Application effect of SaCo visual laryngeal mask in hysteroscopic surgery under general anesthesia
Objective To investigate the application effect of SaCo visual laryngeal mask in hysteroscopic surgery under general anesthesia.Methods A total of 80 patients who underwent elective hysteroscopic surgery under general anesthesia admitted to Shantou Central Hospital from January 2022 to June 2023 were selected as the study subjects.They were randomly divided into the tracheal intubation group(n=40)and the SaCo visual laryngeal mask group(n=40)by random number table methods.The heart rate(HR)and mean arterial pressure(MAP)before anesthesia induction(T0),immediately after anesthesia induction(T1),30 s after tracheal/laryngeal mask implantation(T2)and 5 min after tracheal/laryngeal mask implantation(T3)were compared between the two groups of patients.The establishment time of artificial airway,the dosage of benzenesulfonic acid cisrocuronium bromide,the residence time of post anesthesia care unit(PACU),the modified Aldrete score of PACU at the 12th minute of residence and complications were compared.Results The MAP and HR of patients in SaCo visual laryngeal mask group from T2 to T3 were all lower than those in tracheal intubation group at the same time,with statistically significant differences(P<0.05).There were no statistically significant differences in MAP and HR of patients in SaCo visual laryngeal mask group between T2-T3 and T0(P>0.05),but the MAP and HR of patients in tracheal intubation group in T2-T3 were all higher than those in T0,with statistically significant differences(P<0.05).The establishment time of artificial airway of patients in SaCo visual laryngeal mask group was shorter than that in tracheal intubation group.PACU time in SaCo visual laryngeal mask group was shorter than that in tracheal intubation group.The dosage of benzenesulfonic acid cisrocuronium bromide in SaCo visual laryngeal mask group was lower than that in tracheal intubation group.The modified Aldrete score of PACU at the 12th minute of residence in SaCo visual laryngeal mask group was higher than that in tracheal intubation group,all with statistically significant differences(P<0.05).The number of complications in SaCo visual laryngeal mask group was lower than that in tracheal intubation group,with statistically significant difference(P<0.05).Conclusion Compared with endotracheal intubation,SaCo visual laryngeal mask in application of general anesthesia hysteroscopic surgery has advantages such as short artificial airway establishment time,stable hemodynamics,short PACU residence time,low dosage of muscle relaxants,high quality of recovery and low incidence of complications.