Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract Surgery

Background and purpose: The method of anesthesia affects intraocular pressure (IOP), especially general anesthesia which is sometimes administered with endotracheal tube (ETT) insertion. The aim of this research was to compare the effect of laryngeal mask airway (LMA) and ETT on intraocular pressure...

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Main Authors: Hooshang Akbari, Asadollah Farrokhfar, Mahdie Akbari, Mohammad Ali Heidari Gorji
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2019-09-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-10267-en.html
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author Hooshang Akbari
Asadollah Farrokhfar
Mahdie Akbari
Mohammad Ali Heidari Gorji
author_facet Hooshang Akbari
Asadollah Farrokhfar
Mahdie Akbari
Mohammad Ali Heidari Gorji
author_sort Hooshang Akbari
collection DOAJ
description Background and purpose: The method of anesthesia affects intraocular pressure (IOP), especially general anesthesia which is sometimes administered with endotracheal tube (ETT) insertion. The aim of this research was to compare the effect of laryngeal mask airway (LMA) and ETT on intraocular pressure in cataract surgery. Materials and methods: In a single blind randomized clinical trial, 61 patients were divided into two groups: ETT group (n=36) and LMA group (n=25). Induction of anesthesia was with midazolam, fentanyl, lidocaine, propofol, and atracurium in both groups. IOP was measured by Schiotz tonometer 5 minutes before and after induction of anesthesia in both groups. Results: IOP was found to decrease in both groups, but the decrease was significantly higher in LMA group (P<0.05). Heart rate did not show any significant changes in the two groups (P>0.05) Blood pressure decreased in both LMA and ETT groups but was not different between the two groups.  Conclusion: According to current study, IOP decreased after induction of general anesthesia and the decrease was higher in LMA group. Therefore, LMA can be used as an alternative in general surgery to reduce IOP.
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spelling doaj.art-e5c08035e89a494db2f4fc4242a60a192023-01-25T06:18:58ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792019-09-01291767480Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract SurgeryHooshang Akbari0Asadollah Farrokhfar1Mahdie Akbari2Mohammad Ali Heidari Gorji3 Assistant Professor, Department of Anesthesiology, Faculty of Paramedical, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Ophthalmology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Medical Student, Faculty of Medicine, Mazandaran University of Medical Sciences, Ramsar, Iran Associate Professor, Department of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: The method of anesthesia affects intraocular pressure (IOP), especially general anesthesia which is sometimes administered with endotracheal tube (ETT) insertion. The aim of this research was to compare the effect of laryngeal mask airway (LMA) and ETT on intraocular pressure in cataract surgery. Materials and methods: In a single blind randomized clinical trial, 61 patients were divided into two groups: ETT group (n=36) and LMA group (n=25). Induction of anesthesia was with midazolam, fentanyl, lidocaine, propofol, and atracurium in both groups. IOP was measured by Schiotz tonometer 5 minutes before and after induction of anesthesia in both groups. Results: IOP was found to decrease in both groups, but the decrease was significantly higher in LMA group (P<0.05). Heart rate did not show any significant changes in the two groups (P>0.05) Blood pressure decreased in both LMA and ETT groups but was not different between the two groups.  Conclusion: According to current study, IOP decreased after induction of general anesthesia and the decrease was higher in LMA group. Therefore, LMA can be used as an alternative in general surgery to reduce IOP.http://jmums.mazums.ac.ir/article-1-10267-en.htmlintraocular pressurelaryngeal mask airwayendotracheal tube
spellingShingle Hooshang Akbari
Asadollah Farrokhfar
Mahdie Akbari
Mohammad Ali Heidari Gorji
Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract Surgery
Journal of Mazandaran University of Medical Sciences
intraocular pressure
laryngeal mask airway
endotracheal tube
title Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract Surgery
title_full Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract Surgery
title_fullStr Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract Surgery
title_full_unstemmed Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract Surgery
title_short Comparing the Effect of Laryngeal Mask Airway And Endotracheal Tube Insertion on Intraocular Pressure in Cataract Surgery
title_sort comparing the effect of laryngeal mask airway and endotracheal tube insertion on intraocular pressure in cataract surgery
topic intraocular pressure
laryngeal mask airway
endotracheal tube
url http://jmums.mazums.ac.ir/article-1-10267-en.html
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AT mahdieakbari comparingtheeffectoflaryngealmaskairwayandendotrachealtubeinsertiononintraocularpressureincataractsurgery
AT mohammadaliheidarigorji comparingtheeffectoflaryngealmaskairwayandendotrachealtubeinsertiononintraocularpressureincataractsurgery