different ways of airway management in elective minor surgeries of geriatric patients
The investigators will used two different ways of pro-seal laryngeal mask insertion technique (laryngoscopy- guided technique or the standard technique) in elective minor surgeries of geriatric toothless patients. The investigators will record the respiratory dynamics, heartbeat, systolic, diastolic, mean arterial pressures every 5 minutes during surgery. The investigators will record the laryngeal mask insertion time and oropharyngeal leakage pressure. The investigators will evaluate the placement of a laryngeal mask according to young criteria. The development and severity of coughing, retching, laryngospasm, extremity, and head movement during laryngeal mask placement will be recorded. Bloodstains, sore throat, hoarseness will be recorded on the mask that may develop due to laryngeal mask placement. The investigators will use the Briacombe scoring and Campbell category system to assess the position of laryngeal mask airway devices.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
50
Proseal Laryngeal mask inserted with direct laryngoskopy
University of Health Siences Diskapi Yildirim Beyazit T&R hospital
Ankara, Turkey (Türkiye)
laryngeal mask placement
To evaluate the best fiberoptic bronchoscopic view while insertion of pro-Seal laryngeal mask either in a classic way, or with the help of laryngoscope. The fibreoptic evaluation Includes 4, only vocal cords visible; 3, vocal cords plus posterior epiglottis visible 2, vocal cords plus anterior epiglottis visible ; 1, vocal cords not seen.
Time frame: First minute after laryngeal mask insertio
complications of laryngeal mask insertion
complications like sore throat, hoarseness, nausea, and vomiting or Bloodstain on the laryngeal mask. we simply asked patients about them
Time frame: Complications will be evaluated within 1 hour after patient recovery.
hemodynamic response
Heart rate will record before LMA and post LMA used at first minute
Time frame: Before putting on the Layngeal mask, it will record in beats / minute at 5 minutes for 1 minute and 20 minutes after wearing
insertion time
Insertion time was defined from the time of removal of the facemask to the time of the appearance of first capnography upstroke. we assessed this outcome stopwatch
Time frame: The investigator will record the insertion time in seconds from the moment the laryngeal mask airway passes the incisors until the end-tidal CO2 is visible.
respiratory dynamics
The investigator will record the (tidal volume(ml) value from the mechanical ventilator after wearing the laryngeal mask.
Time frame: The first minute after the laryngeal mask insertion, and every 5 minutes thereafter up to the 20th minute
hemodynamic responce
mean blood pressure will record before LMA and post LMA used at first minute
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Before putting on the Layngeal mask, it will record in mm Hg at 5 minutes for 1 minute and 20 minutes after wearing
oxygen saturation
saturation will record before LMA and post LMA used at first minute
Time frame: Before putting on the Layngeal mask, it will record in %SpO2 at 5 minutes for 1 minute and 20 minutes after wearing
respiratory dynamics
The investigator will record the peak airway pressure (cmH2O) value from the mechanical ventilator after wearing the laryngeal mask.
Time frame: The first minute after the laryngeal mask insertion, and every 5 minutes thereafter up to the 20th minute
respiratory dynamics
The investigator will record the end-tidal CO2(mmHg) value from the mechanical ventilator after wearing the laryngeal mask.
Time frame: The first minute after the laryngeal mask insertion, and every 5 minutes thereafter up to the 20th minute