Videolaryngoscopic evaluation of hypopharyngeal lesions caused by PLMA and I-gel: a randomised controlled clinical trial

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dc.authoridKamil Toker / 0000-0002-3168-0489en_US
dc.authorscopusidKamil Toker / 6701531341
dc.authorwosidKamil Toker / AAX-3866-2020
dc.contributor.authorGümüş, Nevin Esra
dc.contributor.authorTekin, Murat
dc.contributor.authorArslan, Zehra İpek
dc.contributor.authorÖztürk, Murat
dc.contributor.authorToker, Kamil
dc.date.accessioned2021-06-02T11:17:57Z
dc.date.available2021-06-02T11:17:57Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: The ProSeal laryngeal mask airway (PLMA) and I-gel, both second-generation supraglottic airway devices have been compared in previous studies but with inconsistent results regarding their safety and efficacy. Their influence on the hypopharyngeal mucosa have not been evaluated before under videolaryngoscopy. Methods: One hundred ASA I-II patients, aged 18–70 years who underwent elective surgery were randomly allocated for airway management with the I-gel or ProSeal laryngeal mask airway. Mucosal oedema, mucosal colour change and nodularity were evaluated with videolaryngoscopy. Insertion times, oropharyngeal leak pressure and complications were assessed. Results: For the ProSeal laryngeal mask airway, the mean insertion time (28 ± 15 vs. 18 ± 9.91, P < 0.001) and oropharyngeal leak pressure at the time of insertion (27 ± 7 vs. 23 ± 5, P = 0.01) were significantly higher than the I-gel. With the ProSeal laryngeal mask airway, the incidences of dysphagia were higher at 1 and 12 hours postoperatively (30% vs.12%, P = 0.024) and (16% vs. 4%, %, P = 0.046). A significant relationship was found between hypopharyngeal hyperemia and dysphagia (P = 0.001). Conclusion: The use of the I-gel resulted in fewer complications than the ProSeal laryngeal mask airway and seems to be advantageous over the ProSeal laryngeal mask airway in adults under general anaesthesia.en_US
dc.identifier.citationGumus, N. E., Tekin, M., Arslan, Z. I., Ozturk, M., & Toker, K. (2021). Videolaryngoscopic evaluation of hypopharyngeal lesions caused by PLMA and I-gel: A Randomised Controlled Clinical Trial. Trends in Anaesthesia and Critical Care.en_US
dc.identifier.doi10.1016/j.tacc.2021.03.012en_US
dc.identifier.issn2210-8440en_US
dc.identifier.scopus2-s2.0-85106228719en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.tacc.2021.03.012
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1774
dc.identifier.wosWOS:000677678400010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorToker, Kamil
dc.language.isoenen_US
dc.publisherChurchill Livingstoneen_US
dc.relation.ispartofTrends in Anaesthesia and Critical Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDysphagiaen_US
dc.subjectHyperemiaen_US
dc.subjectHypopharynxen_US
dc.subjectI-gelen_US
dc.subjectOropharyngeal leak pressureen_US
dc.subjectProSeal laryngeal mask airwayen_US
dc.subjectVideolaryngoscopyen_US
dc.titleVideolaryngoscopic evaluation of hypopharyngeal lesions caused by PLMA and I-gel: a randomised controlled clinical trialen_US
dc.typeArticleen_US

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