کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2762571 1150718 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The Laryngeal Mask Airway Supreme for positive pressure ventilation during laparoscopic cholecystectomy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
The Laryngeal Mask Airway Supreme for positive pressure ventilation during laparoscopic cholecystectomy
چکیده انگلیسی

Study ObjectiveTo evaluate the Laryngeal Mask Airway Supreme (SLMA) in patients undergoing laparoscopic cholecystectomy.DesignProspective observational study.SettingUniversity-affiliated hospital.Patients100 ASA physical status 1, 2, and 3 adult patients undergoing laparoscopic cholecystectomy with general anesthesia.InterventionsThe SLMA was inserted in all study patients. Patients were placed in the reverse Trendelenburg position.MeasurementsEase of insertion of the device and the drain tube, oropharyngeal leak pressure, frequency of postoperative sore throat, and other adverse events were recorded. The surgeon scored stomach size on an ordinal scale of 0–10 at insertion of the laparoscope and before decompression of the pneumoperitoneum.Main ResultsInsertion of the SLMA was successful in all patients (91 pts on the first attempt, 9 pts on the second attempt). Gastric tube insertion was successful in all patients (easy in 97 pts, difficult in 3 pts). Initial mechanical ventilation was adequate in all cases. Mean oropharyngeal leak pressure at the 60 cm H2O cuff pressure level was 28.8 cm H2O (±5.2; range 18–40 cm H2O). Mean airway pressure before pneumoperitoneum was 17.5 cm H2O (±3.3; cm; range 11–26 cm H2O) and 22.9 cm H2O (±4 cm; range 16–32 cm H2O) after pneumoperitoneum. Median (range) stomach size on insertion of the laparoscope and change in stomach size during surgery did not interfere with the procedure in any patient. Twelve patients (12%) complained of a mild sore throat postoperatively. No other complications were reported.ConclusionsThe SLMA is easy to insert and it is an effective ventilatory device for laparoscopic cholecystectomy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Anesthesia - Volume 23, Issue 6, September 2011, Pages 456–460
نویسندگان
, , , , , , , ,