laryngeal mask is a supraglothic instrument for ventilation of patients who are under anesthesia. insertion of laryngeal mask requires maintaining sufficient depth of anesthesia to avoid airway reflex (gagging, coughing and spasms). the present study investigated two techniques of anesthesia with propofol-atracurium and thiopental-atracurium to facilitate insertion of the laryngeal mask, term o...

the laryngeal mask airway (lma) is an important addition to the anesthetist's equipments. however, its usage may involve some complications. we have encountered an unusual and potentially serious complication using this equipment. a 45-year old man underwent cataract surgery under general anesthesia. after the induction of anesthesia, a size 4 of the reusable classic lma was inserted without an...

treacher collin’s syndrome (tcs) is a rare inherited condition characterized by bilateral and symmetric abnormalities of structures within the first and second bronchial arches. patients with tcs present a serious problem to anesthetists maintaining their airway as upper airway obstruction and difficult tracheal intubation due to severe facial deformity. because of retrognathia, airway manageme...

results the mean heart rate values were significantly less in the sevoflurane group (p value < 0.05) at 25 minutes after the surgery. the mean blood pressure in the isoflurane group was significantly higher compared with the sevoflurane group in 10, 20 and 30 minutes after the surgery (p values = 0.0131, 0.0373 and 0.0028, respectively). these differences were clinically unimportant because hea...

results in the i-gel group, the success rate was 66.7% for placement on the first attempt, 16.7% for the second, and 3.33% for the third attempt. in the lma group, the success rates were 80.6% and 12.9% for the first and second attempts, respectively. failure in placement occurred in four cases in the i-gel and two cases in lma groups. the mean insertion time was not significantly different bet...

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...

1 Brandt L. The first reported oral intubation of the human trachea. Anesth Analg 1987;66:1198-9. 2 Drummond GB. Keep a clear airway. BrjAnaesth 1991;66:153-6. 3 Nandi PR, Charlesworth CH, Taylor SJ, Nunn JF, Dore CJ. Effect of general anaesthesia on the pharynx. BrjAnaesth 1991;66:57-162. 4 Hoffstein V, Zamel N. Sleep apnoea and the upper airway. BrJAnaesth 1990;65:139-50. 5 Brain AIJ. The dev...

background: various studies are seeking to find new methods to improve techniques of laryngeal mask airway (lma) insertion and reduce possible complications. in this study, we embarked on a clinical study to investigate the advantages of a new insertion method of laryngeal mask and to compare it with the classic method. materials and methods: two hundred patients aged 20-60 years old in 2012 we...