Safety Comparison of Laryngeal Mask Use With Endotracheal Intubation in Patients Undergoing Dacryocystorhinostomy Surgery

Dumas, George A.; Bryant, Ayesha S.; Ibey, Justin; Long, John A.; Vicinanzo, Matthew G.; Boyd, Gwendolyn L.

doi:10.1097/iop.0000000000000969

Cited by 7 publications

(6 citation statements)

References 7 publications

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“…In their opinion, use of laryngeal mask airway for airway control during DCR surgery is much recommended than endotracheal tube on of ease of insertion, airway protection and favourable hemodynamic profile A 30% increase in heart rate from baseline after intubation (ETT 10.8%, LMA 1.8%, p=0.010). Airway management with an LMA was also less difficult compared with an ETT (ETT 5.7%, LMA 0.5%, p=0.035) 19 .…”

Section: Discussionmentioning

confidence: 93%

Comparison of Intraocular Pressure and Haemodynamic Responses to Insertion of the I - Gel and Endotracheal Tube in Elective Ophthalmological Surgeries

Abbas

Rafique

Dilshad

et al. 2021

PAFMJ

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Objective: To compare I–Gel versus endotracheal tube effects on hemodynamic stability and intraocular pressure in patients undergoing elective ophthalmological surgeries. Study Design: Quasi-experimental study. Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from Nov 2019 to Oct 2020. Methodology: A total of 108 patients undergoing elective ophthalmological surgeries under general anesthesia from both genders, age range between 18-45 years, American Society of Anesthesiologists status I or II were included. General anesthesia given following standard procedures and monitoring. Heart rate, Systolic & Diastolic blood pressure monitored and intraocular pressure measured in each eye with Reichert ton open at baseline, upon insertion of airway device and 5 minutes after insertion. Results: Total 108 patients enrolled in the study with a mean age of 37.74 ± 6.0 years and age-range of 18-45. Heart rate at Insertion in I-Gel group was 78.14 ± 3.41 beats per minute whereas in intubated group was 97.20 ± 2.84 beats per minute, mean systolic blood pressure at insertion in group A and B was 115.28 ± 5.3 and 130.44 ± 2.81mm of Hg respectively. Intraocular pressure at insertion right eye in group A and B was 12.04 ± 0.48 and 17.98 ± 0.42 mm of Hg respectively. Intraocular pressure at insertion left eye in group A was 12.12 ± 0.45 whereas in group B was 17.95 ± 0.38mm of Hg (p-value=0.001). Conclusion: I–Gel provides better hemodynamic profile and intraocular pressure stability when compared with endotracheal tube.

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Section: Discussionmentioning

confidence: 93%

Comparison of Intraocular Pressure and Haemodynamic Responses to Insertion of the I - Gel and Endotracheal Tube in Elective Ophthalmological Surgeries

Abbas

Rafique

Dilshad

et al. 2021

PAFMJ

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“…During probing, irrigating, and dilating of the lacrimal duct, this is exactly the risk: fluid is injected into the airway, and secretions such as pus may enter the airway due to dilation. In the literature, laryngeal mask use in dacryocystorhinostomy in adults is reported safely [ 24 ]. To the best of our knowledge, there is no reliable evidence on risk stratification in this area in children.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Mask Airway Versus Endotracheal Intubation during Lacrimal Duct Stenosis Surgery in Children—A Retrospective Analysis

Leister,

Heindl,

Rokohl

et al. 2024

Children

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Background: The use of laryngeal masks in the surgical treatment of infantile lacrimal duct stenosis is controversial due to the potential risk of aspiration. Aims: This study investigates airway procedures in children aged <6 years for surgery of lacrimal duct stenosis in a tertiary care university hospital. Methods: After institutional approval, airway procedures, duration of anesthesiological measures, and airway-related complications were retrospectively analyzed. Patients were divided into two groups according to the airway procedures used (endotracheal tube [ET] vs. laryngeal mask [LMA] airway). Associations were calculated using the Chi-square test or Mann-Whitney U-test. Results: Clinical data of 84 patients (ET n = 36 [42.9%] vs. LMA n = 48 [57.1%]) were analyzed. There were no significant differences in surgical treatment, age distribution, and pre-existing conditions between the groups. None of the patients showed evidence of tracheal aspiration or changes in measured oxygen saturation. LMA airway shortened time for anesthesia induction (p = 0.006) and time for recovery/emergence period (p = 0.03). In contrast, the time to discharge from the recovery room was significantly prolonged using LMA (p = 0.001). A total of 7 adverse events were recorded. Five of these were directly or indirectly related to ET (laryngo-/bronchospasm; muscle relaxant residual). Conclusions: LMA airway for infantile lacrimal duct stenosis seems to be a safe procedure and should be used in appropriate pediatric patients due to its lower invasiveness, low complication rate, and time savings.

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“…According to an investigation by Bhagwat Lawate et al, ProSealTM laryngeal mask airway (PLMA) can also be an effective airway device in laparoscopic oxygenation and appropriate ventilation surgeries (11). The PLMA is also associated with minimal complications during and after surgery, and pulmonary ventilation is effective despite high airway pressures without gastric distention, aspiration, and relapse (13)(14)(15). According to Dumas et al, using LMA to control the airways in patients under general anesthesia for dacryocystorhinostomy surgery was safe and effective, and no aspiration occurred during the application of LMA (13).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, in adults, it is recommended to use LMA as a substitute for tracheal intubation, especially in patients with a history of intubation, the possibility of difficult intubation diagnosed by an anesthesiologist, and patients whose intubation has failed and venti-lation can be performed with a mask (10)(11)(12). Some studies reported hemodynamic alterations and recovery time in the LMA group during general anesthesia were similar to those in the tracheal intubation group (13)(14)(15). One of the major problems with plastic and reconstructive surgeries over 2 h is a long-term airway control with a tracheal tube or laryngeal mask, which may cause adverse effects on the airway, including sore throat, ischemia, or damage to the vocal cords, and management decisions can be important and helpful.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Laryngeal Mask Airway Compared to Endotracheal Tube: A Randomized Clinical Trial

et al. 2022

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Background: In patients under general anesthesia, the laryngeal mask airway (LMA) is a valuable alternative to endotracheal intubation to maintain the airway. In this study, we compared the efficacy of LMA with an endotracheal tube (ETT) in plastic and reconstructive surgeries over 2 h on thorax and abdomen under general anesthesia in Hazrat Fatemeh Hospital in Tehran, Iran, in 2020. Methods: This randomized clinical trial was performed on a sample size of 80, randomly assigned to two groups. The main variables included the ease of placement, recurrent carbon dioxide content, arterial oxygen saturation, and laryngeal and tracheal spasm. In addition, the sub-variables entailed the mean duration of anesthesia, nausea and vomiting, sore throat, and abdominal distension. The obtained data were analyzed by the SPSS software version 25. Results: In the present study, 76 patients were female. Mean age, recurrent carbon dioxide, arterial oxygen saturation, laryngeal and tracheal spasm, the mean duration of anesthesia, nausea and vomiting, sore throat, and abdominal distension were not significantly different between the two groups. Conclusions: The results of this study showed that the classic laryngeal mask could be used as a means of airway control in general anesthesia for long-term surgeries of more than 2 h.

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Safety Comparison of Laryngeal Mask Use With Endotracheal Intubation in Patients Undergoing Dacryocystorhinostomy Surgery

Cited by 7 publications

References 7 publications

Comparison of Intraocular Pressure and Haemodynamic Responses to Insertion of the I - Gel and Endotracheal Tube in Elective Ophthalmological Surgeries

Comparison of Intraocular Pressure and Haemodynamic Responses to Insertion of the I - Gel and Endotracheal Tube in Elective Ophthalmological Surgeries

Laryngeal Mask Airway Versus Endotracheal Intubation during Lacrimal Duct Stenosis Surgery in Children—A Retrospective Analysis

Efficacy of Laryngeal Mask Airway Compared to Endotracheal Tube: A Randomized Clinical Trial

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