Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures

Mehmet O Ozhan; Mehmet B Eskin; Bulent Atik; Mehmet A Suzer; Ceyda O Capalar

doi:10.15537/smj.2019.5.24131

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Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures

Journal article

Open access

Peer reviewed

Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures

Mehmet O Ozhan, Mehmet B Eskin, Bulent Atik, Mehmet A Suzer and Ceyda O Capalar

Saudi medical journal, Vol.40(5), pp.463-468

05/01/2019

DOI: 10.15537/smj.2019.5.24131

PMCID: PMC6535157

PMID: 31056623

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Abstract

To evaluate whether using laryngeal mask airway (LMA) made a difference in terms of airway security, hemodynamic changes, complications, and recovery times compared to tracheal intubation during the procedure in patients undergoing general anesthesia for endovascular treatments of unruptured cerebrovascular aneurysms. The electronic medical records database, patient files, and anesthesia charts were examined between May 2008 and September 2016 to identify patients with the following inclusion criteria: 1) aged 18-70 years; 2) American Society of Anesthesiologists (ASA) classification I-III; 3) diagnosis of unruptured CVA; 4) Glasgow coma scale of 15 without neurological deficit; and 5) underwent elective EVT under general anesthesia. Tracheal tube (TT) was used in 46 patients (group TT, n=46) and LMA in 42 patients (group LMA, n=42). Mean arterial pressure (MAP) levels were increased to greater than 20% of baseline in 14 patients (30.4%) after intubation and in 6 (13%) after extubation in group TT. All LMA patients remained within normal MAP limits (p less than 0.05). Six patients (13%) displayed coughing or straining at extubation in group TT whereas none in group LMA (p less than 0.05). Recovery and discharge times were similar (p greater than 0.05). Conclusion: Laryngeal mask airway and TT provided comparable airway security during procedure. Laryngeal mask airway attenuated stress response in hemodynamic parameters at intubation and extubation and smoother emergence compared to TT without delay in recovery.

Adolescent

Adult

Aged

Airway Extubation

Anesthesia Recovery Period

Anesthesia, General - instrumentation

Anesthesia, General - methods

Angiography, Digital Subtraction

Elective Surgical Procedures

Endovascular Procedures

Female

Hemodynamics

Humans

Intracranial Aneurysm - diagnostic imaging

Intracranial Aneurysm - surgery

Intubation, Intratracheal - adverse effects

Laryngeal Masks - adverse effects

Male

Middle Aged

Neuroradiography - methods

Retrospective Studies

Time Factors

Young Adult

Details

Title: Subtitle: Laryngeal mask airway for general anesthesia in interventional neuroradiology procedures
Creators: Mehmet O Ozhan - Türk Anesteziyoloji ve Reanimasyon Derneği
Mehmet B Eskin
Bulent Atik - Türk Anesteziyoloji ve Reanimasyon Derneği
Mehmet A Suzer - Türk Anesteziyoloji ve Reanimasyon Derneği
Ceyda O Capalar
Resource Type: Journal article
Publication Details: Saudi medical journal, Vol.40(5), pp.463-468
DOI: 10.15537/smj.2019.5.24131
PMID: 31056623
PMCID: PMC6535157
NLM abbreviation: Saudi Med J
ISSN: 0379-5284
eISSN: 1658-3175
Language: English
Date published: 05/01/2019
Academic Unit: Anesthesia
Record Identifier: 9984656604202771

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