LMA® Protector™ versus traditional LMA to perform endobronchial ultrasound-guided transbronchial needle aspiration: a retrospective analysis

Retrospective comparison of conscious sedation and general anesthesia in endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)

“…Literatürdeki diğer çalışmalarda da sıklıkla LMA tercih edilmiştir. [9,[13][14][15] Literatürde klasik LMA'nın dışında Proseal LMA, [13] i-gel, [16] LMA Protector [17] gibi değişik tiplerde supraglottik hava yolu cihazları da EBUS-TBİA için kullanılmıştır. Gastrik drenaj tüpünün olması, doğal yapısının ısırmayı önleyici bloka sahip olması, posterior yerleşimli kaf tasarımı ile basınç bazlı ventilasyon için daha uygun olması; [18] EBUS-TBİA'larda, Proseal LMA'yı klasik LMA'ya göre üstün kılmaktadır.…”

Impact of different sedation modalities on endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)

“…The contact of the bronchoscope with the bronchial mucosa causes coughing and possible laryngospasm with consequent difficulty for the operator to puncture the target. Some authors believe that it is necessary to prevent any movement of the patient while guaranteeing adequate ventilation, by means of orotracheal intubation or laryngeal mask ( 8 , 17 ). It should be noted that orotracheal intubation prevents access to the lymph node stations 4R and 4L ( 17 ) the diameter of the orotracheal tube may not be adequate for the introduction of the bronchoscope ( 7 ).…”

“…Laryngeal mask collects the consent of operators who use deep sedation for EBUS-TBNA allowing adequate ventilation, easy bronchoscope introduction and access to all lymph node stations. Some advanced models, such as the one reported by Zamparelli, allow an easier introduction and manageability of EBUS bronchoscope, avoiding its damage ( 8 ). A higher statistical diagnostic yield, compared to those who received mild sedation is described in these series.…”

A year in review in Minerva Anestesiologica 2019. Anesthesia, analgesia, and perioperative medicine

“…25,26 the development of fast Fourier analysis and computing has enabled dobronchial, ultrasound-guided, trans-bronchial needle aspiration (eBUs-tBNa) in a dedicated endoscopic room. 43 the authors found that lMa was a valuable tool that allowed access to higher mediastinal lymph node stations otherwise obscured by an endotracheal tube. Furthermore, lMa Protector shape provided better space for bronchoscopic ultrasound maneuvers so that the procedural time was shorter than with traditional lMa and patient comfort greater.…”