Laryngeal Mask Airway Versus Endotracheal Intubation for Airway Management During Percutaneous Dilatational Tracheostomy

Kemal Yetiş GÜLSOY; Burcu ANCIN; Semiha ORHAN

doi:10.16899/jcm.1283829

Laryngeal Mask Airway Versus Endotracheal Intubation for Airway Management During Percutaneous Dilatational Tracheostomy

Authors : Kemal Yetiş GÜLSOY, Burcu ANCIN, Semiha ORHAN

Pages : 555-560

Doi:10.16899/jcm.1283829

View : 62 | Download : 86

Publication Date : 2023-05-31

Article Type : Research Paper

Abstract :Aim: Tracheostomy is a common procedure performed surgically or percutaneously due to prolonged intubation. During the procedure, airway safety can be ensured using a laryngeal mask airway insert ignore into journalissuearticles values(LMA); or an endotracheal tube insert ignore into journalissuearticles values(ETT);. The aim of this study was to investigate the complications associated with the use of LMA and ETT during the tracheostomy procedure, operative time, and changes in blood gas parameters. Materials and Methods: This study included patients admitted to the Intensive Care Units of Burdur State Hospital between 2019 and 2023. A total of 78 patients were divided into two groups: ETT insert ignore into journalissuearticles values(n=39); and LMA insert ignore into journalissuearticles values(n=39);. Procedure-related complications, operative time, blood gas data were recorded from the patient files. Results: There was no statistically significant difference between the LMA and ETT groups in terms of complications. There was also no statistically significant difference in postoperative values of PaCO2 between the groups insert ignore into journalissuearticles values(p<0.439);. The analysis of pre- and post-tracheostomy PaO2 values indicated a decrease in both the LMA and ETT groups insert ignore into journalissuearticles values(p<0.001 for both);. The comparison of the two groups by the duration of the tracheostomy procedure showed a statistically significant shorter operative time in the LMA group than in the ETT group insert ignore into journalissuearticles values(p<0.001);. Conclusion: Our study demonstrated no statistically significant difference between LMA and ETT in terms of complications and changes in blood gas parameters. Tracheostomy with LMA has advantages over ETT, fewer personnel requirements during the procedure, clear vision in bronchoscopy, and shorter operative time.
Keywords : Perkütan dilatasyon trakeostomi, laringeal maske, kan gazı, komplikasyon

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