Gastro-Laryngeal Tube for endoscopic retrograde cholangiopancreatography: a preliminary report

被引:15
作者
Gaitini, L. A. [1 ]
Lavi, A. [2 ]
Stermer, E.
Mora, P. Charco [3 ]
Pott, L. M. [4 ]
Vaida, S. J. [4 ]
机构
[1] Bnai Zion Med Ctr, Dept Anaesthesia, Haifa, Israel
[2] Bnai Zion Med Ctr, Dept Gastroenterol, Haifa, Israel
[3] Hosp Son Dureta, Dept Anaesthesia, Palma de Mallorca, Spain
[4] Penn State Milton S Hershey Med Ctr, Dept Anaesthesia, Hershey, PA USA
关键词
MASK AIRWAY; GASTROINTESTINAL ENDOSCOPY; ANESTHESIA; SEDATION; OXYGEN;
D O I
10.1111/j.1365-2044.2010.06510.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
P>The Gastro-Laryngeal Tube is a modification of the Laryngeal Tube that provides a dedicated channel for the insertion of a gastroscope. In this study of 30 patients undergoing general anaesthesia for endoscopic retrograde cholangiopancreatography, we evaluated both the effectiveness of airway management with a Gastro Laryngeal Tube and the feasibility of performing it using the endoscopic channel. The Gastro Laryngeal Tube was inserted successfully in all patients, in 27 patients at the first attempt. The mean (SD) time to achieve an effective airway was 26 (6) s. Mean (SD) inspiratory and expiratory tidal volumes were 336 (57) ml and 312 (72) ml, respectively, and oropharyngeal leak pressure was 33.7 (2) cmH(2)O. These data suggest that the Gastro Laryngeal Tube is an effective and secure device for airway management and for use during performance of endoscopic retrograde cholangiopancreatography.
引用
收藏
页码:1114 / 1118
页数:5
相关论文
共 17 条
[1]  
*ASA, 2009, AM SOC AN ASA NEW OR
[2]   Incidence of Sedation-Related Complications With Propofol Use During Advanced Endoscopic Procedures [J].
Cote, Gregory A. ;
Hovis, Robert M. ;
Ansstas, Michael A. ;
Waldbaum, Lawrence ;
Azar, Riad R. ;
Early, Dayna S. ;
Edmundowicz, Steven A. ;
Mullady, Daniel K. ;
Jonnalagadda, Sreenivasa S. .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2010, 8 (02) :137-142
[3]   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
[4]   CARBON-DIOXIDE RETENTION AND OXYGEN DESATURATION DURING GASTROINTESTINAL ENDOSCOPY [J].
FREEMAN, ML ;
HENNESSY, JT ;
CASS, OW ;
PHELEY, AM .
GASTROENTEROLOGY, 1993, 105 (02) :331-339
[5]   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
[6]   An evaluation of the laryngeal Tube® during general anesthesia using mechanical ventilation [J].
Gaitini, LA ;
Vaida, SJ ;
Somri, M ;
Kaplan, V ;
Yanovski, B ;
Markovits, R ;
Hagberg, CA .
ANESTHESIA AND ANALGESIA, 2003, 96 (06) :1750-1755
[7]  
Goulson Daniel T, 2009, Anesthesiol Clin, V27, P71, DOI 10.1016/j.anclin.2008.10.004
[8]  
Gross JB, 2002, ANESTHESIOLOGY, V96, P1004
[9]   Comparison of four methods for assessing airway sealing pressure with the laryngeal mask airway in adult patients [J].
Keller, C ;
Brimacombe, JR ;
Keller, K ;
Morris, R .
BRITISH JOURNAL OF ANAESTHESIA, 1999, 82 (02) :286-287
[10]   LACK OF UNIFORMITY IN EVALUATION OF ENDOSCOPIC PROGNOSTIC FEATURES OF BLEEDING ULCERS [J].
LAINE, L ;
FREEMAN, M ;
COHEN, H .
GASTROINTESTINAL ENDOSCOPY, 1994, 40 (04) :411-417