The Gastro-Laryngeal Tube for interventional endoscopic biliopancreatic procedures in anesthetized patients

被引：19

作者：

Fabbri, C. ^{[1
]}

Luigiano, C. ^{[2
]}

Cennamo, V. ^{[3
]}

Polifemo, A. M. ^{[1
]}

Maimone, A. ^{[1
]}

Jovine, E. ^{[4
]}

D'Imperio, N. ^{[1
]}

Zanello, M. ^{[5
]}

机构：

[1] AUSL Bologna Bellaria Maggiore Hosp, Unit Gastroenterol & Digest Endoscopy, Bologna, Italy

[2] ARNAS Garibaldi, Unit Gastroenterol & Digest Endoscopy, Catania, Italy

[3] AUSL Bologna Bellaria Hosp, Unit Metropolitan Digest Endoscopy, Dept Surg, I-40139 Bologna, Italy

[4] AUSL Bologna Maggiore Hosp, Unit Gen Surg, Bologna, Italy

[5] IRCCS Ist Sci Neurol Bellaria Hosp, Bologna, Italy

来源：

ENDOSCOPY | 2012年 / 44卷 / 11期

关键词：

RETROGRADE CHOLANGIOPANCREATOGRAPHY; GENERAL-ANESTHESIA; MASK AIRWAY; INTUBATION;

D O I：

10.1055/s-0032-1310159

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The Gastro-Laryngeal Tube (G-LT) is a modification of the laryngeal tube which provides a dedicated channel for the insertion of an endoscope while acting as a supraglottic airway for ventilation. The aim of this study was to assess the safety and effectiveness of this device in patients undergoing anesthesia for interventional endoscopic biliopancreatic procedures (IEBPPs). A total of 22 patients were included in the study. The G-LT was inserted successfully in all patients. Arterial oxygen saturation was stable; the mean value was 97.9%. The IEBPPs were performed successfully in all patients through the endoscopic channel, with a mean duration of 99 minutes. The maneuverability of the endoscope was considered good in all patients. There were two cases of sore throat after the procedures, two cases of asymptomatic erosion of the upper esophageal mucosa, one case of Mallory-Weiss syndrome, and one case of pancreatitis after endoscopic retrograde cholangiopancreatography. Our results suggest that the G-LT is an effective and secure device for airway management and for use during IEBPPs.

引用

页码：1051 / 1054

页数：4

共 7 条

[1] Endoscopic retrograde cholangiopancreatography under general anesthesia: indications and results [J].

Etzkorn, KP ;

Diab, F ;

Brown, RD ;

Dodda, G ;

Edelstein, B ;

Bedford, R ;

Venu, RP .

GASTROINTESTINAL ENDOSCOPY, 1998, 47 (05) :363-367

[2] Gastro-Laryngeal Tube for endoscopic retrograde cholangiopancreatography: a preliminary report [J].

Gaitini, L. A. ;

Lavi, A. ;

Stermer, E. ;

Mora, P. Charco ;

Pott, L. M. ;

Vaida, S. J. .

ANAESTHESIA, 2010, 65 (11) :1114-1118

[3] A randomized controlled trial comparing the ProSeal™ laryngeal mask airway with the laryngeal tube suction in mechanically ventilated patients [J].

Gaitini, LA ;

Vaida, SJ ;

Somri, M ;

Yanovski, B ;

Ben-David, B ;

Hagberg, CA .

ANESTHESIOLOGY, 2004, 101 (02) :316-320

[4] Laryngeal mask airway - a novel method of airway protection during ERCP: comparison with endotracheal intubation [J].

Osborn, IP ;

Cohen, J ;

Soper, RJ ;

Roth, LA .

GASTROINTESTINAL ENDOSCOPY, 2002, 56 (01) :122-128

[5] Evaluation of endoscopic retrograde cholangiopancreatography under conscious sedation and general anesthesia [J].

Raymondos, K ;

Panning, B ;

Bachem, I ;

Manns, MP ;

Piepenbrock, S ;

Meier, PN .

ENDOSCOPY, 2002, 34 (09) :721-726

[6] S3 Guideline: Sedation for gastrointestinal endoscopy 2008 [J].

Riphaus, A. ;

Wehrmann, T. ;

Weber, B. ;

Arnold, J. ;

Beilenhoff, U. ;

Bitter, H. ;

von Delius, S. ;

Domagk, D. ;

Ehlers, A. F. ;

Faiss, S. ;

Hartmann, D. ;

Heinrichs, W. ;

Hermans, M. -L. ;

Hofmann, C. ;

Smitten, S. In Der ;

Jung, M. ;

Kaehler, G. ;

Kraus, M. ;

Martin, J. ;

Meining, A. ;

Radke, J. ;

Roesch, T. ;

Seifert, H. ;

Sieg, A. ;

Wigginghaus, B. ;

Kopp, I. .

ENDOSCOPY, 2009, 41 (09) :787-815

[7] CARDIOVASCULAR AND CATECHOLAMINE RESPONSES TO LARYNGOSCOPY WITH AND WITHOUT TRACHEAL INTUBATION [J].

SHRIBMAN, AJ ;

SMITH, G ;

ACHOLA, KJ .

BRITISH JOURNAL OF ANAESTHESIA, 1987, 59 (03) :295-299

← 1 →