I-gel ve laringeal mask airway-supreme’in klinik performans yönünden karşılaştırılması: prospektif çalışma

Ramin Verdikhanov; Nursen Karaca; Işık Alper

doi:10.19161/etd.1209018

TR EN

I-gel ve laringeal mask airway-supreme’in klinik performans yönünden karşılaştırılması: prospektif çalışma

Öz

Amaç: Çalışmamızda; genel anestezi altında ürolojik cerrahi girişim planlanan hastalarda, ikinci jenerasyon supraglottik havayolu gereçlerinden I-gel ve LMA-Supreme’in (Laringeal Mask Airway- Supreme) klinik performans ve postoperatif faringolaringeal komplikasyonlar açısından karşılaştırılmasını amaçladık. Gereç ve Yöntem: Hastane etik kurul onayı (19-8.1T/53) ve hasta yazılı onamı alındıktan sonra, genel anestezi altında elektif ürolojik cerrahi planlanan, 18-65 yaş arası, ASA (The American Society of Anesthesiologists) skoru I-II olan, 120 hasta prospektif olarak çalışmamıza dahil edildi. Hastalar randomize olarak I-gel (n=60) ve LMA-Supreme (n=60) olarak iki gruba ayrıldı. İki grup; supraglottik havayolu gereci yerleştirme kolaylığı, yerleştirme süresi, ilk yerleştirmede başarı oranı, deneme sayısı, gastrik tüp yerleştirme kolaylığı, orofaringeal kaçak basıncı, intraoperatif ve postoperatif komplikasyonlar açısından karşılaştırıldı. Bulgular: Supraglottik havayolu gereci yerleştirme süresi I-gel grubunda anlamlı olarak daha kısa bulundu (p: 0,039). Tüm ölçüm zamanlarında, orofaringeal kaçak basıncı ‘mükemmel’ olan hasta sayısı I-gel grubunda daha yüksekti (p<0,05). Gastrik tüp yerleştirme, LMA-Supreme grubunda anlamlı olarak daha kolay bulundu (p: 0,029). Postoperatif 12. saat boğaz ağrısı (p: 0,049) ve ses kısıklığı (p:0,046) LMA-Supreme grubunda daha fazla görüldü. LMA-Supreme ve I-gel; yerleştirme kolaylığı, ilk yerleştirmede başarı oranı, deneme sayısı ve intraoperatif komplikasyonlar açısından benzer özelliklere sahipti. Sonuç: I-gel’de yerleştirme süresinin daha kısa, orofaringeal kaçağın ve postoperatif komplikasyonların daha az olması LMA-Supreme’e göre tercih nedeni olabilir.

Anahtar Kelimeler

Clinical performance comparison of i-gel and laryngeal mask airway-supreme: a prospective study

Abstract

Aim: In our study; we aimed to compare the second generation supraglottic airway devices, I-gel and LMA-Supreme (Laryngeal Mask Airway-Supreme) in patients scheduled for urological surgery under general anesthesia in terms of clinical performance and postoperative pharyngolaryngeal complications. Materials and Methods: After hospital ethics committee approval (19-8.1T/53) and written informed consent from the patient, 120 patients aged 18-65 years, ASA score (The American Society of Anesthesiologists) I-II, who were scheduled for elective urological surgery under general anesthesia, were included in our prospective study. The patients were randomly divided into two groups as I-gel (n=60) and LMA-Supreme (n=60). Two groups were evaluated; in the aspect of ease of supraglottic airway device insertion, time of insertion, success rate at first insertion, number of attempts, ease of gastric tube insertion, oropharyngeal leak pressure, intraoperative and postoperative complications. Results: Supraglottic airway device insertion time was significantly lower in the I-gel group (p: 0.039). It was noted that the number of patients with ‘perfect’ oropharyngeal leak pressure at all measurement times was higher in the I-gel group (p<0.05). Gastric tube placement was found to be significantly easier in the LMA-Supreme group (p:0.029). Postoperative 12th hour sore throat (p:0.049) and hoarseness (p:0.046) were more common in the LMA- Supreme group. LMA- Supreme and I-gel have similar were featured in terms of ease of insertion, success rate at first insertion, number of attempts and intraoperative complications. Conclusion: The shorter insertion time, lower oropharyngeal leak and fewer postoperative complications might be the reason of preference of I-gel over LMA- Supreme.

Keywords

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Ramin Verdikhanov
0000-0002-6355-8963
Türkiye

Nursen Karaca ^*
0000-0001-7188-9001
Türkiye

Işık Alper
0000-0001-7137-4120
Türkiye

Yayımlanma Tarihi

12 Aralık 2022

Gönderilme Tarihi

1 Mart 2022

Kabul Tarihi

16 Mayıs 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 61 Sayı: 4

DOI

https://doi.org/10.19161/etd.1209018

IZ

https://izlik.org/JA45WZ57XL

Kaynak Göster

RIS / Bibtex

Vancouver

1.Ramin Verdikhanov, Nursen Karaca, Işık Alper. I-gel ve laringeal mask airway-supreme’in klinik performans yönünden karşılaştırılması: prospektif çalışma. ETD. 01 Aralık 2022;61(4):568-76. doi:10.19161/etd.1209018