The comparison of the effects of proseal laryngeal mask and endotracheal intubation on cuff pressure and airway in laparoscopic cholecystectomy patients
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Objective: It's aimed to compare the effects of endotracheal intubation (ETT) and proseal laryngeal mask (PLMA) on cuff pressure and airway in the patients planned laparoscopic cholecystectomy. Method: The study was performed in total 41 patients that ASA score I-II, aged between 20-70 years and planned laparoscopic cholecystectomy under general anesthesia. In group ETT (n=19), ETT, in group PLMA (n=22) PLMA was placed to the patients. The gastric content was aspirated by a nasogastric tube in both of the groups. Demographic data, and attempt numbers were recorded. Hemodynamic and respiratory parameters, cuff pressures at preoperative and peroperative 5., 10., 15., 30., 45., 60., 75. minutes were recorded. Before and after carboperitoneum peak airway pressures and complications (bleeding, sore throat, difficulty in swallowing, laryngospasm, bronchospasm) at postoperative period were recorded. Results: The demographic data, number of attempts to provide safe airway, cuff pressures, hemodynamic and respiratory parameters were similar in each groups. The incidence of postoperative complications as sore throat and difficulty in swallowing was significantly statistically high in ETT group (p<0.001). No difference was found in terms of laryngospasm and bronchospasm between groups. In point of peak airway pressure the difference between before and after carboperitoneum was found significant in each groups (p<0.001). But significant difference was not found between groups. Conclusion: In conclusion, we convinced that, because of preventing gastric distension, not to cause sore throat and difficulty in swallowing the PLMA that contributing the entrance of nasogastric tube can be aan alternative of ETT in laparascopic interventions. © 2018 Anestezi Dergisi. All rights reserved.