The effects of the Cobra perilaryngeal airway on intraocular pressure

KARABIYIK, Lale; ÖNCÜL, Sema; EMMEZ, Gökçen

The effects of the Cobra perilaryngeal airway on intraocular pressure

Lale KARABIYIK, (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Yoğun Bakım Anabilim Dalı, Ankara, Türkiye)

Sema ÖNCÜL, (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Yoğun Bakım Anabilim Dalı, Ankara, Türkiye)

Gökçen EMMEZ (Gazi Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Yoğun Bakım Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

2 0

Yıl: 2012 Cilt: 42 Sayı: 4 Sayfa Aralığı: 667 - 673 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effects of the Cobra perilaryngeal airway on intraocular pressure

Öz:

Amaç: Kobra perilaringeal maskenin göz içi basıncı üzerine etkilerini klasik laryngeal maske ve endotrakeal entübasyonla karşılaştırmak. Yöntem ve gereç: Göz içi basınçları normal olan ASA I ya da II 45 hasta randomize olarak üç eşit gruba ayrıldı. Aynı anestezik ajanların uygulandığı gruplara; endotrakeal entübasyon (EI grup), klasik laringeal maske (cLMA grup) ve kobra perilaringeal maske (Cobra PLA grup) uygulandı. Kalp atım hızı ile sistolik, diyastolik ve ortalama arteriyel basınçlar monitörize edildi. Uygulamadan önce ve sonraki 15 dk sürede göz içi basıncı aplanasyon tonometresiyle her iki gözden ölçülerek kaydedildi. Bulgular: Kalp atım hızı ile sistolik, diyastolik ve ortalama arteriyel basınç değerleri klasik laringeal maske grubunda uygulamadan 1 dk ve 5 dk sonra diğer gruplardan daha düşük bulundu (P < 0,05). Ortalama göz içi basıncı; bazal değere göre her üç grupta da çalışma süresince anlamlı artış gösterdi. Ancak kobra perilaringeal maskede ve laringeal maskede bu artışlar 1. dk da (sırasıyla 14,9 mmHg ve 14,2 mmHg) endotrakeal entübasyon grubunda olduğundan (ort 18,8 mmHg) anlamlı derecede daha düşük bulundu (P = 0,001). Sonuç: Kobra perilaringeal maske uygulaması laringeal maske uygulamasına benzer şekilde, göz içi basıncını endotrakeal entübasyondan daha az artırmaktadır. Göz içi basınç artışı istenmeyen hastalarda endotrakeal entübasyona tercih edilebilir.

Anahtar Kelime: Göz içi basınç Entübasyon, intratrakeal Larinks maskeleri

Konular: Cerrahi

Kobra perilaringeal maskenin göz içi basıncına etkileri

Öz:

Aim: To compare the effects of the Cobra perilaryngeal airway on intraocular pressure with the effects of the classic laryngeal mask and endotracheal intubation. Materials and methods: Forty-five ASA I or II patients were randomly allocated into 3 equal groups. Endotracheal intubation (EI group), the classic laryngeal mask airway (cLMA group), and the Cobra perilaryngeal airway (Cobra PLA group) were applied to the groups. Heart rate and systolic, diastolic, and mean arterial pressures were recorded. Intraocular pressure was measured with an applanation tonometer before and during the 15 min after application. Results: Heart rate and systolic, diastolic, and mean arterial pressures were lower in the cLMA group than in the other groups at 1 and 5 min after application (P < 0.05). In all of the groups, the mean intraocular pressure increased significantly compared to the baseline during the study. In the Cobra PLA and cLMA groups, these increases at 1 min (14.9 mmHg and 14.2 mmHg, respectively) were signifi cantly lower than those in the EI group (mean: 18.8 mmHg) (P = 0.001). Conclusion: The Cobra PLA and cLMA should be chosen over EI in patients for whom increased intraocular pressure is not desirable.

Anahtar Kelime: Laryngeal Masks Intraocular Pressure Intubation, Intratracheal

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARABIYIK L, ÖNCÜL S, EMMEZ G (2012). The effects of the Cobra perilaryngeal airway on intraocular pressure. , 667 - 673.
Chicago	KARABIYIK Lale,ÖNCÜL Sema,EMMEZ Gökçen The effects of the Cobra perilaryngeal airway on intraocular pressure. (2012): 667 - 673.
MLA	KARABIYIK Lale,ÖNCÜL Sema,EMMEZ Gökçen The effects of the Cobra perilaryngeal airway on intraocular pressure. , 2012, ss.667 - 673.
AMA	KARABIYIK L,ÖNCÜL S,EMMEZ G The effects of the Cobra perilaryngeal airway on intraocular pressure. . 2012; 667 - 673.
Vancouver	KARABIYIK L,ÖNCÜL S,EMMEZ G The effects of the Cobra perilaryngeal airway on intraocular pressure. . 2012; 667 - 673.
IEEE	KARABIYIK L,ÖNCÜL S,EMMEZ G "The effects of the Cobra perilaryngeal airway on intraocular pressure." , ss.667 - 673, 2012.
ISNAD	KARABIYIK, Lale vd. "The effects of the Cobra perilaryngeal airway on intraocular pressure". (2012), 667-673.

APA	KARABIYIK L, ÖNCÜL S, EMMEZ G (2012). The effects of the Cobra perilaryngeal airway on intraocular pressure. Turkish Journal of Medical Sciences, 42(4), 667 - 673.
Chicago	KARABIYIK Lale,ÖNCÜL Sema,EMMEZ Gökçen The effects of the Cobra perilaryngeal airway on intraocular pressure. Turkish Journal of Medical Sciences 42, no.4 (2012): 667 - 673.
MLA	KARABIYIK Lale,ÖNCÜL Sema,EMMEZ Gökçen The effects of the Cobra perilaryngeal airway on intraocular pressure. Turkish Journal of Medical Sciences, vol.42, no.4, 2012, ss.667 - 673.
AMA	KARABIYIK L,ÖNCÜL S,EMMEZ G The effects of the Cobra perilaryngeal airway on intraocular pressure. Turkish Journal of Medical Sciences. 2012; 42(4): 667 - 673.
Vancouver	KARABIYIK L,ÖNCÜL S,EMMEZ G The effects of the Cobra perilaryngeal airway on intraocular pressure. Turkish Journal of Medical Sciences. 2012; 42(4): 667 - 673.
IEEE	KARABIYIK L,ÖNCÜL S,EMMEZ G "The effects of the Cobra perilaryngeal airway on intraocular pressure." Turkish Journal of Medical Sciences, 42, ss.667 - 673, 2012.
ISNAD	KARABIYIK, Lale vd. "The effects of the Cobra perilaryngeal airway on intraocular pressure". Turkish Journal of Medical Sciences 42/4 (2012), 667-673.