Intubation Times, Postoperative Complications, The Device Placement Times
Conditions
Keywords
Fastrack Laryngeal Mask, Video Laryngeal Mask
Brief summary
In our study, patients who are intubated using VLM and Fastrack LMA for intubation purposes will be included. The placement times, intubation times, and the number of failed attempts for both devices will be recorded. Additionally, postoperative complications (sore throat, hoarseness, nausea-vomiting, additional antiemetic medication requirements, etc.) will be monitored and recorded.
Detailed description
The 2015 Difficult Airway Society guidelines specify that in cases where an unexpectedly difficult airway is encountered, and the initial intubation attempt is unsuccessful, the insertion of a supraglottic airway device (SAD) is recommended to maintain ventilation and oxygenation, followed by tracheal intubation through the SAD. SAD has been designated as a rescue airway device in difficult airway algorithms and resuscitation guidelines to buy time. Additionally, SAD is used to maintain airway and anesthesia in surgeries that do not require intubation. The Video Laryngeal Mask (VLM) is a newly developed type of SAD. With VLM, direct visualization of the glottis is achieved immediately after SAD placement. VLM has a channel that allows for endotracheal tube passage for intubation purposes and provides direct visualization. The Fastrack LMA, on the other hand, possesses all the ventilation features of classic SADs but is designed for blind or fiberoptic-guided tracheal intubations. These devices are used as rescue devices in cases of limited neck extension and difficult airway situations. Both devices are routinely used for ventilation and intubation purposes in patients. The use of these two devices is preferred in patients where neck extension is undesirable or neck movements are restricted for intubation purposes. In our study, patients who are intubated using VLM and Fastrack LMA for intubation purposes will be included. The placement times, intubation times, and the number of failed attempts for both devices will be recorded. Additionally, postoperative complications (sore throat, hoarseness, nausea-vomiting, additional antiemetic medication requirements, etc.) will be monitored and recorded.
Interventions
OTHERVideo Laryngeal Mask
Patients who are intubated using Video Laryngeal Mask for intubation purposes will be included.
OTHERFastrack Laryngeal Mask
Patients who are intubated using Fastrack Laryngeal Mask for intubation purposes will be included.
Sponsors
Ankara Etlik City Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Inclusion criteria
1. Individuals between the ages of 18 and 80. 2. Patients with ASA (American Society of Anesthesiologists) scores I, II, or III. 3. Patients undergoing surgery under general anesthesia in the operating room.
Exclusion criteria
1. Patients under 18 years old or over 80 years old. 2. Patients who refuse to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of failed attempts | 3 minutes after induction of anesthesia | Number of failed attempts |
| Laryngeal Mask Placement times(minute) | 3 minutes after induction of anesthesia | Laryngeal Mask Placement times(minute) |
| Intubation times | 3 minutes after induction of anesthesia | Intubation times |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sore throat | 0-2-4-8-12-24 hours postoperatively | Postoperative complications |
| Need for additional antiemetic medication | 0-2-4-8-12-24 hours postoperatively | Postoperative complications |
| Hoarseness | 0-2-4-8-12-24 hours postoperatively | Postoperative complications |
| Nausea-vomiting | 0-2-4-8-12-24 hours postoperatively | Postoperative complications |
Countries
Turkey (Türkiye)
Outcome results
None listed