Application of flexible laryngeal mask in endoscopic ophthalmic day surgery
Journal Title: Eye Science (Yanke Xuebao) - Year 2024, Vol 39, Issue 11
Abstract
[Objective:] To investigate the safety of flexible laryngeal masks in the application of endoscopic ophthalmic ambulatory surgery. [Methods:] Data of adult patients undergoing endoscopic day ophthalmic surgery under general anesthesia from January 2023 to January 2024 were collected; the changes in hemodynamics at T1 (entry into the operating room), T2 (after intubation), T3 (before surgery), and T6 (after surgery) time points and the respiratory parameters at T2(after intubation), T4 (5 minutes after surgery), T5 (30 minutes after surgery), and T6 (after surgery) time points were analyzed; meanwhile, the complications during the PACU stay were also analyzed. [Results:] A total of 635 patients were included in the retrospective analysis, of whom 619 patients were initially used FLMA, FLMA were successfully inserted in 607 patients with a rate of 98.1% while 12 patients suffered insertion failure during the period of anesthesia induction. Importantly, none of patients displayed FLMA ventilation failure and required tracheal intubation during the period of surgery. General anesthesia via FLMA ventilation can provide high quality of surgical field for endoscopic ophthalmic surgery, as evidenced by stable heart rates and mean arterial pressure and no significant change in minute ventilation at each time points. All patients recovered uneventfully with a PACU stay time of 34.6±11.2min and FLMA removal time of (14.3±4.3) min. None of patients exhibited subsequently endotracheal intubation after FLMA removal. [Conclusion:] FLMA with successful placement can be safely used for endoscopic ophthalmic ambulatory surgery under general anesthesia.
Authors and Affiliations
Honglian HE, Rui ZHANG, Chongxi ZHAO, Xiaoliang GAN
Keywords
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- EP ID EP761489
- DOI 10.12419/24092502
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