Dişsiz geriyatrik hastalarda Lm-unıque ile





















































SUMMARY A Comparison of Laryngeal Mask UniqueTM versus SupremeTM for Edentulous Geriatric
Patients
Aim of this study : Edentulous patients aged over 65 constitute 60% of patients. It is more difficult to perform bag-mask ventilation in edentulate patients than in patients with intact dentition.
Newer supraglottic airway devices have modifications to improve seal and to separate the respiratory and the gastrointestinal tracts. Laringeal mask Supreme is a new, single-use; latex-free, laryngeal mask airway with gastric access is made of medical grade polyvynil chloride. It combines features of laringeal mask Fastrach, laringeal mask ProSeal and laringeal mask Unique.
We aimed to compare the laringeal mask Unique with Supreme in assessing success of first attempt, oropharyngeal leak pressure, ease of insertion and time for insertion secondly assessing hemodynamic effects on laryngeal mask insertion.
Material and Methods: Methods a total of 60 patients of ASA group I, II and III were included in our study. Regarding the airway device used during surgery, the patients were randomly assigned into two groups: Group Supreme and Group Unique. Intended measurements were recorded for each groups.
Results: Laryngeal mask Supreme is superior to Unique because of first attempt success rate. There was no difference between the two groups in oropharyngeal leak pressures, ease of insertion, insertion time and hemodynamic parameters. Oropharyngeal leak pressures of laryngeal mask Unique and Supreme is 17.10 cmH2O and 20.56 cmH2O, respectively. Time of insertion for laryngeal mask Unique and Supreme is 11.87 s and 10.04 s, ease of insertion is %100 and %90, respectively.
Conclusion: The efficacy and safety of each supraglottic devices are the same at short surgical procedures for edentulous geriatric patients but the laryngeal mask Supreme is superior to Unique because of its ease of insertion at the first attempts (p<0.05). Key words: Laryngeal mask Supreme, oropharyngeal leak pressure 2



11. SAYFAYA BENZER SAYFALAR

Laringeal Maske Unique'in dişli ve dişsiz geriyatrik hastalarda kullanımının karşılaştırılması - Sayfa 11
SUMMARY A Comparison of Laryngeal Mask UniqueTM in Denticulate and Edentulate Geriatric Patients Aim of this study: Because of the patients cheeks are straight inside, mask ventilation in geriatric and edentulous patients may be ineffective or even impossible. Laryngeal mask airway is a good alternative when the standard mask doesn’t fit the patient’s face. The aim of this study is to compare s...
LMA Unique? ve I-GEL?uygulamasında baş-boyun pozisyonlarının orofaringeal kaçak basıncına etkisi - Sayfa 10
SUMMARY The Influence of Head and Neck Position On The Oropharyngeal Leak Pressure of LMA Unique ™ and I-GEL™ Objecitve: The primary aim was to compare the oropharyngeal leak pressure of LMA Unique and I-gel in different positions of the head and neck. As a secondary aim, insertion time, ease of insertion, hemodynamic effects and postoperative airway morbidity were compared. Material and Method...
Laringeal Maske Unique'in dişli ve dişsiz geriyatrik hastalarda kullanımının karşılaştırılması - Sayfa 47
KAYNAKLAR: 1- Kayhan Z. Hasta ile ilgili bazı özel durumlarda anestezi; Yaşlı hastalarda anestezi. Kayhan Z, editör, Klinik anestezi, 3. baskı. Logos Yayıncılık İstanbul: 705-9. 2- Elar Z, Hepağuşlar H. Geriatrik olgularda preanestezik evalüasyon. T Klin Anest Reanim. 2003;1: 18-24. 3- Murray D, Dodds C. Per operative care of the elderly. Critical care and pain 2004; 4: 193-6. 4- Racine SX, Solis...

11. SAYFADAKI ANAHTAR KELIMELER

oropharyngeal
airway
pressure
patients
with
comparison


11. SAYFA ICERIGI

SUMMARY A Comparison of Laryngeal Mask UniqueTM versus SupremeTM for Edentulous Geriatric
Patients
Aim of this study : Edentulous patients aged over 65 constitute 60% of patients. It is more difficult to perform bag-mask ventilation in edentulate patients than in patients with intact dentition.
Newer supraglottic airway devices have modifications to improve seal and to separate the respiratory and the gastrointestinal tracts. Laringeal mask Supreme is a new, single-use; latex-free, laryngeal mask airway with gastric access is made of medical grade polyvynil chloride. It combines features of laringeal mask Fastrach, laringeal mask ProSeal and laringeal mask Unique.
We aimed to compare the laringeal mask Unique with Supreme in assessing success of first attempt, oropharyngeal leak pressure, ease of insertion and time for insertion secondly assessing hemodynamic effects on laryngeal mask insertion.
Material and Methods: Methods a total of 60 patients of ASA group I, II and III were included in our study. Regarding the airway device used during surgery, the patients were randomly assigned into two groups: Group Supreme and Group Unique. Intended measurements were recorded for each groups.
Results: Laryngeal mask Supreme is superior to Unique because of first attempt success rate. There was no difference between the two groups in oropharyngeal leak pressures, ease of insertion, insertion time and hemodynamic parameters. Oropharyngeal leak pressures of laryngeal mask Unique and Supreme is 17.10 cmH2O and 20.56 cmH2O, respectively. Time of insertion for laryngeal mask Unique and Supreme is 11.87 s and 10.04 s, ease of insertion is %100 and %90, respectively.
Conclusion: The efficacy and safety of each supraglottic devices are the same at short surgical procedures for edentulous geriatric patients but the laryngeal mask Supreme is superior to Unique because of its ease of insertion at the first attempts (p<0.05). Key words: Laryngeal mask Supreme, oropharyngeal leak pressure 2

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