A randomized controlled trial comparing gastro-laryngeal tube with endotracheal intubation for airway management in patients undergoing ERCP under general anaesthesia

Abstract

Background: Gastro laryngeal tube (GLT) is a newly introduced device. It is an advanced purpose specific design (essentially a modified laryngeal tube) which especially provides a separate wide channel specifically designed for the introduction of a gastroscope for endoscopic retrograde cholangio-pancreatography (ERCP), simultaneously functioning as a supra-glottic airway device for ventilation. Methods: In a randomized controlled trial on 100 patients undergoing ERCP under GA, GLT was compared with endotracheal tube as an alternative airway device. Device insertion conditions, oxygenation and ventilation parameters were recorded. Results: GLT was found to be comparable with ETT. Success rate of insertion of GLT was high (92%) and the insertion time of GLT was significantly shorter 42 (20-210) s vs. 206 (176-320) smedian (range). Both the devices were equally effective in normal oxygenation and ventilation. The recovery time was significantly shorter and postoperative complications such as hoarseness and dysphonia were less common in GLT group. Inserting conditions for the duodenoscope were better in GLT group. Conclusion:In this study, likely to be first of its kind, it is concluded that the GLT is a suitable and better alternative to ETT as it allows adequate ventilation and is associated with faster recovery times and minimal extubation-related complications while enhancing operative conditions for gastroenterologists. Its regular use in patients undergoing ERCP is strongly recommended.

Effects of Continuous Nursing on the Disease Uncertainty, Coping Strategies and Quality of Sleep and Life of Patients with Inflammatory Bowel Disease

“…Inflammatory bowel disease is a group of chronic non-specific intestinal diseases with an unclear aetiology, and the onset age tends to be younger. 14 Patients are prone to disease uncertainty in the face of repeated conditions, complex treatment, adverse drug reactions, impaired cognition and confusion about the development and outcome of the disease. Disease uncertainty interferes with patients’ ability to obtain information about the condition and impacts their psychological well-being, treatment confidence and compliance.…”

A comparison of stress response between insertion of gastro-laryngeal tube and endotracheal intubation in patients undergoing upper gastrointestinal endoscopic procedures for endoscopic retrograde cholangiopancreatography

“…in their study reported the successful use of GLT in Indian patients. [20] However, stress response to GLT has not been studied till now, even though stress response to other supraglottic airways such as LMA and laryngeal tube have been documented. [71521]…”