Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine
Joint Authors
Michalek, Pavel
Donaldson, William
Vobrubova, Eliska
Hakl, Marek
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-13
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Supraglottic airway devices are routinely used for airway maintenance in elective surgical procedures where aspiration is not a significant risk and also as rescue devices in difficult airway management.
Some devices now have features mitigating risk of aspiration, such as drain tubes or compartments to manage regurgitated content.
Despite this, the use of these device may be associated with various complications including aspiration.
This review highlights the types and incidence of these complications.
They include regurgitation and aspiration of gastric contents, compression of vascular structures, trauma, and nerve injury.
The incidence of such complications is quite low, but as some carry with them a significant degree of morbidity the need to follow manufacturers’ advice is underlined.
The incidence of gastric content aspiration associated with the devices is estimated to be as low as 0.02% with perioperative regurgitation being significantly higher but underreported.
Other serious, but extremely rare, complications include pharyngeal rupture, pneumomediastinum, mediastinitis, or arytenoid dislocation.
Mild short-lasting adverse effects of the devices have significantly higher incidence than serious complications and involve postoperative sore throat, dysphagia, pain on swallowing, or hoarseness.
Devices may have deleterious effect on cervical mucosa or vasculature depending on their cuff volume and pressure.
American Psychological Association (APA)
Michalek, Pavel& Donaldson, William& Vobrubova, Eliska& Hakl, Marek. 2015. Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine. BioMed Research International،Vol. 2015, no. 2015, pp.1-13.
https://search.emarefa.net/detail/BIM-1056598
Modern Language Association (MLA)
Michalek, Pavel…[et al.]. Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine. BioMed Research International No. 2015 (2015), pp.1-13.
https://search.emarefa.net/detail/BIM-1056598
American Medical Association (AMA)
Michalek, Pavel& Donaldson, William& Vobrubova, Eliska& Hakl, Marek. Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-13.
https://search.emarefa.net/detail/BIM-1056598
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056598