postoperative respiratory complications of laryngeal mask airway and tracheal tube in ear, nose and throat operations

Authors

reza safaeian department of anesthesiology, rasoul akram medical center, iran university of medical scienses, tehran, iran; department of anesthesiology, rasoul akram medical center, iran university of medical scienses, tehran, iran. tel: +98-9121437850, fax: +90-2166509059

valiollah hassani department of anesthesiology, rasoul akram medical center, iran university of medical scienses, tehran, iran

gholamreza movasaghi department of anesthesiology, hasheminejad hospital, iran university of medical scienses, tehran, iran

mahzad alimian department of anesthesiology, rasoul akram medical center, iran university of medical scienses, tehran, iran

abstract

results sore throat was recorded in 32.9% of patients with lma and 44.2% of intubated patients, but it was not statistically significant (fisher’s exact test = 0.158). hoarseness was recorded in 3.5% of patients with lma and 24.4% of intubated patients (fisher’s exact test = 0.000). in 1.2% of patients with lma cough was recorded; it was also seen in 7% of the intubated patients (fisher’s exact test = 0.005). shortness of breath was mentioned by two intubated patients (2.3%) and in patient with lma we did not record this complication. objectives in this study, we compared postoperative respiratory complications in patients with prolonged ear, nose and throat (ent) surgeries, whose airways were controlled with tracheal tube or laryngeal mask airway (lma). materials and methods in a randomized control trial (rct), 171 candidates of prolonged ent surgeries were randomly assigned into two groups. in group one (n = 85) lma and in group two (n = 86) endotracheal tube were used for airway control. the incidences of four postoperative respiratory complications including sore throat, hoarseness, cough and shortness of breath in immediate postoperative period were measured and compared among patients of each group. background supraglottic devices could be used to reduce postoperative respiratory complications, but there are few studies focused on their use in more prolonged surgeries. conclusions lma in prolonged ent surgeries was associated with reduced respiratory complications.

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Journal title:
anesthesiology and pain medicine

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