Application of streamlined liner of the pharynx airway laryngeal mask and tracheal intubation in gynecological laparoscopic operation of general anesthesia

Objective To explore the efficacy of streamlined liner of the pharynx airway(SLIPA) laryngeal mask and tracheal intubation in gynecological laparoscopic operation of general anesthesia.Methods A total of 100 patients treated with gynecological laparoscopic operation were selected from Maternal and Child Health Care Hospital of Pinggu District of Beijing City,American Society of Anesthesiologists was graded Ⅰ-Ⅱ.All the cases were randomly divided into SLIPA laryngeal mask group and tracheal intubation group,with 50 cases in each group.systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR)and saturation of blood oxygen(SpO2)were monitored at the time points of patients′ arrival operating room(T0),before SLIPA laryngeal mask or tracheal intubation insertion(T1),after SLIPA laryngeal mask or tracheal intubation(T2)insertion,after SLIPA laryngeal mask or tracheal intubation extraction(T3).Airway maximum pressure(Pmax),vital volume(Vt),end tidal CO2(PETCO2)were recorded before and after artificial pneumoperitoneum(APP)when breath was controlled by SLIPA laryngeal mask and tracheal intubation at different times.The plug cover(pipe)success rate was recorded,the associated complications were compared during and after surgery.Results SBP of patients at T1 in the two groups was significantly lower than that at T0,the difference was statistically significant(P0.05);HR at T0 was significantly higher than that at T2 and T3,the difference was statistically significant(P0.05).At T2 SBP,DBP and HR in tracheal intubation group were significantly higher than those of SLIPA laryngeal mask group,the differences were statistically significant(P0.05).At T3 SBP and HR in tracheal intubation group were significantly higher than those of SLIPA laryngeal mask group,the differences were statistically significant(P0.05).Pmax and PETCO2 after pneumoperitoneum between the two groups were higher than those before pneumoperitoneum,the differences were statistically significant(P0.05).The cover(tube)of the patients between the two groups were successful,but in the SLIPA laryngeal mask agitation,the restlessness of recovery period and oropharyngeal discomfort after postoperative 24 h of patients was significantly lower than those of the endotracheal intubation group,the differences were statistically significant(P0.05).Conclusion The SLIPA laryngeal mask is used in gynecologic laparoscopic operation of general anesthesia,it has satisfactory ventilation effect and less damage to the throat,it is safe,reliable and easy to operate,and can be safely used in gynecological laparoscopic operation of general anesthesia.