Difficult Intubation
Conditions
Keywords
laryngeal mask
Brief summary
LMA insertion provide an intact airway for many surgeries during general anesthesia . LMA insertion technique was defined when it was first produced by Archie Brain . Accordingly, it is recommended to advance the device to the level where resistance is felt blindly. However, placing LMA may not always be smooth and uncomplicated. Thus, gas leaks may occur and intragastric pressure increase may occur due to gastric insufflation. To overcome these difficulties, the placement of the LMA under direct vision using a laryngoscope has been described in several studies . Previous studies have shown that the reliability of the laryngeal mask can be demonstrated by the oropharyngeal cuff leak test . In addition, the classification of the image of the laryngeal structures mediated by fiberoptic imaging and vocal cords from the LMA gives us information about the availability of effective positive pressure ventilation.
Detailed description
LMA insertion provide an intact airway for many surgeries during general anesthesia . LMA insertion technique was defined when it was first produced by Archie Brain . Accordingly, it is recommended to advance the device to the level where resistance is felt blindly. However, placing LMA may not always be smooth and uncomplicated. Thus, gas leaks may occur and intragastric pressure increase may occur due to gastric insufflation. To overcome these difficulties, the placement of the LMA under direct vision using a laryngoscope has been described in several studies . Previous studies have shown that the reliability of the laryngeal mask can be demonstrated by the oropharyngeal cuff leak test . In addition, the classification of the image of the laryngeal structures mediated by fiberoptic imaging and vocal cords from the LMA gives us information about the availability of effective positive pressure ventilation.In cases where difficulties are found in laryngeal mask placement, using direct laryngoscope or videosingoscope, placement is frequently applied in anesthesia practice. Kim GW et al investigated LMA placement with direct laryngoscope. However, there is no study investigating the effectiveness of videongoscopes. Videoingoscopes have wide viewing angles through their cameras located at the blade tips. For this reason, we think that it will be advantageous in placing a laryngeal mask.
Interventions
DEVICElarengeal mask insertion with video laryngoscopy
it is a method of inserting a laryngeal mask into the airway with videolaryngoscopy
laryngeal mask is a method of inserting atube into the upper airway
Sponsors
Kocaeli Derince Education and Research Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients between 18-65 years old * ASA1,2,3 group patients * Patients undergoing general anesthesia Patients scheduled for elective surgery
Exclusion criteria
* The patient's refusal to participate in the study * Contraindication for placement of the laryngeal mask
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The role of Videeolaryngoscope in Placement of Laryngeal Mask | the study will comlete in two month | video laryngoscopy use in Larengeal Mask insertion, prevent complications of Larengeal mask. |
Countries
Turkey (Türkiye)
Outcome results
None listed