Application efficiency of remimazolam sedation in SaCo visual laryngeal mask placement for airway management during gastric volume reduction surgery in morbidly obese patients
Objective To observe the application efficiency of remimazolam sedation in the SaCo visual laryngeal mask placement for airway management during gastric volume reduction surgery in morbidly obese patients.Methods Eighty morbidly obese patients undergoing gastric volume reduction surgery were randomly divided into two groups with 40 cases each.During the placement of SaCo visual laryngeal mask,sedation with remimazolam 0.1 mg/kg was used in group A and sedation with propofol 1 mg/kg was used in group B.The time of laryngeal mask placement,the incidence of coughing and body movement during laryngeal mask placement,the incidence of hypoxemia,the success rate of tracheal intubation guided by laryngeal mask,the comfort score during laryngeal mask placement,and the degree of forgetting the placement process were compared between the two groups.Results The comfort score during the placement of laryngeal mask in group A was lower than that in group B(P＜0.05),while there were no significant differences in the time of laryngeal mask placement,the incidence of coughing,body movement,hypoxemia,and the success rate of tracheal intubation between the two groups(P＞0.05).The proportion of the patients completely forgetting the placement of laryngeal mask in group A was higher than that in group B(P＜0.05).Conclusion Compared with propofol sedation,remimazolam sedation can increase the safety of airway management and improve comfort in the patients undergoing gastric volume reduction surgery for morbid obesity.
NETL
NSTL
万方数据
