A comparison of laryngeal mask airway-supreme and endotracheal tube use with respect to airway protection in patients undergoing septoplasty: a randomized, single-blind, controlled clinical trial

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dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridOzkan, Ahmet Selim/0000-0002-4543-8853
dc.authoridkaraaslan, erol/0000-0002-8534-3680
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.authorwosidOzkan, Ahmet Selim/ABH-2918-2020
dc.authorwosidkaraaslan, erol/ABI-2700-2020
dc.contributor.authorKaraaslan, Erol
dc.contributor.authorAkbas, Sedat
dc.contributor.authorOzkan, Ahmet Selim
dc.contributor.authorColak, Cemil
dc.contributor.authorBegec, Zekine
dc.date.accessioned2024-08-04T20:49:13Z
dc.date.available2024-08-04T20:49:13Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground There 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. Methods The 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. Results In 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. Conclusion The 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.en_US
dc.identifier.doi10.1186/s12871-020-01222-4
dc.identifier.issn1471-2253
dc.identifier.issue1en_US
dc.identifier.pmid33407130en_US
dc.identifier.scopus2-s2.0-85098750306en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1186/s12871-020-01222-4
dc.identifier.urihttps://hdl.handle.net/11616/99696
dc.identifier.volume21en_US
dc.identifier.wosWOS:000608127400001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofBmc Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAirway protectionen_US
dc.subjectLMA supremeen_US
dc.subjectSeptoplastyen_US
dc.subjectFiberoptic bronchoscopyen_US
dc.subjectSore throaten_US
dc.titleA comparison of laryngeal mask airway-supreme and endotracheal tube use with respect to airway protection in patients undergoing septoplasty: a randomized, single-blind, controlled clinical trialen_US
dc.typeArticleen_US

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