Use of the Laryngeal Mask Airway in Combination with Regional Anesthesia Facilitates Induction and Emergence from General Anesthesia in Patients Undergoing Colorectal Surgery
Hiroshima Journal of Medical Sciences Volume 51 Issue 4
Page 89-92
published_at 2002-10
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| File | |
| Title ( eng ) |
Use of the Laryngeal Mask Airway in Combination with Regional Anesthesia Facilitates Induction and Emergence from General Anesthesia in Patients Undergoing Colorectal Surgery
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| Creator |
Azuma Toshiharu
Kawai Kazumi
Okida Motoichi
Okada Kuniko
Tamura Hideki
|
| Source Title |
Hiroshima Journal of Medical Sciences
|
| Volume | 51 |
| Issue | 4 |
| Start Page | 89 |
| End Page | 92 |
| Journal Identifire |
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
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| Abstract |
The laryngeal mask airway (LMA) is selected as an alternative to the endotracheal tube (ETT) when rapid recovery from general anesthesia is considered. However, the clinical significance of this airway for abdominal surgery is unclear. Thus, we evaluated whether the LMA, in combination with regional anesthesia, facilitates the induction of and emergence from general anesthesia in patients undergoing elective colorectal surgery. Anesthesia-controlled time in a ETT/Epidural Anesthesia (EA) group [n = 11; general anesthesia, combined with epidural anesthesia, was maintained by sevoflurane (< 3%) supplemented with a fixed rate of propofol (3 mg/kg/h) under controlled ventilation using the ETT] was compared with that in a LMA/Combined Spinal-Epidural Anesthesia (CSEA) group [n = 10; in combination with spinalepidural anesthesia, general anesthesia was maintained as the same protocol as the ETT/EA under spontaneous ventilation using the LMA]. Time for airway placement in the LMA/CSEA group was significantly shorter than that in the ETT/EA group. Intervals from the end of surgery until the removal of the airway or the decision to exit the operating room in the LMA/CSEA group were shorter than those in the ETT/EA group. No practical sign of aspiration pneunomia and/or atelectasis was found in patients in either group. Under the circumstance of regional anesthesia being requested for post-surgical pain management, we concluded that the LMA facilitated the emergence from as well as the induction of anesthesia without any practical complication when used for patients in colorectal surgery.
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| Keywords |
Laryngeal mask airway
Colorectal surgery
Anesthesia recovery period
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| NDC |
Medical sciences [ 490 ]
|
| Language |
eng
|
| Resource Type | departmental bulletin paper |
| Publisher |
広島大学図書館
国立情報学研究所
|
| Date of Issued | 2002-10 |
| Access Rights | open access |
| Date |
[Created] 2006-03-21
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