İnfantlarda i-Gel ve Ambu Aura-i Kullanımın Laringofaringeal Mukoza Üzerindeki Etkisinin Flexible Bronkoskopi ile Karşılaştırılması

Sinan Yılmaz, Harun Uysal, Muhittin Çalim, Nizamettin Bucak
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Abstract

Background: Supraglottic airway devices are frequently preferred in surgical surgery for pediatric patients. I-gel LMA and Ambu Aura-i LMA are the new generation supraglottic airway devices. This study aimed to compare airway trauma and postoperative complications due to i-gel and Ambu Aura-i in infants. Materials and Methods: In the study, patients were divided into two groups that performed minor surgery ASA I and 40 infants. After standard anesthesia, i-gel was placed into one group, and Ambu Aura-i was placed into another. Flexible bronchoscopy was performed at the end of the surgery. Mucosal damage and postoperative complications in laryngopharyngeal structures were compared. Results: No statistically significant difference was found between the groups in terms of age and body weight averages, LMA size, complication distribution, duration of anesthesia, and mean duration of surgery (p=0.930, p=0.743, p=0.705, p=0.151, p=0.894, p=0.710). There was no statistically significant difference between the two groups regarding grading according to the flexible bronchoscopy appearance (p=0.112, p=0.201, p=0.632). Conclusions: There is no difference in laryngopharyngeal mucosal damage and postoperative airway complicati-ons due to i-gel and Ambu Aura-i in infants. Both devices can be used effectively and safely in this age group.
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背景:声门上气道装置是儿科患者外科手术的首选设备。I-gel LMA和Ambu Aura-i LMA是新一代声门上气道设备。本研究旨在比较i-gel和Ambu Aura-i在婴儿中引起的气道创伤和术后并发症。材料与方法:在研究中,患者被分为两组,分别进行小手术ASA I和40名婴儿。标准麻醉后,一组给予i-gel,另一组给予Ambu Aura-i。手术结束时行柔性支气管镜检查。比较喉咽结构的黏膜损伤及术后并发症。结果:两组患者年龄、平均体重、LMA大小、并发症分布、麻醉时间、平均手术时间差异均无统计学意义(p=0.930、p=0.743、p=0.705、p=0.151、p=0.894、p=0.710)。两组根据支气管镜软性表现进行分级,差异无统计学意义(p=0.112, p=0.201, p=0.632)。结论:i-gel与Ambu Aura-i在婴幼儿咽喉黏膜损伤及术后气道并发症方面无差异。这两种设备都可以在这个年龄段有效安全地使用。
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