دورية أكاديمية
Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures.
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) |
References: | Lancet. 2002 Oct 26;360(9342):1267-74. (PMID: 12414200) AJNR Am J Neuroradiol. 2002 Nov-Dec;23(10):1706-9. (PMID: 12427628) Anesth Analg. 2003 Mar;96(3):890-5, table of contents. (PMID: 12598280) Anaesthesia. 1992 Apr;47(4):300-2. (PMID: 1519679) Eur J Anaesthesiol. 2006 Nov;23(11):902-13. (PMID: 16723053) Curr Opin Anaesthesiol. 2003 Aug;16(4):417-20. (PMID: 17021491) Anesthesiol Clin. 2007 Sep;25(3):391-412, vii. (PMID: 17884701) Neuroradiology. 2008 Jan;50(1):53-6. (PMID: 17891386) J Clin Neurosci. 2009 Jan;16(1):104-5. (PMID: 19013811) Anaesthesia. 2009 Dec;64(12):1289-94. (PMID: 19860753) J Oral Maxillofac Surg. 2010 Oct;68(10):2359-76. (PMID: 20674126) Curr Opin Anaesthesiol. 2011 Aug;24(4):426-32. (PMID: 21577099) AJNR Am J Neuroradiol. 2012 Nov;33(10):2017-21. (PMID: 22555586) Anaesthesiol Intensive Ther. 2013 Jul-Sep;45(3):145-8. (PMID: 24092510) Cochrane Database Syst Rev. 2014 Jun 17;(6):CD003843. (PMID: 24937564) Curr Opin Anaesthesiol. 2014 Dec;27(6):616-22. (PMID: 25251919) Acta Anaesthesiol Scand. 1994 Jul;38(5):510-3. (PMID: 7941947) Anesth Analg. 1996 Jan;82(1):129-33. (PMID: 8712387) Stroke. 1997 Mar;28(3):660-4. (PMID: 9056628) |
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 |
تدمد: | 1658-3175 |
---|---|
DOI: | 10.15537/smj.2019.5.24131 |