Objective To explore the clinical significance of Dami weakly stimulated oropharyngeal airway(Dami airway)on laparoscopic sleeve gastrectomy in patients.Methods Eighty patients who underwent laparoscopic gastrectomy sleeve resection at the First Affiliated Hospital of USTC(Anhui Provincial Hospital)from August 2020 to A-pril 2023 were selected and randomly divided into two groups:40 patients in Dami airway group(group D)and 40 in Oropharyngeal airway group(group C).In the group D,after induction,the Dami airway was placed in the mouth and taken out before tracheal intubation.It was placed again in the mouth during the operation.Oropharyngeal airway group(group C):after induction,Oropharyngeal airway was put into the mouth.It's taken out before intubation and put again after extubation.In PACU(postanesthesia care unit),tow kinds of airway will be fixed till the patient wants it to be re-moved.The hemodynamic indexes and blood gas analysis indexes was recorded in different time,including baseline(T0),1 minute after intubation(T1),5 minutes after extubation(T2)and 20 minutes after extubation(T3).Safety inde-xes and adverse events were observed.Result Compared with group D,at T2,HR and MAP of group C was higher(P＜0.05).Compared with group D,at T1 and T3,PaCO2 of group C was higher(P＜0.05).And at T2 and T3,PaO2 and PH of the two groups was lower(P＜0.05).Compared with group D,Vt/LBW(tidal volume per lean body weight)and the airway keeping time was lower(P＜0.05)in group C.And PACU staying time was higher in group C(P＜0.05).The incidence of agitation in group D was significantly lower than that in group C(P＜0.05).Conclusions Dami weakly stimulated oropharyngeal airway can effectively keep obese patients'airway undergoing laparoscopic sleeve gastrectomy clear perioperation,thus reducing adverse reactions.
Intubation,intratrachealGastrectomyLaparoscopyAirway managementPerioperative period
维普
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