Airway complications associated with laryngeal mask use in short surgical procedures – A training perspective. | ||
| Ain-Shams Journal of Anesthesiology | ||
| Volume 17, Issue 1, January 2025, Pages 1-8 PDF (495.68 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asja.2024.251049.1022 | ||
| Authors | ||
| Derya Ozden Omaygenc* ; Nagehan Boyaci; Yunus Emre Olmez; Esra Kahya; Nurdan Aydin; Oznur Sen | ||
| Department of Anesthesiology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey | ||
| Abstract | ||
| Background: Laryngeal masks (LMA) are frequently used as primary airway devices for anesthetic management of short procedures. A steep learning curve for insertion and low major complication rates are the main advantages of these devices. However, minor events associated with their mass effect are not rare. The impact of the operator's experience on this subject is also undetermined. Here, we aimed to assess the predictors of complication occurrence in the hands of anesthesiology residents who provided perioperative management for all cases. Results: Seventy-five ASA I-II patients were enrolled. The appropriate sizes of LMA Proseal ™ or LMA Fastrach ™ were utilized for establishing airway patency. The sample population was grouped according to the occurrence of at least one pre-specified complication (Groups C and NC). Twenty-five events were observed in 20 (26.7%) patients. Demographic features were comparable between groups. There were no significant differences in terms of the preferred LMA, operator experience, or ventilator-related parameters between individuals with and without complications. Among the complete set of data, the additional need for anesthesia was the only variable independently associated with outcome (OR: 0.19; p = 0.01). Conclusion: In our population, comprising patients undergoing a brief urological procedure under general anesthesia, the only determinant of complication occurrence was the additional need for propofol during the procedure. The choice of the LMA and the experience of the resident were not associated with the composite endpoint. | ||
| Keywords | ||
| Academic training; Airway management; Balanced anesthesia; Laryngeal masks; Perioperative complications | ||
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