TAILIEUCHUNG - Sparing the larynx during gynecological laparoscopy: a randomized trial comparing the LMA Supremet and the ETT

Young doctors are the future of our Society. Therefore, I am hoping to see a global network created for young gynecologists who are interested in gynecologic cancer. If young doctors from various countries start to communicate effectively and share information with each other, we can both improve and standardize cancer treatment and contribute to the well-being of women worldwide. Education for young doctors is very important because they are still pure and have a sensitivity to share experiences of all kinds. This means that there may be an opportunity to standardize the practice of gynecologic cancer through the global young. | Acta Anaesthesiol Scand 2009 II 1-6 Printed in Singapore. AH rights reserved 2009 The Authors Journal compilation 2009 The Acta Anaesthesiologica Scandinavica Foundation ACTA ANAESTHESIOLOGICA SCANDINAVICA doi Sparing the larynx during gynecological laparoscopy a randomized trial comparing the LMA Supreme and the ETT W. Abdi1 R. Amathieu1 a. Adhoum1 C. Poncelet2 V. Slavov1 W. Kamoun1 X. Combes3 and G. Dhonneur1 Departments of1 Anesthesia and Intensive Care Medicine Department of Gynecology Obstetric and Fertility Jean Verdier University Hospital of Paris Bondy France and 3Department of Anesthesia Intensive Care Medicine and Prehospital Emergency Medicine Henri Mondor University Hospital of Paris Paris France Background We designed a prospective randomized single-blind study to compare efficiency and post-operative upper airway morbidity when the laryngeal mask airway LMA Supreme is used as an alternative to the endotracheal tube ETT . Methods one hundred and thirty-eight elective pelvic laparoscopic ASA I II female patients were assigned to receive either the LMA Supreme or the ETT for airway management. Balanced anesthesia and ventilation techniques were standardized to control end-tidal CO2 and BIS value in the range kPa and 40-50 respectively and to maintain adequate hemodynamic stability. A single surgeon blinded to the airway management technique performed all surgical procedures. The ventilation efficiency of each airway was evaluated. Anesthesia- and surgery-related times were calculated and anesthesia details were recorded. Post-operative pain and pharyngolaryngeal morbidity were measured in a blind fashion using a numerical rating scale NRS 0-100 . Results Surgery duration was similar in both groups. Airway management duration was shorter with the LMA Supreme . Post-operative pharyngolaryngeal morbidity incidence and all symptoms intensity were significantly increased after ETT as compared with LMA Supremes .

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