| Autor: |
Piccioni, Federico, Codazzi, Daniela, Paleari, Maria C., Previtali, Paola, Delconte, Gabriele, Fumagalli, Luca, Manzi, Renato, Faustini, Marco, Persiani, Laura, Rizzi, Maurilia, Sodi, Federico, Masci, Enzo |
| Zdroj: |
Tumori Journal; February 2021, Vol. 107 Issue: 1 p86-90, 5p |
| Abstrakt: |
Introduction: Endobronchial ultrasound (EBUS) is an endoscopic diagnostic procedure combining flexible fibrobronchoscopy with ultrasound techniques; it allows transbronchial needle aspiration biopsy for the diagnosis and staging of mediastinal masses. We present our preliminary experience with the use of the i-gel O2supraglottic airway device for management of EBUS procedures.Methods: An observational study on 39 patients who underwent EBUS under general anesthesia was performed. Airways were managed with i-gel O2by anesthesiologists unfamiliar with it. Data collected included patient characteristics, i-gel O2positioning, mechanical ventilation, procedure, and complications occurring during and after the EBUS.Results: The i-gel airway was successfully positioned during the first attempt in 34/39 cases (87.2%). No failed positioning was recorded. The EBUS scope easily passed through the i-gel in all patients and in 14 (35.6%) cases it was also inserted through the esophagus allowing the examination or fine needle aspiration of paraesophageal lymph nodes. In one case, during the EBUS procedure, the i-gel was dislocated but easily put in place again. During EBUS, air leakages were significant in 2 cases (5.1%) and minimal in 14 cases (35.9%). A brief self-solved laryngospasm and a bronchospasm during bronchoscopy were recorded. After recovery, no patients had dysphagia; mild odynophagia and pharyngodinia were referred by 2 (5.1%) and 12 (30.1%) patients, respectively.Conclusions: The i-gel O2airway is easy to position and manage even for anesthesiologists unfamiliar with it. This supraglottic airway device is suitable for a complete endosonographic evaluation of the mediastinum. |
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