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this study will be undertaken to compare the efficacy of BASKA mask in volume controlled and pressure controlled ventilation in laparoscopic cholecystectomy.
Laparoscopic cholecystectomy is one of the most commonly performed surgical procedures and the laryngeal mask airway (LMA) is the most common supraglottic airway device used by the anesthesiologists to manage airway during general anesthesia. Use of LMA has some advantages when compared to endotracheal intubation, such as quick and ease of placement, a lesser requirement for neuromuscular blockade and a lower incidence of postoperative morbidity. However, the use of the LMA in laparoscopy is controversial, based on a concern about increased risk of regurgitation and pulmonary aspiration. The ability of these devices to provide optimal ventilation during laparoscopic procedures has been also questioned. The most important parameter to secure an adequate ventilation and oxygenation for the LMA under pneumoperitoneum condition is its seal pressure of airway The BASKA mask is a novel supraglottic airway device. It has many of the features of other supraglottic airways, These include; A non-inflatable cuff, that it is continuous with the central channel of the device. As the pressure increases with positive pressure ventilation, the cuff itself is 'inflated', this may improve the seal, reduce leak, and make ventilation more efficient
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| volume controlled ventilation | after induction of anesthesia and insertion of BASKA laryngeal mask airway mechanical ventilation of patients will be maintained with volume controlled ventilation mode |
| |
| pressure controlled ventilation | after induction of anesthesia and insertion of BASKA laryngeal mask airway and mechanical ventilation of patients will be maintained with pressure controlled ventilation mode |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| volume controlled ventilation | Procedure | the patients will be ventilated by volume controlled ventilation after insertion of the BASKA laryngeal mask airway |
|
| Measure | Description | Time Frame |
|---|---|---|
| oropharyngeal leak pressure | the oropharyngeal leak airway pressure will be used as a primary outcome to compare the efficacy of BASKA mask in volume controlled and pressure controlled ventilation in laparoscopic cholecystectomy and measuring leak pressure. | Intra-operative |
| Measure | Description | Time Frame |
|---|---|---|
| End tidal carbon dioxide | End tidal carbon dioxide measurement to determine efficacy of ventilation | Intraoperative |
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Inclusion Criteria:
Exclusion Criteria:
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ASA I&II in the age range 18-60 years of both sexes and scheduled for elective laparoscopic cholecystectomy surgery
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| Name | Affiliation | Role |
|---|---|---|
| Hala S Abdel-Ghaffar, MD | Assiut university hospitals | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiut university hospitals | Asyut | Assiut Governorate | Egypt,71571 | Egypt |
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| ID | Term |
|---|---|
| D053120 | Respiratory Aspiration |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| pressure controlled ventilation | Procedure | the patients will be ventilated by pressure controlled ventilation after insertion of the BASKA laryngeal mask airway |
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