Clinical observation in application of laryngeal mask airway in gynaecological laparoscopy and its nursing countermeasures

Abstract

Objective To explore the effect of laryngeal mask airway used in gynaecological laparoscopy and the nursing experience. Methods 80 selected patients undergoing gynaecological laparoscopy were divided into two equal-sized groups for airway management with the laryngeal mask airway group(L group)and the control group(C group). MAP、HR、SPO2、PETCO2 of all patients were observed at before induction, at airway insertion, at pneumoperitoneum, at airway removal. The ratio of postoperative nausea、vomiting、laryngismus、pharyngalgia、cerchnus、back streaming and aspiration were recorded. Results MAP and HR increased significantly in C group than L group at airway insertion and removal. SPO2 and PETCO2 had no significant difference in two groups at any time. The ratio of postoperative nausea、pharyngalgia、cerchnus was respectively higher in C group than L group. The ratio of laryngismus、vomitiong、backstreaming and aspiration in L group was similar with C group. Conclusions Laryngeal mask airway is an effective airway device for gynaecological laparoscopy, it has low incidence of complication, and make nursing care easy during operation. Key words: Gynecology; Laparoscopic surgery; General anaesthesia; Laryngeal mask airway; Nursing