Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study

Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study

Fulvio Nisi,1 Antonio Galzerano,1 Gaetano Cicchitto,2 Francesco Puma,3 Vito Aldo Peduto1 1Department of Anesthesiology, Intensive Care and Pain Therapy Centre, 2Department of Pneumology and Respiratory Medicine, 3Department of Thoracic Surgery, AO Santa Maria della Misericordia, Perugia, Italy Back...

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Autores principales: Nisi F, Galzerano A, Cicchitto G, Puma F, Peduto VA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
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Medical technology
R855-855.5
Acceso en línea:https://doaj.org/article/7f5a562e1ef5414c954d756f69877926
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spelling oai:doaj.org-article:7f5a562e1ef5414c954d756f698779262021-12-02T01:27:54ZImproving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study1179-1470https://doaj.org/article/7f5a562e1ef5414c954d756f698779262015-04-01T00:00:00Zhttp://www.dovepress.com/improving-patient-safety-after-rigid-bronchoscopy-in-adults-laryngeal--peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Fulvio Nisi,1 Antonio Galzerano,1 Gaetano Cicchitto,2 Francesco Puma,3 Vito Aldo Peduto1 1Department of Anesthesiology, Intensive Care and Pain Therapy Centre, 2Department of Pneumology and Respiratory Medicine, 3Department of Thoracic Surgery, AO Santa Maria della Misericordia, Perugia, Italy Background: There are still no clear guidelines in the literature on per procedural bronchoscopic management for anesthesiologists, and few relevant datasets are available. To obtain rapid recovery from anesthesia, it is often necessary to keep patients in the recovery room for several hours until they become clinically stable. In this study, we tested the hypothesis that the laryngeal mask airway (LMA) enables better respiratory and hemodynamic recovery than the oxygen face mask (FM) in patients undergoing rigid bronchoscopy. Methods: Twenty-one patients undergoing elective bronchoscopy of the upper airway were randomized to ventilation assistance with FM or LMA after a rigid bronchoscopy procedure under general anesthesia. The primary endpoint was duration of post-surgical recovery and the secondary endpoints were postoperative hemodynamic and respiratory parameters. Assessment of the study endpoints was performed by an intensive care specialist blinded to the method of ventilation used. The statistical analysis was performed using the Fisher’s Exact test for nominal data and the Student's t-test for continuous data. Results: There was no statistically significant difference in post-procedural time between the two groups (P=0.972). The recovery parameters were significantly better in the LMA group than in the FM group, with significantly fewer desaturation, hypotensive, and bradycardic events (P<0.05). Conclusion: We conclude that the LMA may be safer and more comfortable than the FM in patients undergoing rigid bronchoscopy. Keywords: face mask, laryngeal mask airway, anesthesiology, rigid bronchoscopy, safety Nisi FGalzerano ACicchitto GPuma FPeduto VADove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2015, Iss default, Pp 201-206 (2015)
institution DOAJ
collection DOAJ
language EN
topic Medical technology
R855-855.5
spellingShingle Medical technology
R855-855.5
Nisi F
Galzerano A
Cicchitto G
Puma F
Peduto VA
Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study
description Fulvio Nisi,1 Antonio Galzerano,1 Gaetano Cicchitto,2 Francesco Puma,3 Vito Aldo Peduto1 1Department of Anesthesiology, Intensive Care and Pain Therapy Centre, 2Department of Pneumology and Respiratory Medicine, 3Department of Thoracic Surgery, AO Santa Maria della Misericordia, Perugia, Italy Background: There are still no clear guidelines in the literature on per procedural bronchoscopic management for anesthesiologists, and few relevant datasets are available. To obtain rapid recovery from anesthesia, it is often necessary to keep patients in the recovery room for several hours until they become clinically stable. In this study, we tested the hypothesis that the laryngeal mask airway (LMA) enables better respiratory and hemodynamic recovery than the oxygen face mask (FM) in patients undergoing rigid bronchoscopy. Methods: Twenty-one patients undergoing elective bronchoscopy of the upper airway were randomized to ventilation assistance with FM or LMA after a rigid bronchoscopy procedure under general anesthesia. The primary endpoint was duration of post-surgical recovery and the secondary endpoints were postoperative hemodynamic and respiratory parameters. Assessment of the study endpoints was performed by an intensive care specialist blinded to the method of ventilation used. The statistical analysis was performed using the Fisher’s Exact test for nominal data and the Student's t-test for continuous data. Results: There was no statistically significant difference in post-procedural time between the two groups (P=0.972). The recovery parameters were significantly better in the LMA group than in the FM group, with significantly fewer desaturation, hypotensive, and bradycardic events (P<0.05). Conclusion: We conclude that the LMA may be safer and more comfortable than the FM in patients undergoing rigid bronchoscopy. Keywords: face mask, laryngeal mask airway, anesthesiology, rigid bronchoscopy, safety 
format article
author Nisi F
Galzerano A
Cicchitto G
Puma F
Peduto VA
author_facet Nisi F
Galzerano A
Cicchitto G
Puma F
Peduto VA
author_sort Nisi F
title Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study
title_short Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study
title_full Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study
title_fullStr Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study
title_full_unstemmed Improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study
title_sort improving patient safety after rigid bronchoscopy in adults: laryngeal mask airway versus face mask – a pilot study
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/7f5a562e1ef5414c954d756f69877926
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