Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate

Objective: We have planned to evaluate the laryngeal mask cuff pressures (LMcp) inflated by anesthesia workers of several seniority, without using manometer. Methods: 180 patients scheduled to have short duration surgery with laryngeal mask were included in the study. Five anesthesia specialists (Gr...

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Main Authors: Bülent Serhan Yurtlu, Volkan Hanci, Bengü Köksal, Dilek Okyay, Hilal Ayoğlu, Işıl Özkoçak Turan
Format: Article
Language:English
Published: Elsevier 2015-11-01
Series:Brazilian Journal of Anesthesiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0104001413001243
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author Bülent Serhan Yurtlu
Volkan Hanci
Bengü Köksal
Dilek Okyay
Hilal Ayoğlu
Işıl Özkoçak Turan
author_facet Bülent Serhan Yurtlu
Volkan Hanci
Bengü Köksal
Dilek Okyay
Hilal Ayoğlu
Işıl Özkoçak Turan
author_sort Bülent Serhan Yurtlu
collection DOAJ
description Objective: We have planned to evaluate the laryngeal mask cuff pressures (LMcp) inflated by anesthesia workers of several seniority, without using manometer. Methods: 180 patients scheduled to have short duration surgery with laryngeal mask were included in the study. Five anesthesia specialists (Group S), 10 residents (Group R) and 6 technicians (Group T) inflated the LMc; thereafter LMcp were measured with pressure manometer. Participants have repeated this practice in at least five different cases. LMcp higher than 60 cm H2O at the initial placement or intraoperative period were adjusted to normal range. Sore throat was questioned postoperatively. Groups were compared in terms of mean LMcp and occupational experience. Results: At the settlement of LM, LMcp pressures within the normal range were determined in 26 (14.4%) cases. Mean LMcp after LM placement in Group S, R and T were 101.2 ± 14.0, 104.3 ± 20.5 cm H2O and 105.2 ± 18.4 cm H2O respectively (p > 0.05). Mean LMcp values in all measurement time periods within the groups were above the normal limit (60 cm H2O). When groups were compared in terms of LMcp, no difference has been found among pressure values. Occupational experience was 14.2 ± 3.9; 3.3 ± 1.1 and 6.6 ± 3.8 years for specialists, residents and technicians respectively and measured pressure values were not different in regard of occupational experience. Seven (3.9%) patients had sore throat at the 24th hour interview. Conclusion: Considering lower possibility of normal adjustment of LMcp and ineffectiveness of occupational experience to obtain normal pressure values, it is suitable that all anesthesia practitioners should adjust LMcp with manometer.
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spelling doaj.art-76934576ab9a46e38a1ec337e14da5182022-12-22T03:52:32ZengElsevierBrazilian Journal of Anesthesiology0104-00142015-11-01656455460Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rateBülent Serhan YurtluVolkan HanciBengü KöksalDilek OkyayHilal AyoğluIşıl Özkoçak TuranObjective: We have planned to evaluate the laryngeal mask cuff pressures (LMcp) inflated by anesthesia workers of several seniority, without using manometer. Methods: 180 patients scheduled to have short duration surgery with laryngeal mask were included in the study. Five anesthesia specialists (Group S), 10 residents (Group R) and 6 technicians (Group T) inflated the LMc; thereafter LMcp were measured with pressure manometer. Participants have repeated this practice in at least five different cases. LMcp higher than 60 cm H2O at the initial placement or intraoperative period were adjusted to normal range. Sore throat was questioned postoperatively. Groups were compared in terms of mean LMcp and occupational experience. Results: At the settlement of LM, LMcp pressures within the normal range were determined in 26 (14.4%) cases. Mean LMcp after LM placement in Group S, R and T were 101.2 ± 14.0, 104.3 ± 20.5 cm H2O and 105.2 ± 18.4 cm H2O respectively (p > 0.05). Mean LMcp values in all measurement time periods within the groups were above the normal limit (60 cm H2O). When groups were compared in terms of LMcp, no difference has been found among pressure values. Occupational experience was 14.2 ± 3.9; 3.3 ± 1.1 and 6.6 ± 3.8 years for specialists, residents and technicians respectively and measured pressure values were not different in regard of occupational experience. Seven (3.9%) patients had sore throat at the 24th hour interview. Conclusion: Considering lower possibility of normal adjustment of LMcp and ineffectiveness of occupational experience to obtain normal pressure values, it is suitable that all anesthesia practitioners should adjust LMcp with manometer.http://www.sciencedirect.com/science/article/pii/S0104001413001243Laryngeal mask airwayPressureAnesthesia
spellingShingle Bülent Serhan Yurtlu
Volkan Hanci
Bengü Köksal
Dilek Okyay
Hilal Ayoğlu
Işıl Özkoçak Turan
Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate
Brazilian Journal of Anesthesiology
Laryngeal mask airway
Pressure
Anesthesia
title Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate
title_full Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate
title_fullStr Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate
title_full_unstemmed Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate
title_short Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate
title_sort impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate
topic Laryngeal mask airway
Pressure
Anesthesia
url http://www.sciencedirect.com/science/article/pii/S0104001413001243
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