Laryngeal Mask Airways and Use of a Boyle–Davis Gag in ENT Surgery
| Autor: | Miran Pankhania, Vias Demetriou, Roland Hettige, Mark Draper |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
business.industry General Medicine Airway obstruction medicine.disease Laryngeal Masks United Kingdom Otorhinolaryngologic Surgical Procedures Surgery Intraoperative Period Prospective analysis Otorhinolaryngology Laryngeal mask airway Anesthesia Medicine Education Medical Continuing Prospective Studies business Airway Learning Curve |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 123:338-342 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/0003489414526365 |
| Popis: | Objectives: The objective was to identify whether the experience of the operating surgeon was relevant to the frequency of the laryngeal mask airway (LMA) airway obstruction or change to an endotracheal tube during ear, nose, and throat surgery. Methods: Data were prospectively collected for 186 patients undergoing a procedure with the use of a Boyle–Davis gag and LMA over 12 months in a district-general hospital in the United Kingdom. patient demographics (age, mallampati grade), grade of surgeon, grade of anesthetist, LMA size inserted, and any intraoperative adjustments needed were recorded. Results: There was an overall intraoperative airway intervention rate of 21%. The experience of the surgeon affected the rate of intraoperative airway interventions encountered, reflected by the significantly lower rate of airway complications (ie, 10%) seen when associate specialists perform these types of procedures compared to other grades of surgeon (Fisher’s exact test 2-tailed P value = .04). A significant complication rate of 50% was seen with core surgical trainees compared to other grades of surgeon (Fisher’s exact test 2-tailed P value = .002). Conclusions: The results of this study suggest there may be a learning curve for otolaryngology trainees when using a LMA. However, larger studies and further subanalyses are essential before further conclusions can be made. |
| Databáze: | OpenAIRE |
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