COMPARISON OF THE CLINICAL EFFICIENCY OF THE LARENGIAL MASK OF THE II GENERATION AND ENDOTRACHEAL TUBE DURING BREAST SURGERY ANESTHETIC PROVIDING IN FEMALE PATIENTS WITH A HIGH RISK OF CARDIOVASCULAR COMPLICATIONS
Keywords:
I-GEL, supraglottic airway device, cardiovascular complicationsAbstract
Background. We compared I-GEL (second generation single-use supraglottic airway device without an inflatable cuff) with tracheal tube in anaesthetized, paralyzed patients with high risk of cardiovascular complications in breast surgery. Methods. Ninety-two female patients (ASA III, 47–76 years) with high risk of cardiovascular complications (Class III Lee’s Revised Cardiac Risk Index) undergoing elective breast surgery after obtaining approval from the local ethical committee and a written informed consent from the patients were studied. Patients were allocated into two groups: airway management in one group was with a tracheal tube (n=46), and in the other, with I-GEL (n=46). We compared hemodynamic changes after airway management, leak volume and leak fraction, airway trauma signs by post-operative blood staining of the device and sore throat. Conclusions. In our opinion the I-GEL can be used as a reasonable alternative to tracheal tube during general anesthesia in patients with high risk of cardiovascular complications in breast surgery.
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