Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery

Purpose: The aim of this study is to use ProSeal laryngeal mask airway (PLMA) and endotracheal tube (ETT) in elective septorhinoplasty operation and to compare the hemodynamic differences and postoperative complications during the application. Materials and Methods: In the prospective planned study...

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Main Authors: Dilek Yeniay, Bahanur Çekiç
Format: Article
Language:English
Published: Cukurova University 2021-12-01
Series:Cukurova Medical Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1906264
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author Dilek Yeniay
Bahanur Çekiç
author_facet Dilek Yeniay
Bahanur Çekiç
author_sort Dilek Yeniay
collection DOAJ
description Purpose: The aim of this study is to use ProSeal laryngeal mask airway (PLMA) and endotracheal tube (ETT) in elective septorhinoplasty operation and to compare the hemodynamic differences and postoperative complications during the application. Materials and Methods: In the prospective planned study, ASA I-II and 60 patients aged 18-35 were randomly allocated into two groups (n = 30, n = 30). After the standard anesthesia technique, Group E was placed ETT, Group P PLMA. Patients’ demographic characteristics, number of attempts for correct insertion, hemodynamic changes, postoperative nausea, vomiting, sore throat, hoarseness, dysphagia and surgical satisfaction evaluated. Results: Heart rate was higher in Group E than in Group P at the 1st min after anesthesia induction, at the 1st, 2nd, 3rd, 4th, 5th, and 10th min after airway insertion, and at the 3rd min after extubation. Difficulty in swallowing at postoperative was higher in Group E than in Group P. Insertion rates of the devices, were similar. Surgical satisfaction was higher in Group E than in Group P. Adequate tidal volume was provided in both groups during the operation. Conclusion: The use of PLMA in airway management in outpatient septorhinoplasty operations creates less hemodynamic response compared to the use of ETT, less airway complications are seen and thanks to its flexibility, it does not interfere with the surgical area. PLMA may be an alternative to ETT when the insertion of the airway devices is performed by experienced physicians.
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spelling doaj.art-475b54c2f41a4086be2f8edfb2bbc2982023-02-15T16:10:13ZengCukurova UniversityCukurova Medical Journal2602-30402021-12-014641468147710.17826/cumj.97812048Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgeryDilek Yeniay0Bahanur Çekiç1GİRESUN ÜNİVERSİTESİKARADENİZ TEKNİK ÜNİVERSİTESİPurpose: The aim of this study is to use ProSeal laryngeal mask airway (PLMA) and endotracheal tube (ETT) in elective septorhinoplasty operation and to compare the hemodynamic differences and postoperative complications during the application. Materials and Methods: In the prospective planned study, ASA I-II and 60 patients aged 18-35 were randomly allocated into two groups (n = 30, n = 30). After the standard anesthesia technique, Group E was placed ETT, Group P PLMA. Patients’ demographic characteristics, number of attempts for correct insertion, hemodynamic changes, postoperative nausea, vomiting, sore throat, hoarseness, dysphagia and surgical satisfaction evaluated. Results: Heart rate was higher in Group E than in Group P at the 1st min after anesthesia induction, at the 1st, 2nd, 3rd, 4th, 5th, and 10th min after airway insertion, and at the 3rd min after extubation. Difficulty in swallowing at postoperative was higher in Group E than in Group P. Insertion rates of the devices, were similar. Surgical satisfaction was higher in Group E than in Group P. Adequate tidal volume was provided in both groups during the operation. Conclusion: The use of PLMA in airway management in outpatient septorhinoplasty operations creates less hemodynamic response compared to the use of ETT, less airway complications are seen and thanks to its flexibility, it does not interfere with the surgical area. PLMA may be an alternative to ETT when the insertion of the airway devices is performed by experienced physicians.https://dergipark.org.tr/tr/download/article-file/1906264endotracheal intubationlaryngeal mask airwayrhinoplastyendotrakeal entübasyonlaryngeal maske havayolurinoplasti
spellingShingle Dilek Yeniay
Bahanur Çekiç
Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery
Cukurova Medical Journal
endotracheal intubation
laryngeal mask airway
rhinoplasty
endotrakeal entübasyon
laryngeal maske havayolu
rinoplasti
title Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery
title_full Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery
title_fullStr Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery
title_full_unstemmed Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery
title_short Comparison of the ProSeal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery
title_sort comparison of the proseal laryngeal mask airway and endotracheal tube in septorhinoplasty surgery
topic endotracheal intubation
laryngeal mask airway
rhinoplasty
endotrakeal entübasyon
laryngeal maske havayolu
rinoplasti
url https://dergipark.org.tr/tr/download/article-file/1906264
work_keys_str_mv AT dilekyeniay comparisonoftheproseallaryngealmaskairwayandendotrachealtubeinseptorhinoplastysurgery
AT bahanurcekic comparisonoftheproseallaryngealmaskairwayandendotrachealtubeinseptorhinoplastysurgery