BACKGROUND: Laryngeal masks are increasingly used in place of endotracheal intubation or face masks for maintaining the airway during surgery.OBJECTIVES: Compare the insertion time and other features of the Baska and I-gel masks in patients undergoing general anesthesia for urological surgery.DESIGN: Randomized-controlled, single-blind study.SETTINGS: Urology surgical operating rooms of a tertiary care hospital.SUBJECTS AND METHODS: We enrolled concomitant patients whose surgery was expected to last less than two hours. Following premedication and adequate relaxation, subjects were randomly allocated to the I-gel mask or the Baska mask. Computer-generated random numbers were used for randomization with sealed opaque envelopes for allocation concealment.MAIN OUTCOME MEASURES: The primary outcome measure of the study was the time required for laryngeal mask airway (LMA) insertion. Also, the number of device placement attempts, the number of postoperative signs and symptoms (cough, breath holding, laryngeal spasm, lip trauma, blood on the mask), and laryngopharyngeal morbidity scores at 1 and 24 hours postoperatively.SAMPLE SIZE: 211 met inclusion criteria, 200 participants completed the study.RESULTS: Compared to I-gel, the Baska mask required a longer time for insertion, and its airway pressure was higher. The median (minimum-maximum) duration of LMA insertion in the Baska and I-gel groups was 14 (6-25) and 7 (5-12) seconds, respectively (z=-10.934; P<.001). The mean (SD) airway pressures were significantly different between the two groups (15.8 [1.9] and 14.9 [1.7] cm/H2O for Baska and I-gel, respectively; t=3.668; P<.001). Seal pressure was not significantly different between the groups (0.08 [0.2] vs. 0.07 [0.2] cm/H2O in the Baska and I-gel groups, respectively, (t=1.35; P=.194).CONCLUSIONS: The Baska and I-gel masks are similar in most respects. Both have reasonably acceptable insertion times and can be used for selected surgical procedures.LIMITATIONS: The requirement for more vigorous training is a limitation of the Baska mask. Results could differ with patients younger than 18 years of age or obese patients.CONFLICT OF INTEREST: None.CLINICAL TRIAL REGISTRY: Not registered.
Subcutaneous emphysema is a very rare and good-natured complication after transurethral resection of prostate (TURP). It has been reported as colon perforation, diverticulitis, and bladder perforation associated complication previously. We report the first case of a wide subcutaneous emphysema due to microperforations of prostatic capsule, without a bladder perforation after TURP. Any sign of clinic situation should lead to ceasing of the procedure immediately; otherwise, it can cause a life-threatening problem of abdominal compartment syndrome.
Üst solunum yolu enfeksiyonu (ÜSYE) olan bir çocukta anestezi yönetimiyle ilgili riskler özellikle de pediatristler tarafından öncesinde öngörülememektedir. Burada amaçlanan, ÜSYE'si olan çocuklarda pediatristlerin anestezi yönetimini ilgilendiren görüş, karar ve tutumlarını incelemektir. Gereç ve Yöntemler: Bir kongrede ÜSYE'si olan çocuklarda pediatristlerin anestezi yönetimiyle ilgili pediatristlerin görüş, karar ve tutumlarını inceleyen bir anket gerçekleştirildi. Son bir ay içerisinde çalıştığı merkezde pediatrik cerrahi işlemler gerçekleştirilen katılımcılar dahil edildi. Bulgular: Altı yüz on dört katılımcının %46.7 (n= 287)'si erkekti, yaş ortalaması 37.9 ± 9.2 (aralık= 24-68) yıldı. Laringospazm/bronkospazm (n= 247; %40.2) en sık yaşanmış olan perioperatif komplikasyondu. Katılımcıların %41.5 (n= 255)'inin ÜSYE'si olan çocuklarda tüm elektif cerrahileri ertelediğini, %5 (n= 31)'inin tümünü onayladığını tespit ettik. İşlemleri ortanca erteleme süresi 1 (1-2) haftaydı. Artmış sekresyon en sık bildirilen perioperatif risk faktörüydü. Tam kan sayımı hem acil hem de elektif cerrahiler için en sık kullanılan preoperatif testti. Üniversite personeli elektifse, sadece kısa süreli sedasyon uygulanan işlemleri onaylamaktaydı, fakat tüm acil işlemleri ÜSYE sırasında bile onaylamaktaydı (her ikisi için de p= 0.001). Preoperatif testleri en az üniversite personeli kullanmaktaydı.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.