Comparison of LM-Supreme (TM) and endotracheal tube in patients undergoing gynecological laparoscopic surgery

KUVAKİ BALKAN B., ÖZBİLGİN Ş., GÜNENÇ S. F., Kucuk B. A.

JOURNAL OF CLINICAL MONITORING AND COMPUTING, cilt.34, sa.2, ss.295-301, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1007/s10877-019-00310-2
  • Dergi Adı: JOURNAL OF CLINICAL MONITORING AND COMPUTING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Aerospace Database, CINAHL, Communication Abstracts, Compendex, EMBASE, INSPEC, MEDLINE, Metadex, Civil Engineering Abstracts
  • Sayfa Sayıları: ss.295-301
  • Anahtar Kelimeler: Laryngeal mask Supreme, Endotracheal tube, Gynecological surgery, Laparoscopy, LARYNGEAL MASK AIRWAY, LMA SUPREME(TM), PROSEAL, VENTILATION, PRESSURE, EFFICACY, SAFETY, ANESTHESIA
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

While laryngeal mask is widely used for laparoscopic interventions in some countries, concerns exist regarding pulmonary aspiration and inadequate ventilation. We compared the LM-Supreme (TM) (LM-S) with the endotracheal tube (ETT) for laparoscopic gynecological interventions in terms of ventilation parameters and gastric distention. This prospective randomized and double-blind study. The patients were divided into two groups: ETT (n = 50) and LM-S group (n = 50). All patients in the LM-S and ETT groups recieved total intravenous general anaesthesia and standard ventilation protocols. Ventilation parameters (airway peak pressure, mean airway pressure, end-tidal carbon dioxide, total volume, oropharyngeal leak pressure) and perioperative laryngopharyngeal morbidity were recorded before peritoneal insufflation, during and after the peroperative period. The mean airway pressure values in the ETT group 2 min after airway device insertion were significantly higher. The gastric distension after the laparoscope entered the abdomen in the LM-S group was found to be significantly lower. In the first hour postoperative sore throat, disphonia and dysphagia were statistically significantly higher in the ETT group. In our study we concluded that LM-S provides reliable endotracheal intubation in ASA I & II patients undergoing laparoscopic gynecological surgery under positive pressure ventilation. ClinicalTrials.gov ID NCT02127632.