Prospective Randomized Comparative Study of ProsealTM and Endotracheal Tube for Airway Management in Gynecological Laparoscopic Under General Anesthesia
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2018, Vol 4, Issue 12
Abstract
PLMA is a recent, complex, and ingenious development with some added features of Classic LMA like Modified dual cuff ,Drain tube, positive pressure ventilation at higher peak inspiratory pressure. Study was to evaluate and compare the use of Proseal laryngeal mask airway and endotracheal tube with controlled ventilation in patients undergoing gynecological laparoscopic procedure. 100 patients, ASA risk I & II, posted for elective laparoscopic were recruited in the study. All the patients between 18 to 45 yrs of age were randomly divided in two groups Group PLMA and Group ETT (50 patients each). Attempt of insertion of airway device, Leak pressure, pulmonary ventilation, Hemodynamic; heart & MAP, gastric distention were recorded. All patients were of middle age group, comparable in weight. Mean duration of laparoscopy was comparable in both the groups. Significant rise in heart rate and mean arterial pressure seen in group ETT after induction of anesthesia .Changes in the end tidal CO2 and peak airway pressure after induction of anesthesia, before & after peumoperitoneum were comparable in two groups. After head low position peak airway pressure is slightly raised in Group PLMA. Gastric distension was noted higher in Group PLMA (8%).Incidence of sore throat (22%), nausea vomiting (14) airway trauma (14%) was higher in group ETT. Hemodynamic stability was better in PLMA group at time of induction and comparable in two groups at time of pneumoperitoneum and trendelenburg position along with pulmonary ventilation. Post operative sore throat, nausea vomiting was higher with endotracheal tube.
Authors and Affiliations
Dr. Namrata Jain, Dr. Anju Gautam
Keywords
Related Articles
- EP ID EP488143
- DOI -
- Views 102
- Downloads 0
Silymarin as Herbal Medicine- A Review
Abstract:Silymarin, a flavonolignan contain phenolic and flavanoid component from Silybum marianum plant, is used for the strengthening against various liver conditions in both experimental models and clinical settings....
A Retrospective Study of Recurrent Respiratory Papillomatosis in WestBengal, India
Abstract:Recurrent respiratorypapillomatosis is a rare benign disease of the upper airway caused by HPV, primarily affecting the paediatric age group. A retrospective analysis of 11 cases of recurrent respiratorypapillom...
Management of the Nasal Obstruction in Children
Nasal obstruction (NO) is defined as a single or bilateral nasal breathing disorder, recent or old, permanent or intermittent. It is a frequent problem in pediatrics and underestimated because of the absence of complaint...
Prevalence of Pulmonary Tuberculosis in Industrial Population in a Tertiary Care Center in North India
Abstract: Epidemiological information on tuberculosis (TB) has always been vital for planning control strategies. It has now gained further importance for monitoring the impact of interventions to control the disease. Th...
Haematological Profile of Rat Offspring Exposed To Beta Cypermethrin during the Perinatal Period
Abstract:Cypermethrin, a broad spectrum insecticide, has been extensively used for pest management and animal husbandry practices. Previous studies have shown that cypermethrin has teratogenic effect on rat foeti born to...