Original scientific paper

https://doi.org/10.20471/acc.2022.61.04.01

Airway Management in Laparoscopic Cholecystectomy – A Comparative Analysis

Nebojša Videnović orcid.org/0000-0001-5875-6300 ; Medical Faculty, University of Pristina, Kosovska Mitrovica, Serbia; Department of Anesthesiology and Intensive Care, Gračanica Clinical Center, Gračanica, Serbia
Jovan Mladenović ; Medical Faculty, University of Pristina, Kosovska Mitrovica, Serbia; Department of Surgery, Gračanica Clinical Center, Gračanica, Serbia
Slađana Trpković ; Medical Faculty, University of Pristina, Kosovska Mitrovica, Serbia; Department of Anesthesiology and Intensive Care, Gračanica Clinical Center, Gračanica, Serbia
Aleksandar Pavlović ; Medical Faculty, University of Pristina, Kosovska Mitrovica, Serbia; Department of Anesthesiology and Intensive Care, Gračanica Clinical Center, Gračanica, Serbia
Milan Filipović orcid.org/0000-0001-9976-1472 ; Medical Faculty, University of Pristina, Kosovska Mitrovica, Serbia; Department of Surgery, Gračanica Clinical Center, Gračanica, Serbia
Raša Mladenović ; Medical Faculty, University of Pristina, Kosovska Mitrovica, Serbia
Saša Mladenović ; Gušterica Health Center, Gušterica, Serbia

Abstract

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 H2O) 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.

Keywords

Endotracheal tube; Laryngeal mask; Airway; Laparoscopic cholecystectomy

Hrčak ID:

301344

URI

https://hrcak.srce.hr/301344

Publication date:

1.12.2022.

Article data in other languages: croatian

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