Original scientific paper

https://doi.org/10.20471/acc.2022.61.04.07

Comparison of Flexible Laryngeal Mask Insertion and Endotracheal Intubation in Adenotonsillectomy Surgery

Mehmet Duran ; Department of Anesthesiology and Resuscitation, Faculty of Medicine, Adıyaman University, Adıyaman, Turkey
Hatice Kuşderci ; Department of Anesthesiology and Resuscitation, Faculty of Medicine, Adıyaman University, Adıyaman, Turkey
Öznur Uludağ ; Department of Anesthesiology and Resuscitation, Faculty of Medicine, Adıyaman University, Adıyaman, Turkey

Abstract

This study compared the effectiveness of flexible laryngeal mask (F-LMA) insertion
and endotracheal intubation in pediatric patients undergoing adenotonsillectomy surgery. A
total of 60 patients aged 2-12 years were included in the study. Patients were divided into the F-LMA
group (n=30) and endotracheal tube (ETT) group (n=30). The groups were compared according to
intubation time, heart rate, SpO2, EtCO2, airway pressure, surgical field of view, and recovery time.
Both the insertion time and recovery time were shorter in the F-LMA group than in the ETT group
(16.93±4.84 s vs. 23.93±8.74 s; and 10±2 min vs. 14.5±3 min; p<0.001 both). The airway pressure
measurements at 5-min intervals were significantly lower in the F-LMA group than in the ETT
group (p<0.001). F-LMA may be a useful alternative to ETT for adenotonsillectomy surgery because
it is safe, provides shorter induction and recovery times, reduces intraoperative airway pressure, and
provides an adequate operative field of view.

Keywords

Adenotonsillectomy; Endotracheal tube; Flexible laryngeal mask airway; Airway pressure; Operative field of view

Hrčak ID:

301489

URI

https://hrcak.srce.hr/301489

Publication date:

1.12.2022.

Article data in other languages: croatian

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