LMA-fasttrach ile kör entübasyonda fiberoptik bronkoskopik görüntüleme, entübasyon başarısı için gerekli mi?
Özet
Difficult or failed airway management is the leading cause of morbility and mortality in anaesthesia. Airway management problems has led alternative techniques to classic entubation. LMA-Fastrach? (LMA-FT) is a designed for use in both anticipated and unexpected difficult intubations, and for failed intubations with other techniques. In this study FOB view that acquired through LMA-FT insertion scored and blind intubation through LMA?FT was performed. Correlation between scores obtained from bronchoscope view and success of blind intubation has been researched.In İbni Sina Hospital between April 2011-September 2011 total of 100 patients aged 18-80 years with ASA 1-3 at elective surgery and endotracheal intubation included into the study. In this study Difficult intubation criterias such as Mallampati scoring (MP), thyromental distance (TMD), sternomental distance (SMD), upper lip bite test (ULB) were reviewed. Standard monitoring to patients was performed preoperatively in the operating room and after induction of anesthesia with intravenous drugs, direct laryngoscopy was performed in order to Cormack-Lehane score (CLS) is evaluation. LMA-FT was inserted and view of vocal cords was evaluated by experienced anesthetist via FOB scoring.Blind intubation through LMA-Fastrach with ST was performed to patients. LMA-FT was removed after intubation. FOB scores,times for successful placement of the LMA-FT and tracheal intubation, number of attempts needed for successful ventilation and tracheal intubation, and complications associated with procedure were recorded. Blind tracheal intubation through LMA-FT was attempted on 100 patients in our study. Blind intubation with LMA-FT was successful at the first attempt in %81 cases, at the second attempt in %12 cases. Blind tracheal intubation through the LMA-FT was possible in %93 cases within two attempts. The tracheal intubation of % 7 patients were not successfully within the two attempts. Correlation between high FOB scores and intubation success were found.Consequently in blind intubation through LMA-FT, fiberoptic bronchoscope view result and intubation were found to be associated.Key words: LMA-FT, fiberoptic bronchoscope score, difficult intubation