Second-generation supraglottic airway in laparoscopic donor nephrectomy
Abstract Supraglottic airway (SGA) may have advantages over endotracheal tube (ETT) regarding laryngospasm, coughing, sore throat, and hemodynamic changes; however, studies on the use of SGA in laparoscopic donor nephrectomy (LDN) are lacking. Here, we aimed to confirm the safety and feasibility of...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-05-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-34691-x |
| _version_ | 1827940001758838784 |
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| author | Ja Eun Lee Ha Yeon Kim Kyo Won Lee Gaab Soo Kim |
| author_facet | Ja Eun Lee Ha Yeon Kim Kyo Won Lee Gaab Soo Kim |
| author_sort | Ja Eun Lee |
| collection | DOAJ |
| description | Abstract Supraglottic airway (SGA) may have advantages over endotracheal tube (ETT) regarding laryngospasm, coughing, sore throat, and hemodynamic changes; however, studies on the use of SGA in laparoscopic donor nephrectomy (LDN) are lacking. Here, we aimed to confirm the safety and feasibility of second-generation SGA in LDN and compare them with those of ETT. Enrolled adult donors (aged > 18 years) who underwent LDN between August 2018 and November 2021 were divided into two groups—ETT vs. SGA. Airway pressure, lung compliance, desaturation, and hypercapnia were recorded during surgery. After propensity score matching for baseline characteristics and surgical duration, 82 and 152 donors were included in the ETT and SGA groups, respectively, and their outcomes were compared. The peak airway pressure was lower in the SGA group than in the ETT group 5 min after pneumoperitoneum. Dynamic lung compliance was higher in the SGA group than in the ETT group during surgery. There were no cases of intraoperative desaturation, hypercapnia, or postoperative aspiration pneumonitis. The use of second-generation SGA, a safe alternative to ETT for LDN, resulted in reduced airway resistance and increased lung compliance, which suggests its benefits for airway management in kidney donors. |
| first_indexed | 2024-03-13T09:03:08Z |
| format | Article |
| id | doaj.art-e8fd6a53d1944c1e8a6f792241f306c6 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-13T09:03:08Z |
| publishDate | 2023-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-e8fd6a53d1944c1e8a6f792241f306c62023-05-28T11:13:54ZengNature PortfolioScientific Reports2045-23222023-05-011311610.1038/s41598-023-34691-xSecond-generation supraglottic airway in laparoscopic donor nephrectomyJa Eun Lee0Ha Yeon Kim1Kyo Won Lee2Gaab Soo Kim3Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Anesthesiology and Pain Medicine, Ajou University School of MedicineDepartment of Surgery, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of MedicineAbstract Supraglottic airway (SGA) may have advantages over endotracheal tube (ETT) regarding laryngospasm, coughing, sore throat, and hemodynamic changes; however, studies on the use of SGA in laparoscopic donor nephrectomy (LDN) are lacking. Here, we aimed to confirm the safety and feasibility of second-generation SGA in LDN and compare them with those of ETT. Enrolled adult donors (aged > 18 years) who underwent LDN between August 2018 and November 2021 were divided into two groups—ETT vs. SGA. Airway pressure, lung compliance, desaturation, and hypercapnia were recorded during surgery. After propensity score matching for baseline characteristics and surgical duration, 82 and 152 donors were included in the ETT and SGA groups, respectively, and their outcomes were compared. The peak airway pressure was lower in the SGA group than in the ETT group 5 min after pneumoperitoneum. Dynamic lung compliance was higher in the SGA group than in the ETT group during surgery. There were no cases of intraoperative desaturation, hypercapnia, or postoperative aspiration pneumonitis. The use of second-generation SGA, a safe alternative to ETT for LDN, resulted in reduced airway resistance and increased lung compliance, which suggests its benefits for airway management in kidney donors.https://doi.org/10.1038/s41598-023-34691-x |
| spellingShingle | Ja Eun Lee Ha Yeon Kim Kyo Won Lee Gaab Soo Kim Second-generation supraglottic airway in laparoscopic donor nephrectomy Scientific Reports |
| title | Second-generation supraglottic airway in laparoscopic donor nephrectomy |
| title_full | Second-generation supraglottic airway in laparoscopic donor nephrectomy |
| title_fullStr | Second-generation supraglottic airway in laparoscopic donor nephrectomy |
| title_full_unstemmed | Second-generation supraglottic airway in laparoscopic donor nephrectomy |
| title_short | Second-generation supraglottic airway in laparoscopic donor nephrectomy |
| title_sort | second generation supraglottic airway in laparoscopic donor nephrectomy |
| url | https://doi.org/10.1038/s41598-023-34691-x |
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