Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total Laryngectomy
Background and objectives: Laryngectomy with extensive extirpational neck dissection is still the treatment of choice for patients with advanced laryngeal cancer. During the initial part of laryngectomy – tracheostomy, there is a significant upper airway obstruction, caused by the cancer process its...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Sciendo
2019-10-01
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| Series: | Acta Medica Bulgarica |
| Subjects: | |
| Online Access: | https://doi.org/10.2478/amb-2019-0022 |
| _version_ | 1818723196697837568 |
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| author | Marinov Tz. Popov T. M. Belitova M. |
| author_facet | Marinov Tz. Popov T. M. Belitova M. |
| author_sort | Marinov Tz. |
| collection | DOAJ |
| description | Background and objectives: Laryngectomy with extensive extirpational neck dissection is still the treatment of choice for patients with advanced laryngeal cancer. During the initial part of laryngectomy – tracheostomy, there is a significant upper airway obstruction, caused by the cancer process itself and worsened by surgical pressure and manipulation during creation of tracheostomy. This study aims to make comparative assessment of the patient’s hemodynamic parameters, operated using three of the most popular approaches during tracheostomy: local anesthesia with preserved spontaneous ventilation; general anesthesia with ventilation by endotracheal intubation and general anesthesia with ventilation by laryngeal mask airway. |
| first_indexed | 2024-12-17T21:06:41Z |
| format | Article |
| id | doaj.art-df24c6ceb140421ebcaf66073720f060 |
| institution | Directory Open Access Journal |
| issn | 0324-1750 |
| language | English |
| last_indexed | 2024-12-17T21:06:41Z |
| publishDate | 2019-10-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Acta Medica Bulgarica |
| spelling | doaj.art-df24c6ceb140421ebcaf66073720f0602022-12-21T21:32:34ZengSciendoActa Medica Bulgarica0324-17502019-10-014635910.2478/amb-2019-0022amb-2019-0022Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total LaryngectomyMarinov Tz.0Popov T. M.1Belitova M.2Department of Anesthesiology and Intensive Care, Medical University – Sofia, BulgariaDepartment of ENT, Medical University – Sofia, BulgariaDepartment of Anesthesiology and Intensive Care, Medical University – Sofia, BulgariaBackground and objectives: Laryngectomy with extensive extirpational neck dissection is still the treatment of choice for patients with advanced laryngeal cancer. During the initial part of laryngectomy – tracheostomy, there is a significant upper airway obstruction, caused by the cancer process itself and worsened by surgical pressure and manipulation during creation of tracheostomy. This study aims to make comparative assessment of the patient’s hemodynamic parameters, operated using three of the most popular approaches during tracheostomy: local anesthesia with preserved spontaneous ventilation; general anesthesia with ventilation by endotracheal intubation and general anesthesia with ventilation by laryngeal mask airway.https://doi.org/10.2478/amb-2019-0022tracheostomylaryngectomylaryngeal maskshemodynamicsupper airway instrumentationventilation |
| spellingShingle | Marinov Tz. Popov T. M. Belitova M. Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total Laryngectomy Acta Medica Bulgarica tracheostomy laryngectomy laryngeal masks hemodynamics upper airway instrumentation ventilation |
| title | Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total Laryngectomy |
| title_full | Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total Laryngectomy |
| title_fullStr | Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total Laryngectomy |
| title_full_unstemmed | Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total Laryngectomy |
| title_short | Laryngeal Mask Ventilation during Tracheostomy Improves Intraoperative Hemodynamic Stability in Patients Undergoing Total Laryngectomy |
| title_sort | laryngeal mask ventilation during tracheostomy improves intraoperative hemodynamic stability in patients undergoing total laryngectomy |
| topic | tracheostomy laryngectomy laryngeal masks hemodynamics upper airway instrumentation ventilation |
| url | https://doi.org/10.2478/amb-2019-0022 |
| work_keys_str_mv | AT marinovtz laryngealmaskventilationduringtracheostomyimprovesintraoperativehemodynamicstabilityinpatientsundergoingtotallaryngectomy AT popovtm laryngealmaskventilationduringtracheostomyimprovesintraoperativehemodynamicstabilityinpatientsundergoingtotallaryngectomy AT belitovam laryngealmaskventilationduringtracheostomyimprovesintraoperativehemodynamicstabilityinpatientsundergoingtotallaryngectomy |