Respiratory Aspiration of Gastric Content
Conditions
Keywords
Laringeal masks, Cholecystectomy, Laparascopic, Intubation, intratracheal
Brief summary
The standard procedure used for airway control in general anesthesia for LC (laparoscopic cholecystectomy) is endotracheal intubation (EI). AuraGain and I-Gel are supraglottic airway devices (SADs) used for airway control for certain types of surgeries. The aim of this study was to evaluate and compare the performances of new types of SADs with EI regarding their insertion times, durations, perioperative complications and effects on hemodynamic parameters and peak airway pressures (Paw) in LC as well.
Detailed description
The standard procedure used for airway control in general anesthesia for LC (laparoscopic cholecystectomy) is endotracheal intubation (EI). AuraGain and I-Gel are supraglottic airway devices (SADs) used for airway control for certain types of surgeries.Previous studies have investigated and/or compared the performance of ProSeal™ LMA (Intavent Orthofix, Maidenhead, UK) during LC. But the performances of I-Gel and AuraGain have not been studied well yet. The main aim of this study was to evaluate and compare the performances of new types of SADs (i.e. AuraGain and I-Gel) with endotracheal intubation regarding their insertion times, ease of insertion and perioperative complications. The secondary aim was to observe their effects on hemodynamic parameters and peak airway pressures.
Interventions
DEVICEI-gel LMA insertion
'I-gel LMA insertion' was done following anesthesia induction.
DEVICEAuraGain LMA insertion
'AuraGain LMA insertion' was done following anesthesia induction.
DEVICEETT insertion
'ETT insertion' was done following anesthesia induction.
Sponsors
Adiyaman University Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* (ASA) 1-2 physical status scheduled for elective LC
Exclusion criteria
* under the age of 18, history of hiatus hernia, gastroesophageal reflux, body mass index (BMI) \> 30 kg m-2, ASA physical status 3 or over and patients who met the difficult intubation criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insertion time | Perioperative | It was assessed that how many secs it takes to insert the device |
| Attempts to insertion | Perioperative | It was assessed that how many attempts needed to insert the device |
| Airway related complications | Perioperative | Airway related complications like bronchospasm,gastric regurgitation,smooth tissue damages were assessed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate bpm | Perioperative | Heart rates changes were evaluated preoperative and after device insertion and then in every 5 mins. |
| Peak airway pressure | Perioperative | During the surgery peak airway pressures were assessed following device insertion snd then in every 5 mins. |
| Systolic blood pressure mmHg | Perioperative | Systolic blood pressure changes were evaluate preoperative,following device insertion then in every 5 mins. |
| Diastolic blood pressure mmHg | Perioperative | Diastolic blood pressures were evaluated preoperative,following device insertion then in every 5 mins. |
Outcome results
None listed