I-gel Laryngeal Mask Airway Combined with Tracheal Intubation Attenuate Systemic Stress Response in Patients Undergoing Posterior Fossa Surgery
Joint Authors
Tang, Chaoliang
Li, Juan
Chai, Xiaoqing
Kang, Fang
Huang, Xiang
Hou, Tao
Tang, Fei
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-26
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
The adverse events induced by intubation and extubation may cause intracranial hemorrhage and increase of intracranial pressure, especially in posterior fossa surgerypatients.
In this study, we proposed that I-gel combined with tracheal intubation could reduce the stress response of posterior fossa surgery patients.
Methods.
Sixty-six posterior fossa surgery patients were randomly allocated to receive either tracheal tube intubation (Group TT) or I-gel facilitated endotracheal tube intubation (Group TI).
Hemodynamic and respiratory variables, stress and inflammatory response, oxidative stress, anesthesia recovery parameters, and adverse events during emergence were compared.
Results.
Mean arterial pressure and heart rate were lower in Group TI during intubation and extubation ( P < 0.05 versus Group TT).
Respiratory variables including peak airway pressure and end-tidal carbon dioxide tension were similar intraoperative, while plasma β-endorphin, cortisol, interleukin-6, tumor necrosis factor-alpha, malondialdehyde concentrations, and blood glucose were significantly lower in Group TI during emergence relative to Group TT.
Postoperative bucking and serious hypertensions were seen in Group TT but not in Group TI.
Conclusion.
Utilization of I-gel combined with endotracheal tube in posterior fossa surgery patients is safe which can yield more stable hemodynamic profile during intubation and emergence and lower inflammatory and oxidative response, leading to uneventful recovery.
American Psychological Association (APA)
Tang, Chaoliang& Chai, Xiaoqing& Kang, Fang& Huang, Xiang& Hou, Tao& Tang, Fei…[et al.]. 2015. I-gel Laryngeal Mask Airway Combined with Tracheal Intubation Attenuate Systemic Stress Response in Patients Undergoing Posterior Fossa Surgery. Mediators of Inflammation،Vol. 2015, no. 2015, pp.1-12.
https://search.emarefa.net/detail/BIM-1072667
Modern Language Association (MLA)
Tang, Chaoliang…[et al.]. I-gel Laryngeal Mask Airway Combined with Tracheal Intubation Attenuate Systemic Stress Response in Patients Undergoing Posterior Fossa Surgery. Mediators of Inflammation No. 2015 (2015), pp.1-12.
https://search.emarefa.net/detail/BIM-1072667
American Medical Association (AMA)
Tang, Chaoliang& Chai, Xiaoqing& Kang, Fang& Huang, Xiang& Hou, Tao& Tang, Fei…[et al.]. I-gel Laryngeal Mask Airway Combined with Tracheal Intubation Attenuate Systemic Stress Response in Patients Undergoing Posterior Fossa Surgery. Mediators of Inflammation. 2015. Vol. 2015, no. 2015, pp.1-12.
https://search.emarefa.net/detail/BIM-1072667
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1072667