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    The Effectiveness Of The Ambu® Auragain™ Laryngeal Mask On Hemodynamic And Respiratory Parameters İn Patients Undergoing Septoplasty: A Randomized Prospective Clinical Study
    (2021-08-28) Öterkuş, Mesut; Selçuk Kuşderci, Hatice
    Background/Aim: The use of laryngeal masks is increasing with the introduction of 3rd generation airway vehicles. However, endotracheal intubation is preferred by most anesthesiologists in septoplasty operations due to airway safety concerns. In this study, we aimed to compare the 3rd generation airway device, Ambu® Auragain ™ LMA, with tracheal intubation in terms of hemodynamic and respiratory parameters. Methods: This study included 69 patients aged 18–60 years with an ASA score of 1–2 who were scheduled for septoplasty in Adıyaman University Research and Educational Hospital between 2016.01.01 and 2017.06.31. Study groups were randomly defined as Group 1 - Ambu® AuraGain™ laryngeal mask (LMA, n = 37) and Group 2 - endotracheal intubation (ETT, n = 32), and the hemodynamic and respiratory parameters were measured and recorded. Results: The demographic data and partial oxygen saturation of the patients were similar (P>0.05 for all values). The patients in the ETT group had a higher heart rate at induction, intubation and at the first minute compared to the LMA group (P<0.05 for all values). The mean arterial pressure was significantly lower at induction, intubation, at minutes 1, 2, 3, and 4 of intubation, and at extubation in the LMA group (P<0.05 for all values). Conclusion: The Ambu® AuraGain™ laryngeal mask was similar to or better than tracheal intubation in terms of hemodynamic and respiratory parameters. The Ambu® AuraGain™ LMA can be used as an equivalent to tracheal intubation in terms of hemodynamic and respiratory parameters.
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    Effects of different larenageal mask types on hemodynamics and airway in pediatric
    (Mesut Öterkuş, 2022) Ötekuş, Mesut; Selçuk Kuşderci, Hatice
    In pediatric cases, as in adults, supraglottic airway devices (SADs) are common in short-term interventions. We aimed to investigate the effects of these supraglottic airway devices, which we use in pediatric cases, on hemodynamic and airway in our study, in which we used four types of SAD: The LMA Classic, Cobra Perilaryngeal Airway (PLA), İ-gel LMA, and Ambu® AuraGain™. 103 patients with ASA 1-2 and under 18 years of age were randomly divided into LMA Classic, Cobra PLA, i-Gel LMA, and Ambu LMA. The demographic data of the patients were recorded. Hemodynamic data, SAD insertion durations, Pre-operative End-tidal CO2, and airway pressures were recorded at induction, intubation (during SAD insertion), and peri-operative 1st, 2nd, 3rd, 4th, 5th, and 10th minutes. As a result of our study, the groups had similar HR and SpO2 values. EtCO2 values were generally similar to the LMA Classic group in cobra PLA. When compared to i-gel LMA and Ambu LMA, Cobra PLA EtCO2 values were high but within the clinically acceptable range as well. Likewise, airway pressures were not statistically different from the classical LMA Cobra PLA. Airway pressure was higher in the Cobra PLA group than in I-Gel LMA and Ambu LMA. However, it was lower than 20 mm H2O. In pediatric cases, LMA Classic, Cobra PLA, I-gel LMA, and Ambu LMA can be used safely in general. However, we think that airway pressures should be followed-up more closely in the use of Cobra PLA.