دورية أكاديمية
أعرض في EDS

Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures.

التفاصيل البيبلوغرافية
العنوان: Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures.
المؤلفون: Ozhan MO; Department of Anesthesiology and Reanimation, Cankaya Hospital, Ankara, Turkey. E-mail. metozhan2003@yahoo.com., Eskin MB, Atik B, Suzer MA, Capalar CO
المصدر: Saudi medical journal [Saudi Med J] 2019 May; Vol. 40 (5), pp. 463-468.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Medical Services Department, Saudi Arabian Armed Forces, Ministry Of Defence And Aviation Country of Publication: Saudi Arabia NLM ID: 7909441 Publication Model: Print Cited Medium: Internet ISSN: 1658-3175 (Electronic) Linking ISSN: 03795284 NLM ISO Abbreviation: Saudi Med J Subsets: MEDLINE
أسماء مطبوعة: Publication: Riyadh : Medical Services Department, Saudi Arabian Armed Forces, Ministry Of Defence And Aviation
Original Publication: Riyadh, Saudi Arabia, Riyadh Al-Kharj Hospital Programme.
مواضيع طبية MeSH: Laryngeal Masks*/adverse effects, Anesthesia, General/*instrumentation , Anesthesia, General/*methods , Intracranial Aneurysm/*diagnostic imaging , Intracranial Aneurysm/*surgery , Neuroradiography/*methods, Adolescent ; Adult ; Aged ; Airway Extubation ; Anesthesia Recovery Period ; Angiography, Digital Subtraction ; Elective Surgical Procedures ; Endovascular Procedures ; Female ; Hemodynamics ; Humans ; Intubation, Intratracheal/adverse effects ; Male ; Middle Aged ; Retrospective Studies ; Time Factors ; Young Adult
مستخلص: Objectives:   To evaluate whether using laryngeal mask airway (LMA) made a difference in terms of airway security, hemodynamic changes, complications, and recovery times compared to tracheal intubation during the procedure in patients undergoing general anesthesia for endovascular treatments  of unruptured cerebrovascular aneurysms.
Methods: The electronic medical records database, patient files, and anesthesia charts were examined between May 2008 and September 2016 to identify patients with the following inclusion criteria: 1) aged 18-70 years; 2) American Society of Anesthesiologists (ASA) classification I-III; 3) diagnosis of unruptured CVA; 4) Glasgow coma scale of 15 without neurological deficit; and 5) underwent elective EVT under general anesthesia.
Results:   Tracheal tube (TT) was used in 46 patients (group TT, n=46) and LMA in 42 patients (group LMA, n=42). Mean arterial pressure (MAP) levels were increased to greater than 20% of baseline in 14 patients (30.4%) after intubation and in 6 (13%) after extubation in group TT. All LMA patients remained within normal MAP limits (p less than 0.05). Six patients (13%) displayed coughing or straining at extubation in group TT whereas none in group LMA (p less than 0.05). Recovery and discharge times were similar (p greater than 0.05). Conclusion:  Laryngeal mask airway  and TT provided comparable airway security during procedure. Laryngeal mask airway attenuated stress response in hemodynamic parameters at intubation and extubation and smoother emergence compared to TT without delay in recovery.
التعليقات: Comment in: Saudi Med J. 2019 Aug;40(8):849. (PMID: 31423525)
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تواريخ الأحداث: Date Created: 20190507 Date Completed: 20191028 Latest Revision: 20200225
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6535157
DOI: 10.15537/smj.2019.5.24131
PMID: 31056623
قاعدة البيانات: MEDLINE
الوصف
تدمد:1658-3175
DOI:10.15537/smj.2019.5.24131