Ear, Nose and Throat Respiratory laparoscopic surgeries Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Female patients Undergoing elective gynecological laparoscopic surgeries under general anesthesia ASA status l-ll
Exclusion criteria
Exclusion criteria: Weight 35 kg/m2 History of hiatus hernia History of gastro-esophageal reflux disease Neck tumors or large scars Cervical spine pathology or fracture Upper airway pathology or obstruction Preoperative sore throat Predicted difficult airway Planned operation time > 4 h.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adequate airway seal will be measured with the patient’s head and neck in the neutral position after closing the adjustable pressure limiting valve with a fresh gas flow of 6 L/min, noting the airway pressure at equilibrium. At this point, gas leakage will be heard at the mouth, at the epigastrium (epigastric auscultation) or coming out of the drainage tube. The maximum pressure allowed was 40 cm H2O | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of attempts of insertion: the proper insertion of the EGAD was confirmed by the detection of expired carbon dioxide by capnography and adequate chest inflation, three insertion attempts were allowed. Each ‘attempt’ is defined as re-insertion of the EGAD into the mouth;The ease of insertion which will be graded from 1-3 degrees (1= easy from the first attempt, 2=difficult as need more than one attempt, 3= impossible and failed to be inserted);Duration of insertion: interval from when the study investigator open the mouth of the patient and start insertion of the EGAD to first CO2 trace.;Blood staining of the device;Displacement of the device;Vomiting;Pharyngo-laryngeal discomfort | — |
Countries
Egypt
Contacts
Prof of anesthesia and intensive care and pain management Faculty of medicine AlAzhar University