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Journals / Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2012 / Cilt: 52 - Sayı: 1

Endotrakeal entubasyon, proseal LMA ve supreme LMA nın laparoskopik kolesistektomi olgularında karşılaştırılması

Comparasion of endotracheal intubation,proseal LMA and supreme LMA in laparoscopic cholecystectomy

Osman EKİNCİ
Dilek SUBAŞI
Berna TERZİOĞLU
Şeref MARDİNLİ
Erkan ÖZKAN
Mehmet ERŞAHİN
Pages
35–44
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We concluded that PLMA and SLMA can be preferred instead of endotracheal intubation in laparoscopic surgical cases to provide effective ventilation with lesser side effects.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The insufflations of CO2 into the abdomen during laparoscopic surgery can cause gastric distention and gastroesophageal reflux.
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Key Findings & Data:Methods: A total of 120 adult patients, classified as ASA I-II and undergoing elective laparoscopic cholecystectomy (duration 1 2 h) were randomly allocated to one of three groups: endotracheal intubation group, ProSeal LMA group and Supreme LMA group.
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Conclusion & Impact:Conclusion: We concluded that PLMA and SLMA can be preferred instead of endotracheal intubation in laparoscopic surgical cases to provide effective ventilation with lesser side effects.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: The insufflations of CO2 into the abdomen during laparoscopic surgery can cause gastric distention and gastroesophageal reflux. Devices used for keeping airway patent in difficult airway cases gained importance. In this study we compared the stress response and side effects of endotracheal intubation, ProSeal LMA and Supreme LMA in laparoscopic cholecystectomy cases. Methods: A total of 120 adult patients, classified as ASA I-II and undergoing elective laparoscopic cholecystectomy (duration 1 2 h) were randomly allocated to one of three groups: endotracheal intubation group, ProSeal LMA group and Supreme LMA group. Results: There was no statistically significant difference between the preoperative measurements of cortisol levels in all groups. The cortisol levels 1 min after intubation in group ETT was significantly higher than the cortisol levels measured in group ProSeal LMA and Supreme LMA. Peripheral oxygen saturation, end-tidal CO2, peak pressures, gastric and nasopharyngeal pH measurements were not different between groups. Hoarseness at postop 1 hour was found to be significantly higher in the group endotracheal intubation. Symptoms of hoarseness, sore throat and dysphagia were lower in the group ProSeal LMA and group Supreme LMA than that of the group endotracheal intubation. Insertion duration and insertion attempt number were not different between ProSeal LMA and Supreme LMA groups. Conclusion: We concluded that PLMA and SLMA can be preferred instead of endotracheal intubation in laparoscopic surgical cases to provide effective ventilation with lesser side effects.

Özet

Endotrakeal Entübasyon, ProSeal LMA ve Supreme LMA'nin Laparoskopik Kolesistektomi Olgularında Karşılaştırılması Amaç: Laparoskopik cerrahi sırasında karın içine CO2 insuflasyonu gastrik distansiyon ve gastroözofageal reflüye neden olabilir. Zor havayolu vakalarında havayolunu açık tutmak için kullanılan cihazlar önem kazanmıştır. Bu çalışmada, endotrakeal entübasyon, ProSeal LMA ve Supreme LMA'nın stres yanıt ve yan etkiler üzerine etkilerini laparoskopik kolesistektomi vakalarında karşılaştırdık.Gereç ve Yöntem: ASA l-ll olan, elektif laparoskopik kolesistektomi (1-2 saat) yapılan 120 erişkin hasta, rastgele üç gruba ayrıldı: endotrakeal entübasyon (ETT) grubu, ProSeal LMA grubu ve Supreme LMA grubu.Bulgular: Tüm gruplarda preoperatif kortizol ölçümleri arasında anlamlı bir fark yoktu. Grup ETT'de entübasyon sonrası 1. dk kortizol seviyeleri, ProSeal LMA ve Supreme LMA gruplarında ölçülen kortizol düzeylerinden anlamlı derecede daha yüksekti.Periferik oksijen satürasyonu, end-tidal CO2, pikbasınçları, gastrik ve nazofarenks pH ölçümleri gruplar arasında farklı değildi. Postop 1. saatte ses kısıklığı bulundu. ETT grubunda anlamlı olarak yüksek bulunmuştur. Ses kısıklığı, boğaz ağrısı ve yutma güçlüğü belirtileri olan hastaların sayısı, ProSeal LMA ve Supreme LMA grubunda endotrakeal entübasyon gru-bundakinden daha düşüktü. Yerleştirme süresi ve yerleştirme girişimi sayısı, ProSeal LMA ve Supreme LMA grupları arasında farklı değildi. Sonuç: PLMA ve SLMA'nın laparoskopik cerrahi vakalarında daha az yan etkileri ile etkili ventilas-yon sağlayarak endotrakeal entübasyona tercih edilebileceği sonucuna vardık.

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Cite This Article

EKİNCİ, O., SUBAŞI, D., TERZİOĞLU, B., MARDİNLİ, Ş., ÖZKAN, E., ERŞAHİN, M. (2022). Endotrakeal entubasyon, proseal LMA ve supreme LMA nın laparoskopik kolesistektomi olgularında karşılaştırılması. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 52 - Sayı: 1, 35–44. https://ajindex.com/articles/535407

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