[Comparative a nimble of monitoring indicator, explore the superiority about Supreme dual-chamber laryngeal mask used for cesarean section anesthesia].

OBJECTIVE: Explore the feasibility and superiority about Supreme double-lumen laryngeal mask airway for cesarean section anesthesia.

METHODS: From March 2011 to March 2012, a total of 300 patients with American Society of Anesthesiologists (ASA) I or II foot of cesarean section in full-term pregnant women for the first time production of Quanzhou Women's and Children's Hospital were recruited, authenticated by Hospital Ethics Committee, they were randomly divided into three groups (Random number table), dual-chamber in the LMA group (A group of 100 cases), tracheal intubation group (B group of 100 cases) and spinal anesthesia group (C group of 100 cases). ECG, SpO2, MAP, heart rate, Narcotrend and Apgar scores were observed.

RESULTS: Before and after the LMA group inserted laryngeal mask HR,MAP no significant change in the performance of Narcotrend value remained at the level of anesthesia, intubation before and after HR, MAP significantly increased performance of Narcotrend values significantly increased, both compared to the obvious statistical difference (P < 0.05). The ventilation indicators of two groups compared to no significant difference (P > 0.05). LMA group cover required intubation time was significantly shorter than the time required for intubation of endotracheal intubation group (P < 0.01). Three groups of patient administration to the fetus at all times is in 5-10 min.Three groups similar to the Apgar score was no significant difference (P > 0.05).

CONCLUSION: The dual-chamber laryngeal mask airway for caesarean section anesthesia, fetal Apgar scores, feasibility, and its operation is easy, safe and comfortable anesthesia, compared tracheal intubation has obvious superiority.