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초보자에서 ProSeal(TM) 후두마스크(LMA)의 집게손가락 삽입법과 도관 유도 삽입법의 비교
김유일 ( Yu Yil Kim ),이상귀 ( Sang Kyi Lee ),이지선 ( Ji Sun Yi ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.6
Background: Insertion of a ProSeal(TM) laryngeal mask airway (PLMA(TM)) by experienced users was more successful with using a catheter-guided (CG) technique than a digital technique. The purpose of this study is to assess the efficacy of the CG insertion technique for a PLMA(TM) by inexperienced personnel. Methods: Forty patients aged 18-65 yr and who were undergoing general anesthesia were randomly allocated to the index finger (IF) or CG insertion techniques for PLMA(TM) insertion. The IF technique was performed with the routine insertion technique. The CG technique was performed using a catheter inserted PLMA(TM), which was primed into the drain tube of the PLMA(TM) with using a soft flexible catheter. Successful insertion was primarily judged by the clinical function of the airway. The number of insertion attempts and the insertion time were recorded. Postoperative airway morbidity (sore throat, dysphonia, dysphagia) was assessed at 24 hr postoperatively. Results: The success rate was similar between the groups (IF, 18/20; CG, 15/20). The successful insertion time (the time to provide an effective airway) was similar between the groups but the insertion time at the first attempt was shorter for the IF technique (IF, 21.6±5.3 s; CG, 27.4±10.3 s). There were no differences between the groups for the postoperative airway morbidity. Conclusions: This study suggests that the CG insertion technique is not a useful alternative technique for inexperienced personnel. (Korean J Anesthesiol 2009; 56: 634~8)
증례보고 : 조립 오류로 인한 자가충전호흡낭 소생기의 기능이상
김덕규 ( Deok Kyu Kim ),김유일 ( Yu Yil Kim ),이지선 ( Ji Sun Yi ),임형선 ( Hyung Sun Lim ),김동찬 ( Dong Chan Kim ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.6
A self-inflating bag resuscitator is universally used to ventilate patients during cardiopulmonary resuscitation and transfer. This device can be reused after sterilization and reassembly, and the mis-assembly of a resuscitator can possibly happen. We report here on a case of mis-assembly of a resuscitator valve that resulted to barotrauma and instability of a patient. (Korean J Anesthesiol 2008; 55: 731~5)