Comparison of the proseal, supreme, and i-gel SAD in gynecological laparoscopic surgeries
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hindawi Publishing Corporation
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
We compared proseal, supreme, and i-gel supraglottic airway devices in terms of oropharyngeal leak pressures and airway morbidities in gynecological laparoscopic surgeries. One hundred and five patients undergoing elective surgery were subjected to general anesthesia after which they were randomly distributed into three groups. Although the oropharyngeal leak pressure was lower in the i-gel group initially (mean ± standard deviation; 23.9 ± 2.4, 24.9 ± 2.9, and 20.9 ± 3.5, resp.), it was higher than the proseal group and supreme group at 30 min of surgery after the trendelenburg position (25.0 ± 2.3, 25.0 ± 1.9, and 28.3 ± 2.3, resp.) and at the 60 min of surgery (24.2 ± 2.1, 24.8 ± 2.2, and 29.5 ± 1.1, resp.). The time to apply the supraglottic airway devices was shorter in the i-gel group (12.2 (1.2), 12.9 (1.0), and 6.7 (1.2), resp., P=0.001). There was no difference between the groups in terms of their fiber optic imaging levels. pH was measured at the anterior and posterior surfaces of the pharyngeal region after the supraglottic airway devices were removed; the lowest pH values were 5 in all groups. We concluded that initial oropharyngeal leak pressures obtained by i-gel were lower than proseal and supreme, but increased oropharyngeal leak pressures over time, ease of placement, and lower airway morbidity are favorable for i-gel. © 2015 Sanli Mukadder et al.
Açıklama
Anahtar Kelimeler
abdominal pressure, adult, airway pressure, Article, artificial ventilation, breathing rate, controlled study, cystectomy, device comparison, female, fiberoptic bronchoscopy, gynecologic surgery, gynecological laparoscopic surgery, human, hysterectomy, laparoscopic surgery, laparoscopy, laryngeal mask, major clinical study, mean arterial pressure, myomectomy, operation duration, oropharyngeal leak pressure, pH, pulse rate, randomized controlled trial, supraglottic airway device, supreme supraglottic airway device, tidal volume, uterine tube ligation, adolescent, adverse effects, devices, equipment design, general anesthesia, gynecologic surgery, middle aged, oropharynx, pressure, young adult, Adolescent, Adult, Anesthesia, General, Equipment Design, Female, Gynecologic Surgical Procedures, Humans, Laparoscopy, Laryngeal Masks, Middle Aged, Oropharynx, Pressure, Young Adult
Kaynak
Scientific World Journal
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
2015
