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The effects of video laryngeal mask and endotracheal intubation on hemodynamic parameters and the development of postoperative respiratory complications in participants scheduled for tympanoplasty will be evaluated.
Procedures to be performed under general anesthesia are performed by placing endotracheal intubation and laryngeal mask in the airway. Video Laryngeal Mask (LMA) combines the upper glottic airway device with video laryngoscope tracheal intubation. LMA placement and tracheal intubation can be visualized, LMA position can be continuously monitored during the operation, and adverse events such as LMA displacement can be managed in a timely manner. Studies have shown that video LMA has extraordinary advantages in airway management. This study aimed to compare video LMA and endotracheal intubation in participants who will undergo tympanoplasty surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Laryngeal Mask Airway | Active Comparator | In this group, after 3 minutes of preoxygenation, 2 mg/kg propofol will be administered intravenously. A laryngeal mask will be placed after induction, the cuf will be inflated and fixed with a cuf manometer. |
|
| Group Endotracheal Tube | Active Comparator | In this group, after 3 minutes of preoxygenation, 2 mg/kg propofol will be administered intravenously, 1 mcg/kg fentanyl will be administered intravenously. Additionally, 0.6 mg/kg rocuronium will be administered intravenously and endotracheal intubation will be performed, and the cuff will be inflated and fixed with a cuff manometer. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video Laryngeal Mask | Other | Video laryngeal mask will be used in this group |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Effective Airway | The time to achieve an effective airway was defined as the time between removing the face mask, attaching the airway device, and obtaining 3 square wave capnograph traces with manual ventilation. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Number of attempts taken for successful placement of airway device | Number of attempts needed for successful placement of either the SaCoVLM™ video laryngeal mask airway the tracheal tube, as assigned | Baseline |
| Haemodynamic response to insertion of airway device |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| HATİCE SELÇUK KUŞDERCİ, asst prof | SAMSUN UNİVERSITY | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsun University, Samsun Training and Research Hospital | Samsun | Ilkadım | 55000 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34869469 | Background | Sun Y, Huang L, Xu L, Zhang M, Guo Y, Wang Y. The Application of a SaCoVLMTM Visual Intubation Laryngeal Mask for the Management of Difficult Airways in Morbidly Obese Patients: Case Report. Front Med (Lausanne). 2021 Nov 18;8:763103. doi: 10.3389/fmed.2021.763103. eCollection 2021. | |
| 34979936 | Background | Yan CL, Chen Y, Sun P, Qv ZY, Zuo MZ. Preliminary evaluation of SaCoVLM video laryngeal mask airway in airway management for general anesthesia. BMC Anesthesiol. 2022 Jan 3;22(1):3. doi: 10.1186/s12871-021-01541-0. |
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The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
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| ID | Term |
|---|---|
| D007442 | Intubation, Intratracheal |
| ID | Term |
|---|---|
| D058109 | Airway Management |
| D013812 | Therapeutics |
| D007440 | Intubation |
| D008919 | Investigative Techniques |
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| Endotracheal intubation |
| Other |
Endotracheal intubation will be performed in this group. |
|
Systolic blood pressure and heart rate at 0th minute, 1st minute 5th minute, starting from the time the face mask was removed from the patient's face. |
| Baseline, 1st minute, 5th minute |
| Displacement of the SaCoVLM™ video laryngeal mask in head position | Effect of Head Rotation During Tympanoplasty on laryngeal visibility with the SaCoVLM™ Laryngeal Mask during head rotation | Baseline |
| Incidence of post-operative sore throat | postoperative sore throat will be recorded at 1st hour, 6th hour, 12th hour, 18th hour, 24th hour | 24 hours after surgery |
| 18084990 | Background | Choi WJ, Kim YH. The influence of head rotation on ProSeal laryngeal mask airway sealing during paediatric myringotomy. Anaesth Intensive Care. 2007 Dec;35(6):957-60. doi: 10.1177/0310057X0703500617. |