[INJURY PREVENTION WHILE ENSURING THE AIRWAY DURING SURGERY IN THE NOSE AND SINUSES.]

Abstract

The aim: A comparative analysis of the injuries of upper airways flexible reinforced laryngeal mask and endotracheal intubation by examining the stress response reaction of the cardiovascular system, as well as the frequency and variety of complications. Blood pressure, heart rate, glucose and cortisol, and complications of airway management in children were analyzed.

Methods: The influence of the method of airway management with surgery in nose and sinuses in children in the stress response, hemodynamics, injuries of the airway were studied. The study included 140 patients aged 3 to 17 years.

Results: LMA FlexibleTMhas a minimal negative impact on the hemodynamics. Stress response is less pronounced when installing laryngeal mask than with tracheal intubation, which manifests itself in less cortisol concentration of 3.7%, 11.4% glucose. After removing the flexible reinforced laryngeal mask less than after extubation occurs: cough by 21%, 10% hoarseness, and sore throat by 26%.

Conclusion: The use of the laryngeal mask airway during surgery in the nose and paranasal sinuses safer and less trau- matic manipulation compared with tracheal intubation.