Cargando…

Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old?

OBJECTIVE: This study aimed to evaluate respiratory parameters during percutaneous internal ring suturing (PIRS) for inguinal hernia repair in two different-aged pediatric patients in whom the airway is provided with a laryngeal mask or endotracheal tube for general anaesthesia. METHODS: After local...

Descripción completa

Detalles Bibliográficos
Autores principales: Uysal, Damla, Çakar Turhan, Sanem, Ergün, Ergun, Selvi Can, Özlem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339758/
https://www.ncbi.nlm.nih.gov/pubmed/37455532
http://dx.doi.org/10.4274/TJAR.2023.221176
_version_ 1785071917043023872
author Uysal, Damla
Çakar Turhan, Sanem
Ergün, Ergun
Selvi Can, Özlem
author_facet Uysal, Damla
Çakar Turhan, Sanem
Ergün, Ergun
Selvi Can, Özlem
author_sort Uysal, Damla
collection PubMed
description OBJECTIVE: This study aimed to evaluate respiratory parameters during percutaneous internal ring suturing (PIRS) for inguinal hernia repair in two different-aged pediatric patients in whom the airway is provided with a laryngeal mask or endotracheal tube for general anaesthesia. METHODS: After local ethics committee and parental consent, 180 ASAI-II children were randomly allocated to 4 groups; according to their age (0-24 months / 25-144 months) and airway device laryngeal mask (LMA) / endotracheal tube (ETT) used for general anaesthesia (45 children each) for laparoscopic inguinal hernia repair. Standard anaesthesia induction was done with lidocaine, propofol, and fentanyl, and 0.6 mg kg(-1) rocuronium was added to the ETT groups. Sevoflurane is used for maintenance. Hemodynamic parameters, peak airway pressure, end-tidal carbon dioxide (EtCO(2)), and peripheric oxygen saturation (SpO(2)) values were recorded after induction, before, and during pneumoperitoneum. The duration of anaesthesia, surgery, recovery time, and surgical satisfaction was recorded. Airway complications (cough, laryngospasm, bronchospasm, desaturation, and aspiration) were recorded. RESULTS: Hundred and eighty patients (45 in each group) were analyzed. Duration of surgery and surgical satisfaction were similar in all groups. Duration of anaesthesia and recovery times were significantly shorter in the LMA groups. Peak airway pressure and EtCO2 levels were significantly lower in the LMA groups. Rare airway complications were observed without significance. CONCLUSION: In laparoscopic inguinal hernia repair with the PIRS technique, LMA offered comparable operating conditions and surgical satisfaction.
format Online
Article
Text
id pubmed-10339758
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Galenos Publishing
record_format MEDLINE/PubMed
spelling pubmed-103397582023-07-15 Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old? Uysal, Damla Çakar Turhan, Sanem Ergün, Ergun Selvi Can, Özlem Turk J Anaesthesiol Reanim Original Article OBJECTIVE: This study aimed to evaluate respiratory parameters during percutaneous internal ring suturing (PIRS) for inguinal hernia repair in two different-aged pediatric patients in whom the airway is provided with a laryngeal mask or endotracheal tube for general anaesthesia. METHODS: After local ethics committee and parental consent, 180 ASAI-II children were randomly allocated to 4 groups; according to their age (0-24 months / 25-144 months) and airway device laryngeal mask (LMA) / endotracheal tube (ETT) used for general anaesthesia (45 children each) for laparoscopic inguinal hernia repair. Standard anaesthesia induction was done with lidocaine, propofol, and fentanyl, and 0.6 mg kg(-1) rocuronium was added to the ETT groups. Sevoflurane is used for maintenance. Hemodynamic parameters, peak airway pressure, end-tidal carbon dioxide (EtCO(2)), and peripheric oxygen saturation (SpO(2)) values were recorded after induction, before, and during pneumoperitoneum. The duration of anaesthesia, surgery, recovery time, and surgical satisfaction was recorded. Airway complications (cough, laryngospasm, bronchospasm, desaturation, and aspiration) were recorded. RESULTS: Hundred and eighty patients (45 in each group) were analyzed. Duration of surgery and surgical satisfaction were similar in all groups. Duration of anaesthesia and recovery times were significantly shorter in the LMA groups. Peak airway pressure and EtCO2 levels were significantly lower in the LMA groups. Rare airway complications were observed without significance. CONCLUSION: In laparoscopic inguinal hernia repair with the PIRS technique, LMA offered comparable operating conditions and surgical satisfaction. Galenos Publishing 2023-06-16 /pmc/articles/PMC10339758/ /pubmed/37455532 http://dx.doi.org/10.4274/TJAR.2023.221176 Text en ©Copyright 2023 by the Turkish Anesthesiology and Reanimation Association / Turkish Journal of Anaesthesiology & Reanimation is published by Galenos Publishing House. https://creativecommons.org/licenses/by/4.0/Licensed under a Creative Commons Attribution (CC BY) 4.0 International License.
spellingShingle Original Article
Uysal, Damla
Çakar Turhan, Sanem
Ergün, Ergun
Selvi Can, Özlem
Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old?
title Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old?
title_full Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old?
title_fullStr Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old?
title_full_unstemmed Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old?
title_short Is Laryngeal Mask a Good Alternative in Children Undergoing Laparoscopic Inguinal Hernia Repair with Percutaneous Internal Ring Suturing Under and Over Two Years Old?
title_sort is laryngeal mask a good alternative in children undergoing laparoscopic inguinal hernia repair with percutaneous internal ring suturing under and over two years old?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339758/
https://www.ncbi.nlm.nih.gov/pubmed/37455532
http://dx.doi.org/10.4274/TJAR.2023.221176
work_keys_str_mv AT uysaldamla islaryngealmaskagoodalternativeinchildrenundergoinglaparoscopicinguinalherniarepairwithpercutaneousinternalringsuturingunderandovertwoyearsold
AT cakarturhansanem islaryngealmaskagoodalternativeinchildrenundergoinglaparoscopicinguinalherniarepairwithpercutaneousinternalringsuturingunderandovertwoyearsold
AT ergunergun islaryngealmaskagoodalternativeinchildrenundergoinglaparoscopicinguinalherniarepairwithpercutaneousinternalringsuturingunderandovertwoyearsold
AT selvicanozlem islaryngealmaskagoodalternativeinchildrenundergoinglaparoscopicinguinalherniarepairwithpercutaneousinternalringsuturingunderandovertwoyearsold