Various Uses of Laryngeal Mask Airway during Tracheal Surgery
| Autor: | Ali Çelik, Muhammet Sayan, İsmail Cüneyt Kurul, Abdullah Irfan Tastepe, Ismail Tombul, Aykut Kankoc |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Tracheal surgery Tracheoesophageal fistula 030204 cardiovascular system & hematology Anastomosis Laryngeal Masks 03 medical and health sciences 0302 clinical medicine Laryngeal mask airway 030202 anesthesiology Intubation Intratracheal medicine Humans Child Retrospective Studies medicine.diagnostic_test business.industry respiratory system medicine.disease Surgery Tracheal Stenosis Pulse oximetry Treatment Outcome Oxygen Saturation Breathing Female Cardiology and Cardiovascular Medicine business Airway |
| Popis: | Background The use of laryngeal mask airway (LMA) ventilation in surgeries to be performed in upper tracheal stenosis has been reported in the case series. However, there is no generally accepted standardized approach for the use of LMA. In this study, LMA usage areas and advantages of trachea surgery were examined. Methods The records of 21 patients who underwent tracheal surgery using LMA ventilation between March 2016 and May 2020 were evaluated retrospectively. The patient data were analyzed according to age, gender, mean follow-up time, surgical indication, mean tracheal resection length, anastomosis duration, mean oxygen saturation, mean end-tidal CO2 levels, and postoperative complications. Results Four patients were female and 17 were male, their median age was 43 (11–72 range) and the mean follow-up time was 17.6 months. The most common surgical indication was postintubation tracheal stenosis. The mean tracheal resection length was 26.6 mm and the mean anastomosis duration was 11.3 minutes. The mean pulse oximetry and mean end-tidal CO2 during laryngeal mask ventilation was 97.6% ± 2.1 and 38.1 ± 2.8 mm Hg, respectively. Postoperative complications were higher in patients with comorbidities. Conclusion LMA-assisted tracheal surgery is a method that can be used safely as a standard technique in the surgery of benign and malignant diseases of both the upper and lower airway performed on pediatric patients, patients with tracheostomy, and suitable patients with tracheoesophageal fistula. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|