Supreme laryngeal mask airway for laparoscopic cholecystectomy in patient with severe pulmonary fibrosis

Carron, Michele; Marchet, and Alberto; Ori, Carlo

doi:10.1093/bja/aep288

Cited by 10 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One study found that no gastric distention was caused by laparoscopic cholecystectomy with properly placed PLMA, which ventilates in equal affectivity to the endotracheal tube 8 . Carron et al described one patient with severe pulmonary fibrosis who had elective laparoscopic cholecystectomy; they ensured airway control with LMAS and stated that there was less airway resistance 9 .…”

Section: Discussionmentioning

confidence: 99%

Airway Management in Laparoscopic Cholecystectomy – A Comparative Analysis

Nebojša

2022

ACC

View full text Add to dashboard Cite

In this study, we aimed to compare supraglottic airway devices (Supreme and i-gel laryngeal mask) with tracheal tube with respect to airway control and efficiency in ventilation and oxygenation. The study included 325 patients of ASA I-II who underwent laparoscopic cholecystectomy. In group 1, the airway was secured using endotracheal intubation (115 patients). In group 2 (103 patients), LMA Supreme was applied, whereas i-gel mask was used for airway management in group 3 (107 patients). Monitoring parameters were recorded and compared using t-test, analysis of variance (ANOVA), Tukey's test and χ2-test. The following parameters were monitored: insertion time, number of attempts for device placement, oropharyngeal seal pressure, etc. Insertion time was longest in group 1 (14.7±1.65 s) as compared to group 2 (15.5±1.05 s) and group 3 (14.1±1.27 s); ANOVA test yielded a statistically significant difference (p<0.01). Insertion success rate was almost identical in all three groups (p=0.907, χ2-test). Comparison of oropharyngeal seal pressure between group 2 (35.95±2.92 cm H2O) and group 3 (36.47±1.43 cm H 2 O) yielded no statistical difference (p=0.314, t-test). Endotracheal tube, Supreme and i-gel laryngeal masks were shown to be equally efficient in airway management in laparoscopic cholecystectomy. All three devices enabled efficient ventilation and oxygenation despite certain pathophysiological changes associated with laparoscopy.

show abstract

Section: Discussionmentioning

confidence: 99%

Airway Management in Laparoscopic Cholecystectomy – A Comparative Analysis

Nebojša

2022

ACC

View full text Add to dashboard Cite

show abstract

“…In pulmonary fibrosis, the lung compliance is decreased to a small extent, but this is offset by a reduction in airway resistance. [5,6] Hypotension and hemodynamic instability are commonly associated with the sitting position during anaesthesia, resulting primarily from a sudden decrease in intrathoracic blood volume. [7] To counteract this physiological response, anaesthesiologists frequently reduce the concentration of inhaled anaesthetic, exposing patients to potential risk of being inadequately anaesthetised.…”

Section: Anaesthesia Considerationsmentioning

confidence: 99%

Management of a patient undergoing sitting position craniotomy for acoustic neuroma with co-existing interstitial lung disease

Suvarna¹,

Baliarsing²,

Gujjar³

et al. 2015

Journal of Neuroanaesthesiology and Critical Care

View full text Add to dashboard Cite

Case Reportbalance, non-productive cough and dyspnoea for the past 6 months. On auscultation, bilateral upper zone wheezes and basal crepitation were noticed. Computed tomography (CT) of the brain showed a soft tissue mass (43 × 3cm) of the left cerebellopontine angle, causing significant compression over the cerebellum. Her chest x-ray showed ground glass appearance in both the lung fields. Examination of sputum for acid-fast bacilli was negative. The lung condition was diagnosed astalcosis (type of interstitial lung disease). To confirm the diagnosis, high resolution CT scan of chest (HRCT) (generalized fibrosis and bronchiolitis obliterans of small airways), PFT (restrictive lung disease with no improvement post bronchodilators) and room air ABG: pH-7.412, PCO 2 -47.4, PO 2 -87.6, SO 2 -96.7%, HCO 3 -28.3 mEq.was done. The patient was away from work for almost a year because of her neurological condition, and as a result her lung condition (talcosis) improved slightly. She was treated preoperatively with low dose steroid and N-acetylcysteine nebulisation. The neurological symptoms progressed rapidly, and she was thus posted for craniotomy.Pre-anaesthetic work up included haemoglobin 11.3 g/dl, white blood cell count 10,300/cumm and platelet count CASE REPORTA 38-year-old woman weighing 45 kg, who worked in a balloon factory, presented with headache, impaired Abstract A 38-year-old woman with acoustic neuroma associated with occupational interstitial lung disease (ILD) was successfully managed for sitting position craniotomy using carefully titrated desflurane-based anaesthesia. The anaesthetic challenges included maintenance an adequate depth of anaesthesia, reducing perioperative airway events and ensuring smooth recovery. While dealing with ILD patient in sitting position, careful risk assessment is important because it will help us predict the course of the perioperative events. Balanced general anaesthesia using desflurane fulfilled the requirement of good depth and smooth recovery in this patient. Though there are reports of maintenance of anaesthesia with other inhalational agents, there are scanty reports of using desflurane in these cases.

show abstract

Anesthesia for Patients with End-Stage Lung Disease

Slinger

2011

Principles and Practice of Anesthesia for Thoracic Surgery

View full text Add to dashboard Cite

Supreme laryngeal mask airway for laparoscopic cholecystectomy in patient with severe pulmonary fibrosis

Cited by 10 publications

References 9 publications

Airway Management in Laparoscopic Cholecystectomy – A Comparative Analysis

Airway Management in Laparoscopic Cholecystectomy – A Comparative Analysis

Management of a patient undergoing sitting position craniotomy for acoustic neuroma with co-existing interstitial lung disease

Anesthesia for Patients with End-Stage Lung Disease

Contact Info

Product

Resources

About