Application of nasopharyngeal airway in cerebral aneurysms embolization during anesthesia recovery in acute severe patients
Abstract：Objective To observe the adverse reactions in acute severe patients with cerebral aneurysm embolization of early extubation and inserting anasopharyngeal airway during the anesthesia recovery.Methods Sixty patients undergoing emergency cerebral aneurysm embolization , GCS score 8~10, ASAⅢorⅣ, were randomly divided into three groups:nasopharyngeal airway ( group A, n=20), oropharyngeal airway (group B, n =20) and submaxillary -lifting group (group C, n=20). SpO2, HR, SBP, DBP, PaCO2, plasma epinephrine (E) and norepinephrine(NE):before extubation, 1, 5, 10 and 20 minute after extubation were investigated .The adverse reactions were also recorded in 20 minutes after extubation .Results HR, SBP, DBP, PaCO2 , E and NE in group B were higher at T 1 than group A and C (P<0.05).HR, SBP, DBP, PaCO2, E and NE in group B and C were higher at T2, T3, T4 than group A (P<0.05).The ratio of adverse reactions in group A was lower than group B and C.Conclusion Nasopharyngeal airway can effectively keep respiratory tract unobstructed and relieve adverse reactions in acute severe patients with cerebral aneurysm embolization during the anesthesia recovery .
Keywords：Nasopharyngeal airwayOropharyngeal airwayCerebral aneurysm embolization
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 612-615 )