Application of Nasopharyngeal Airway in Obesity Patients during General Anesthesia Induction_West China Medical Journal

Authors：

 GONGHua-qu , GONGGu ,  DAIXue-mei , LINLu , CAILin

Department of Anesthesiology, General Hospital of Chengdu Military Army, Chengdu, Sichuan 610083, P. R. China;

Corresponding author：

DAIXue-mei, Email: 1017814096@qq.com

Keywords：

Nasopharyngeal airway; Obesity; Induction

DOI：

10.7507/1002-0179.20150307

Video：

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Objective To evaluate the superiority of nasopharyngeal airway on obesity patients during general anesthesia induction period. Method Forty-two trachea cannula and general anesthesia obesity patients treated from June to November in 2013 were chosen and divided equally into two groups:nasopharyngeal airway group (group A) and control group (group B). Mean arterial pressure (MAP), heart rate (HR), pulse oxygen saturation (SpO₂), arterial blood partial pressure of carbon dioxide (PaCO₂) were recorded when the patients entered the operation room, three minutes after man-made positive pressure ventilating and five minutes after intubation. Peak voltage (P_peak) of man-made positive pressure ventilation for three minutes was also observed, and intubation frequency and time, mouth mucosa bleeding, and sore throat examples were compared between the two groups. Results Compared with group B, MAP, HR, PaCO₂ and P_peak three minutes after man-made positive pressure ventilating were lower (P<0.05), but SpO₂ was higher in group A (P<0.05). Intubation frequency and time, mouth mucosa bleeding, and sore throat examples of group A were less than those in group B (P<0.05). Conclusions Nasopharyngeal airway is better for obesity patients during general anesthesia induction period, which also improves anesthesia safety level.

Citation： GONGHua-qu, GONGGu, DAIXue-mei, LINLu, CAILin. Application of Nasopharyngeal Airway in Obesity Patients during General Anesthesia Induction. West China Medical Journal, 2015, 30(6): 1071-1073. doi: 10.7507/1002-0179.20150307 Copy

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1. 李文强, 周永明, 祁必富, 等. 急诊困难气管插管的危险因素分析[J]. 中华临床医师杂志:电子版, 2012, 6(22):7279-7281.
2. 王建珍, 薄志华, 李蔚波, 等. 肥胖患者的全身麻醉处理[J]. 临床医学, 2012, 32(4):106-107.
3. 司马靓杰, 郭素香. 肥胖患者全身麻醉呼吸管理的研究[J]. 中国现代医药杂志, 2010, 12(9):134-136.
4. 龚华渠. 肥胖患者31例无痛胃镜麻醉处理分析[J]. 中国误诊学杂志, 2010, 10(25):6254.
5. Likhvantsev W, Mironenko AV, Gabitov MV, et al. Successful implementation of shortened postoperative period program after ten hours of general anaesthesia in patient with morbid obesity[J]. Anesteziol Reanimatol, 2014, 6(3):77-79.
6. Nafisi S, Darabi ME, Rajabi M, et al. General anesthesia in cesarean sections:a prospective review of 465 cesarean sections performed under general anesthesia[J]. Middle East J Anaesthesiol, 2014, 22(4):377-384.
7. 马卫东, 张广顺. 提拉前移下颌骨对改善过度肥胖麻醉患者喉镜下气管插管视野的影响[J]. 齐鲁护理杂志, 2013, 19(14):122-123.
8. Prathanvanich P, Chand B. The role of capnography during upper endoscopy in morbidly obese patients:a prospective study[J]. Surg Obes Relat Dis, 2015, 11(1):193-198.
9. Cgaszynska E, Ratajczyk P, Wieczorek A, et al. Comparison of microaspiration around TaperGuard tube cuffs and standard tracheal tubes in obese patients subjected to surgery under general anesthesia[J]. PolPrzegql Chir, 2014, 86(3):107-110.
10. 李菁菁. 肥胖患者麻醉处理分析[J]. 中国卫生产业, 2013, 3(8):106.
11. 罗林丽, 周良学, 陈立君, 等. 鼻咽通气道在神经外科患者麻醉恢复期的应用[J]. 四川大学学报:医学版, 2013, 44(4):689-692.
12. 骆建宁, 王安, 郑河荣, 等. 预置鼻咽通气管对改善插入或拔出气管内导管期间急性上呼吸道阻塞的影响[J]. 广东医学, 2012, 33(6):800-802.
13. 范海生, 王峥. 鼻咽通气管在鼻中隔偏曲矫正术后应用的临床研究[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(14):660-661.
14. 鲁爱武, 汪志伟, 李海鸥, 等. 鼻咽通气管在保留悬雍垂改良腭咽成形术后的应用[J]. 中国耳鼻咽喉颅底外科杂志, 2014, 20(2):167-169.
15. 黄毓婵, 姚晓琴, 陈旭素. 两种开放气道方法用于麻醉苏醒期舌后坠的临床观察[J]. 中国医学创新, 2012, 9(14):23-24.

West China Medical Journal

Application of Nasopharyngeal Airway in Obesity Patients during General Anesthesia Induction

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