Sinan YILMAZ, Harun UYSAL, Muhittin ÇALIM, Nizamettin BUCAK

İnfantlarda i-Gel ve Ambu Aura-i Kullanımın Laringofaringeal Mukoza Üzerindeki Etkisinin Flexible Bronkoskopi ile Karşılaştırılması

Amaç: Supraglottik havayolu cihazları, pediatrik hastalarda cerrahide sıklıkla tercih edilmektedir. i-gel LMA ve Ambu Aura-i LMA, yeni nesil supraglottik havayolu cihazlarıdır. Bu çalışmanın amacı, bebeklerde i-gel ve Ambu Aura-i'ye bağlı havayolu travması ve postoperatif komplikasyonları karşılaştırmaktır. Materyal ve metod: Çalışmada minör cerrahi uygulanan, ASA I hastalar (n=40) iki gruba ayrıldı. Standart anestezi sonrası bir gruba i-gel, diğerine Ambu Aura-i yerleştirildi. Ameliyat sonunda fleksibl bronkoskopi yapıldı. Laringofaringeal yapılarda mukozal hasar ve postoperatif komplikasyonlar karşılaştırıldı. Bulgular: Gruplar arasında yaş ve vücut ağırlık ortalamaları, LMA sayısı, komplikasyon dağılımı, anestezi süresi ve ortalama ameliyat süresi açısından istatistiksel olarak anlamlı fark bulunmadı (p=0.930, p=0.743, p=0.705, p=0.151, p =0.894, p=0.710). Fleksibl bronkoskopi görünümüne göre derecelendirme açısından iki grup arasında istatistiksel olarak anlamlı fark yoktu (p=0.112, p=0.201, p=0.632). Sonuç: Bebeklerde i-gel ve Ambu Aura-i'ye bağlı laringofaringeal mukozal hasar ve postoperatif hava yolu komplikasyonlarında fark yoktur. Bu yaş grubunda her iki cihaz da etkin ve güvenli bir şekilde kullanılabilir.

Anahtar Kelimeler:

Laringeal maske havayolu, i-gel, Ambu Aura-i, Fleksibl bronkoskopi, Laringofaringeal hasar, İnfant

Comparison of the Effect of i-Gel ™ and AMBU Aura-i ™ Use on Laryngopharyngeal Mucosa with Flexible Bronchoscopy in Infants

Background: Supraglottic airway devices are frequently preferred in surgical surgery for pediatric patients. I-gel LMA and Ambu Aura-i LMA are the new generation supraglottic airway devices. This study aimed to compare airway trauma and postoperative complications due to i-gel and Ambu Aura-i in infants. Materials and Methods: In the study, patients were divided into two groups that performed minor surgery ASA I and 40 infants. After standard anesthesia, i-gel was placed into one group, and Ambu Aura-i was placed into another. Flexible bronchoscopy was performed at the end of the surgery. Mucosal damage and postoperative complications in laryngopharyngeal structures were compared. Results: No statistically significant difference was found between the groups in terms of age and body weight averages, LMA size, complication distribution, duration of anesthesia, and mean duration of surgery (p=0.930, p=0.743, p=0.705, p=0.151, p=0.894, p=0.710). There was no statistically significant difference between the two groups regarding grading according to the flexible bronchoscopy appearance (p=0.112, p=0.201, p=0.632). Conclusions: There is no difference in laryngopharyngeal mucosal damage and postoperative airway complicati-ons due to i-gel and Ambu Aura-i in infants. Both devices can be used effectively and safely in this age group.

Keywords:

Laryngeal Mask Airway, i-gel, Ambu Aura-i, Flexible bronchoscopy, Laryngopharyngeal damage, Infant,

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