Comparison of oxygenation and ventilation parameters between proseal laryngeal mask airway and endotracheal tube in patients undergoing laparoscopic surgeries: a prospective observational study
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 4
Abstract
Introduction Use of endotracheal tube ETT has many limitations There is a need for an airway device with similar safety and good side effect profile In this prospective observational study the oxygenation and ventilation parameters between patients who were inserted Proseal laryngeal mask airway PLMA or ETT for laparoscopic surgeries were comparedMaterials and Methods After ethical committee approval informed consent was obtained from sixty patients thirty in each group posted for elective laparoscopic surgery Following induction of general anaesthesia and paralysis PLMA or ETT was inserted and pressure control mode was used for ventilation The following parameters were measured a Oxygen saturation and changes in FiO2 needed to ensure a target SpO2 95 EtCO2 and changes in respiratory rate and inspiratory pressure needed to ensure a target EtCO2 between 3545 mmHg b Insertion characteristics of airway device and gastric tube hemodynamic responses incidence of complications Statistical Analysis Chisquare test was used to analyze qualitative data Independent t test was used to assess quantitative variables Repeated measures ANOVA was used to compare the outcome measures over time adjusted for duration of surgery and anaesthesia P valuesResults Both groups were comparable with respect to age gender and weight Oxygenation and ventilation parameters achieved with both ETT and PLMA were comparable and satisfactory Haemodynamic parameters increased significantly in ETT group compared to PLMA group during airway insertion and removal Also postoperative sore throat was comparatively less in the PLMA groupConclusion Hence we conclude that PLMA may be considered as an alternative to ETT in airway management of patients undergoing laparoscopic surgeries with comparable oxygenation and ventilation parameters and improved side effect profileKeywords Endotracheal tube Proseal laryngeal mask airway Laryngoscopy Pneumoperitoneum
Authors and Affiliations
Karthik Jain M, Deepak Devendran, Vasudeva Upadhyaya K. S
Keywords
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- EP ID EP476503
- DOI 10.18231/2394-4994.2018.0101
- Views 90
- Downloads 0
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