Effects of laryngeal mask airway during percutaneous dilatational tracheostomy in intensive care patients
Surgical Chronicles, cilt.29, sa.2, ss.185-189, 2024 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 29 Sayı: 2
- Basım Tarihi: 2024
- Dergi Adı: Surgical Chronicles
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.185-189
- Anahtar Kelimeler: complications, endotracheal tube, intensive care unit, Laryngeal mask airway, percutaneous dilatational tracheostomy
- Akdeniz Üniversitesi Adresli: Evet
Özet
Objective: Percutaneous dilatational tracheostomy is more comfortable and convenient for the patient in need of prolonged mechanical ventilation in intensive care units. During the procedure, retraction of the endotracheal tube and ventilation with a laryngeal mask are used to ensure airway safety. In our study, we aimed to find the efficacy and safety of these two techniques. Design: Our study was performed in patients in whom tracheostomy was planned due to the need for prolonged mechanical ventilation in the adult intensive care unit of Bolu Izzet Baysal State Hospital. Ethics committee permission was obtained. Place & duration of study: Our study was conducted in patients who underwent PDT between 01 April 2023 and 31 August 2023 in Izzet Baysal State Hospital. Materials and metohds: Demographic data of the patients were recorded. Anaesthesia preferences, duration of the procedure, blood tests, status of airway equipment renewal, complication status and mortality were recorded prospectively. Results: A total of 53 patients, 23 of whom were female, were included in the study. Twenty-six patients who underwent the procedure by retracting the endotracheal tube assigned as group 1 and 27 patients who underwent laryngeal mask were assigned as group 2. The most common comorbidity was neurological disorder with 33 patients (62.3%). There was no difference between the two groups in terms of blood tests, arterial blood gas analyses, propofol dose, mortality and development of complications. Group 1 required more rocuronium and reintubation, and the duration of the procedure was significantly longer. Conclusion: There is no difference in mortality and complication development between percutaneous dilatational tracheostomy using laryngeal mask and endotracheal tube. The use of laryngeal mask is safe and effective, especially in intensive care units with fewer staff.