laryngeal mask ventilation,while the control group received routine intravenous induction with muscle relaxants.The success of laryngeal mask insertion,the success of ligation device insertion,and the insertion time were recorded.The occurrence of intraoperative hypotension,bradycardia,and hypoxemia were recorded.The peak airway pressure and airway sealing pressure 1 minute after the placement of the laryngeal mask,immediately after the placement of the ligature at the esophageal inlet,and immediately after the surgery were recorded.The time of extubation and the duration of stay in the anesthesia recovery room(PACU).Record the occurrence of pharyngeal pain,nausea,vomiting,and fatigue within 6 hours after surgery were recorded.The satisfaction scores of postoperative endoscopists and patients were recorded.Results There was no statistically difference in the success rates of laryngeal mask insertion,ligation device insertion,intraoperative hypotension,bradycardia,incidence of pharyngeal pain and nausea and vomiting within 6 hours after surgery,and satisfaction scores of endoscopists between the two groups(P＞0.05).The time effect of peak airway pressure,inter group effect and time effect of airway sealing pressure were statistically significant between the two groups(P＜0.05).The observation group had shorter extubation time and PACU stay time,lower incidence of fatigue,and higher patient satisfaction(P＜0.05).No hypoxemia was observed during surgery in both groups.Conclusion The combination of muscle free relaxation and gastroscopy laryngeal mask has the advantages of early extubation,low rate of fatigue,and high patient satisfaction in patients with endoscopic EVL cirrhosis.
万方数据
维普
