Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask - a pilot study

There are still no clear guidelines in the literature on per procedural bronchoscopic management for anesthesiologists, and few relevant datasets are available. To obtain rapid recovery from anesthesia, it is often necessary to keep patients in the recovery room for several hours until they become c...

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Bibliographic Details
Published in:Medical devices (Auckland, N.Z.) N.Z.), 2015-01, Vol.8 (default), p.201-206
Main Authors: Nisi, Fulvio, Galzerano, Antonio, Cicchitto, Gaetano, Puma, Francesco, Peduto, Vito Aldo
Format: Article
Language:English
Subjects:
Airway
Airway management
Anesthesia
Anesthesiology
Bronchoscopy
Consciousness
Endoscopy
Health aspects
Intubation
Management
Medical personnel
Original Research
Ostomy
Patient care
Patient safety
Safety and security measures
Thoracic surgery
Ventilators
Vomiting
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Summary:There are still no clear guidelines in the literature on per procedural bronchoscopic management for anesthesiologists, and few relevant datasets are available. To obtain rapid recovery from anesthesia, it is often necessary to keep patients in the recovery room for several hours until they become clinically stable. In this study, we tested the hypothesis that the laryngeal mask airway (LMA) enables better respiratory and hemodynamic recovery than the oxygen face mask (FM) in patients undergoing rigid bronchoscopy. Twenty-one patients undergoing elective bronchoscopy of the upper airway were randomized to ventilation assistance with FM or LMA after a rigid bronchoscopy procedure under general anesthesia. The primary endpoint was duration of post-surgical recovery and the secondary endpoints were postoperative hemodynamic and respiratory parameters. Assessment of the study endpoints was performed by an intensive care specialist blinded to the method of ventilation used. The statistical analysis was performed using the Fisher's Exact test for nominal data and the Student's t-test for continuous data. There was no statistically significant difference in post-procedural time between the two groups (P=0.972). The recovery parameters were significantly better in the LMA group than in the FM group, with significantly fewer desaturation, hypotensive, and bradycardic events (P
ISSN:1179-1470
1179-1470
DOI:10.2147/MDER.S77995