Author:
Karaaslan Erol,Akbas Sedat,Ozkan Ahmet Selim,Colak Cemil,Begec Zekine
Abstract
AbstractBackgroundThere are doubts among anesthesiologists on the use of the Laryngeal Mask Airway (LMA) in nasal surgeries because of concerns about the occurrence of blood leakages to the airway. We hypothesized that the use of LMA-Supreme (LMA-S) in nasal surgery is comparable with endotracheal tube (ETT) according to airway protection against blood leakage through the fiberoptic bronchoscopy, oropharyngeal leakage pressure (OLP), heart rate (HR), mean arterial pressure (MAP), and postoperative adverse events.MethodsThe present study was conducted in a prospective, randomized, single-blind, controlled manner on 80 patients, who underwent septoplasty procedures under general anesthesia, after dividing them randomly into two groups according to the device used (LMA-S or ETT). The presence of blood in the airway (glottis/trachea, distal trachea) was analyzed with the fiberoptic bronchoscope and a four-point scale. Both groups were evaluated for OLP; HR; MAP; postoperative sore throat, nausea, and vomiting; dysphagia; and dysphonia.ResultsIn the fiberoptic evaluation of the airway postoperatively, less blood leakage was detected in both anatomic areas in the LMA-S group than in the ETT group (glottis/trachea,p = 0.004; distal trachea,p = 0.034). Sore throat was detected less frequently in the LMA-S group at a significant level in the 2nd, 6th, and 12th hours of postoperative period; however, other adverse events were similar in both groups. Hemodynamic parameters were not different between the two groups.ConclusionThe present findings demonstrate that the LMA-S provided more effective airway protection than the ETT in preventing blood leakage in the septoplasty procedures. We believe that the LMA-S can be used safely and as an alternative to the ETT in septoplasty cases.Trial registrationThis trial is registered at the US National Institutes of Health (ClinicalTrials.gov) #NCT03903679on April 5, 2019.
Publisher
Springer Science and Business Media LLC
Subject
Anesthesiology and Pain Medicine
Reference30 articles.
1. Kohli M, Wadhawan S, Bhadoria P, Ratan SK. Comparative evaluation of I-gel vs. endotracheal intubation for adequacy of ventilation in pediatric patients undergoing laparoscopic surgeries. J Anaesthesiol Clin Pharmacol. 2019;35(1):30–5.
2. Ozden ES, Meco BC, Alanoglu Z, Alkıs N. Comparison of ProSeal TM laryngeal mask airway (PLMA) with cuffed and uncuffed endotracheal tubes in infants. Bosn J Basic Med Sci. 2016;16(4):286–91.
3. Beleña JM, Núñez M, Anta D, Carnero M, Gracia JL, Ayala JL. Comparison of Laryngeal Mask Airway Supreme and Laryngeal Mask Airway Proseal with respectto oropharyngeal leak pressure during laparoscopic cholecystectomy: a randomised controlled trial. Eur J Anaesthesiol. 2013;30(3):119–23.
4. Teoh WHL, Lee KM, SuhitharanTZ YMM, Teo AT, Sia H. Comparison of the LMA Supreme vs the i-gel™ in paralysed patients undergoing gynaecological laparoscopic surgery with controlled ventilation. Anaesthesia. 2010;65:1173–9.
5. López AM, Valero R, Hurtado P, Gambús P, Pons M, Anglada T. Comparison of the LMA Supreme with the LMA Proseal for airway management in patients anaesthetized in prone position. Br J Anaesth. 2011;107:265–71.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献