Academic Journal

The effect of intraoperative transnasal humidified rapid-insufflation ventilatory exchange on emergence from general anesthesia in patients undergoing microlaryngeal surgery: a randomized controlled trial

التفاصيل البيبلوغرافية
العنوان: The effect of intraoperative transnasal humidified rapid-insufflation ventilatory exchange on emergence from general anesthesia in patients undergoing microlaryngeal surgery: a randomized controlled trial
المؤلفون: Wei Wei, Xiang Li, Lili Feng, Jiali Jiao, Wenxian Li, Yirong Cai, Rui Fang, Yuan Han
المصدر: BMC Anesthesiology, Vol 23, Iss 1, Pp 1-10 (2023)
بيانات النشر: BMC, 2023.
سنة النشر: 2023
المجموعة: LCC:Anesthesiology
مصطلحات موضوعية: THRIVE, Laryngeal mask, Tubeless anesthesia, Microlaryngeal surgery, Emergence from general anesthesia, Anesthesiology, RD78.3-87.3
الوصف: Abstract Background Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) has received extensive attention for its utility in tubeless anesthesia. Still, the effects of its carbon dioxide accumulation on emergence from anesthesia have not been reported. This randomized controlled trial aimed at exploring the impact of THRIVE combined with laryngeal mask (LM) on the quality of emergence in patients undergoing microlaryngeal surgery. Methods After research ethics board approval, 40 eligible patients receiving elective microlaryngeal vocal cord polypectomy were randomly allocated 1:1 to two groups, THRIVE + LM group: intraoperative apneic oxygenation using THRIVE followed by mechanical ventilation through a laryngeal mask in the post-anesthesia care unit (PACU), or MV + ETT group: mechanically ventilated through an endotracheal tube for both intraoperative and post-anesthesia periods. The primary outcome was duration of PACU stay. Other parameters reflecting quality of emergence and carbon dioxide accumulation were also recorded. Results Duration of PACU stay (22.4 ± 6.4 vs. 28.9 ± 8.8 min, p = 0.011) was shorter in the THRIVE + LM group. The incidence of cough (2/20, 10% vs. 19/20, 95%, P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2253
Relation: https://doaj.org/toc/1471-2253
DOI: 10.1186/s12871-023-02169-y
URL الوصول: https://doaj.org/article/81ec6b5e4d094a20b8bbb4d9b0d218ac
رقم الانضمام: edsdoj.81ec6b5e4d094a20b8bbb4d9b0d218ac
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712253
DOI:10.1186/s12871-023-02169-y