Jülide ERGİL, Fatma KAVAK AKELMA, Savas ALTINSOY, Mukaddes Tuğba ARSLAN, Ceyda ÖZHAN CAPARLAR, Aras METİN

Endobronşiyal Ultrasonografi Transbronşiyal İğne Aspirasyonun’da İ-gel Kullanımının Etkinliğinin Değerlendirilmesi

GİRİŞ ve AMAÇ: Bu retrospektif çalışmanın temel amacı, endobronşiyal ultrasonografi eşliğinde trans-bronşiyal iğne aspirasyonunda (EBUS-TBNA) I-jel kullanımının postoperatif boğaz ağrısı üzerindeki performansını tanımlamaktı. YÖNTEM ve GEREÇLER: Amerikan Anesteziyologlar Derneği (ASA) statüsü I-II yetişkin kriterlerini karşılayan kırk hasta 18-70 yaşları arasında olup EBUS-TBNA planlanmıştır. Grup E'ye endotrakeal tüp ve grup I'e I-jel uygulanmıştır. Tüm hastaların demografik verileri (cinsiyet, yaş ve vücut kitle indeksi), indüksiyon ve idame için kullanılan anestezi tipi, iyileşme süresi, işlem ve anestezi süresi kaydedildi. Ameliyat sırasında öksürük, desatürasyon ve kanama varlığı açısından anestezi kayıtları incelendi. Ameliyat sonrası komplikasyonlar (ses kısıklığı, boğaz ağrısı, kulak ağrısı, disfaji) hastalara ait servis takip formundan ameliyat sonrası 0 (T3), 2. (T4), 4. (T5) ve 24. (T6) saatlerde kaydedildi. BULGULAR: T4 döneminde ET grubunda 10 hasta, I-jel grubunda 2 hasta ve T5 döneminde ET grubunda sekiz hasta, Ijelde 2 hasta boğaz ağrısı çekti. Grup ET'de 3 hastada ve grup I’de bir hastada T4 döneminde ses kısıklığı görüldü. TARTIŞMA ve SONUÇ: Bu çalışmada sonuçlarımız boğaz ağrısı ve ses kısıklığının I-jel ile azaltılabileceğini göstermiştir. Aynı zamanda, I-jel uygulamasına bağlı hemodinamik yanıt endotrakeal entübasyondan daha düşüktü.

The Efficiency of Using I-Gel During Endobronchial Ultrasonography Guided Transbronchial Needle Aspiration

INTRODUCTION: The primary aim of this retrospectivestudy was to describe the performance of I-gel onpostoperative sore throat due to endobronchialultrasonography guided trans-bronchial needle aspiration(EBUS-TBNA).METHODS: Forty patients meeting the criteria of AmericanSociety of Anaesthesiologists (ASA) status I-II adults wereincluded who are aged 18–70 and scheduled for EBUS-TBNA.In Group E, endotracheal tube and in group I, I-gel wereadministrated. All patients’ demographic data (gender, age,and body mass index), type of anesthesia used for inductionand maintenance, recovery time, the duration of procedure andanesthesia were recorded. The anesthesia records wereinterviewed for the presence of coughing, desaturation, andbleeding during the operation. The postoperativecomplications (hoarseness, sore throat, earaches, dysphagia)were interviewed and recorded at 0 (T3), 2th(T4), 4th(T5) and24th(T6) hr after the operation from patients care form.RESULTS: Ten patients in the group E , 2 patients in the I-gelgroup at the T4 period and eight patients in the group E, 2patients in I-gel were suffered from a sore throat at the T5period. Three patients in group E and one patient in group Iwere suffered from hoarseness at the T4 period.DISCUSSION AND CONCLUSION: In this study, our resultsshowed that the incidence of sore throat and hoarseness couldbe reduced with I-gel. At the same time, hemodynamicresponse due to the I-gel application was lower than theendotracheal intubation.

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