The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative Bleeding
The objective: to conduct a comparative assessment of the severity of intraoperative bleeding with different methods of airway management (using a laryngeal mask and endotracheal tube) during endoscopic rhinosinussurgical procedures.Subjects and Methods. A prospective randomized cohort single-center...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2022-05-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/646 |
| _version_ | 1797697657469140992 |
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| author | V. E. Pavlov Yu. S. Polushin L. V. Kolotilov S. A. Karpishchenko |
| author_facet | V. E. Pavlov Yu. S. Polushin L. V. Kolotilov S. A. Karpishchenko |
| author_sort | V. E. Pavlov |
| collection | DOAJ |
| description | The objective: to conduct a comparative assessment of the severity of intraoperative bleeding with different methods of airway management (using a laryngeal mask and endotracheal tube) during endoscopic rhinosinussurgical procedures.Subjects and Methods. A prospective randomized cohort single-center study of 160 cases of endoscopic rhinosinussurgical procedures under general anesthesia was conducted.Tracheal intubation (TI) was used in 79 cases (Group 1), a laryngeal mask (LM) – in 81 (Group 2). The evaluation criteria in the groups included the bleeding intensity (BI) by 6-point scale of average categories (Fromme-Boezaart Score), indicators characterizing the state of blood circulation during surgery: HR, BPsys., BPdiast., MAP, and perfusion index.Results. Significantly lower BI values were observed in Group 2 at all time points of the study (at the 10th, 30th and 60th minute of surgery). This was due both to using a laryngeal mask, and to lower HR, BPsys., BPdiast, and MAP.Conclusion. The use of a laryngeal mask for airway management during general anesthesia in endoscopic rhinosinussurgical procedures helps to reduce the intensity of surgical field bleeding. |
| first_indexed | 2024-03-12T03:43:13Z |
| format | Article |
| id | doaj.art-10ffc595adbc40248ed20b62c723bfbb |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T03:43:13Z |
| publishDate | 2022-05-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-10ffc595adbc40248ed20b62c723bfbb2023-09-03T13:02:12ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532022-05-01192323910.21292/2078-5658-2022-19-2-32-39507The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative BleedingV. E. Pavlov0Yu. S. Polushin1L. V. Kolotilov2S. A. Karpishchenko3Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаУниверситет Святого Иосифа, Колледж здоровья и смежных наук Святого ИосифаПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаThe objective: to conduct a comparative assessment of the severity of intraoperative bleeding with different methods of airway management (using a laryngeal mask and endotracheal tube) during endoscopic rhinosinussurgical procedures.Subjects and Methods. A prospective randomized cohort single-center study of 160 cases of endoscopic rhinosinussurgical procedures under general anesthesia was conducted.Tracheal intubation (TI) was used in 79 cases (Group 1), a laryngeal mask (LM) – in 81 (Group 2). The evaluation criteria in the groups included the bleeding intensity (BI) by 6-point scale of average categories (Fromme-Boezaart Score), indicators characterizing the state of blood circulation during surgery: HR, BPsys., BPdiast., MAP, and perfusion index.Results. Significantly lower BI values were observed in Group 2 at all time points of the study (at the 10th, 30th and 60th minute of surgery). This was due both to using a laryngeal mask, and to lower HR, BPsys., BPdiast, and MAP.Conclusion. The use of a laryngeal mask for airway management during general anesthesia in endoscopic rhinosinussurgical procedures helps to reduce the intensity of surgical field bleeding.https://www.vair-journal.com/jour/article/view/646эндоскопическая риносинусохирургияинтраоперационное кровотечениеподдержание проходимости дыхательных путейларингеальная маскаинтубация трахеи |
| spellingShingle | V. E. Pavlov Yu. S. Polushin L. V. Kolotilov S. A. Karpishchenko The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative Bleeding Вестник анестезиологии и реаниматологии эндоскопическая риносинусохирургия интраоперационное кровотечение поддержание проходимости дыхательных путей ларингеальная маска интубация трахеи |
| title | The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative Bleeding |
| title_full | The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative Bleeding |
| title_fullStr | The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative Bleeding |
| title_full_unstemmed | The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative Bleeding |
| title_short | The Effect of the Method of Airway Management During Endoscopic Sinus Surgery Procedures on the Intraoperative Bleeding |
| title_sort | effect of the method of airway management during endoscopic sinus surgery procedures on the intraoperative bleeding |
| topic | эндоскопическая риносинусохирургия интраоперационное кровотечение поддержание проходимости дыхательных путей ларингеальная маска интубация трахеи |
| url | https://www.vair-journal.com/jour/article/view/646 |
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