Alternative Approach to Airway Control of Short Surgical Procedures; (PAXpress) Pharyngeal Airway
Küçük Resim Yok
Tarih
2003
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
We aimed to compare PAXpress pharyngeal airway, which is presented to use as an alternative to laringeal mask and cuffed oropharyngeal airway, in short surgical procedures for haemodynamic response, oxygenation, placement easiness and side effects. Our study was done on 60 ASA I-II status, aged between 18-65 patients sheuduled for elective short surgical procedures. Following standard premedication patients were monitored for mean arterial pressure, heart rate and peripheric oxygen saturation. All patients were ventilated by mask following standard anesthesia induction and end-tidal CO2 pressures were monitored, inspiratory and expiratory anaesthetic concentration were observed. Patients were randomily divided into three groups, to Group I (n=20) Pharyngeal, Group II (n=20) Laryngeal mask, Group III (n=20) cuffed oropharyngeal airway was applied, number of trial and time were recorded. Anesthesia was maintained by % 50 O2/N2O and % 2 sevoflurane, muscle relaxation was fasciliated by mivacurium. Mean arterial blood pressure, heart rate, peripheric oxygen saturation and end-tidal CO 2 pressure measurements in all the groups were recorded at begining, 1., 2., 4. minutes after device placement and immediately after removal. Intraoperative complications, additional manoeuvres made for ventilation, desaturation (SpO2 <% 95) and number of arithmia's were recorded. In postoperative period blood contamination on removed airway, nausea and vomiting, coughing and throat pain were recorded in 1. hours and late period at 24. hours. There was no difference between groups, when compared for airway placement time, haemodynamic parameter values at all the measurement times, number of desaturation, end-tidale CO2 pressure values and intraoperative side effects. Intraoperative additional manoeuvre need in Group III. (% 30) was significantly high (p<0.05) when compared with Group I. (% 5) and Group II. (% 5), there was no difference between Groups I and II. When blood contamination on applied airway devices were compared; was significantly lower in Group II. (% 5) when compared with Group I (% 35) and III (% 20), difference between Groups I and III was insignificant. There was no difference between three groups according to other postoperative complications. As a result, all three devices are safe and sufficient in airway management of short surgical procedures. Pharyngeal airway can be an alternative to laryngeal mask and cuffed oropharyngeal airway in short surgical procedures.
Açıklama
Anahtar Kelimeler
Airway; Cuffed Orophryngeal; Haemodynamic Parameters; Laryngeal Mask; Oxygenation Parameters; Pharyngeal; Short Surgical Procedures; Side Effects, Mivacurium; Nitrous Oxide; Oxygen; Sevoflurane; Adult; Airway; Article; Artificial Ventilation; Blood Stain; Coughing; Cuffed Oropharyngeal Mask; Elective Surgery; End Tidal Carbon Dioxide Tension; Face Mask; Female; Heart Arrhythmia; Heart Rate; Hemodynamics; Human; Major Clinical Study; Male; Mean Arterial Pressure; Nausea; Operation Duration; Oxygen Saturation; Oxygenation; Peroperative Complication; Pharyngeal Mask; Safety; Sore Throat; Surgery; Ventilator; Vomiting
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
31
Sayı
5
