Efficacy of a new dual channel laryngeal mask airway, the LMA®Gastro™ Airway, for upper gastrointestinal endoscopy: a prospective observational study

Background: Laryngeal mask airway (LMA) does not provide definitive airway protection from pulmonary aspiration of potential regurgitated gastric contents. LMA supreme, a recent supraglottic (extraglottic) airway device, shows promising results. Thus, aim of study to evaluate the role of supreme laryngeal mask airway (SLMA) in airway management of patients operated with laparoscopic procedures under general Anaesthesia. Methods: The prospective observational study comprised of 274 patients of ASA grade 1 and 2 scheduled for short elective laparoscopic procedures (<1hr.30min) who provided consent. Patients were anaesthetised according to standard protocol, appropriate size of SLMA was chosen and inserted; and complications were noted. Post SLMA removal, recovery and trauma of throat were noted. Postoperative complications such as nausea, vomiting, and throat pain were noted. Binary logistic regression model and Chi-square test of association was performed to analyse data (P<0.05). Results: Most participants were female (n=260) with mean age of 31.42±7.24 years. Mean duration of surgery and recovery time was 37.3±5.84 min and 5.85±1.93 min respectively. SLMA size 3 was commonly used (n=245) and majority of insertions were successful in the first attempt (n=244). Post insertion, SLMA had adequate length (n=208) Throat pain (n=37) and vomiting (n=38) were common post-operative complications observed in the patients. A significant association was observed between operative procedure and complication (P=0.0004) and number of attempts (P=0.0004) with trauma being significant (P=0.0039). Trauma was associated with gender (P=0.08) and body weight (P=0.006). Conclusion: SLMA can be used as a standalone supraglottic (extraglottic) airway device for airway management in laparoscopic surgeries.

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Upper gastrointestinal endoscopy findings in patient presenting with dyspepsia

Journal of Patan Academy of Health Sciences ◽

10.3126/jpahs.v2i2.20325 ◽

2015 ◽

Vol 2 (2) ◽

pp. 19-22

Author(s):

Roshan Shrestha ◽

Sanjit Karki ◽

Bimal Pandey ◽

Yuba Raj Sharma

Keyword(s):

Internal Medicine ◽

Duodenal Ulcer ◽

Gastric Ulcer ◽

Observational Study ◽

Hiatus Hernia ◽

Gastrointestinal Endoscopy ◽

Health Sciences ◽

Upper Gastrointestinal Endoscopy ◽

Upper Gastrointestinal ◽

Made In

Introductions: The objective of this study was to evaluate the upper gastrointestinal endoscopy findings in patients presenting with dyspepsia.Methods: This retrospective observational study was conducted in Department of Internal Medicine, Patan Hospital from April 2013 to March 2014. Adult patients who underwent upper gastrointestinal endoscopy for dyspepsia were included in the study.Results: There were 2141 endoscopies (out of total 3195) performed for dyspepsia, male 996 (46.52 %), female 1145 (53.48%), mean age 39.37 years (SD ± 18.16). A single endoscopic diagnosis was made in 1991 (93%) and in rest, combinations of lesions were seen. Gastritis 892 (41.66%), oesophagitis 215 (10.04%), duodenal ulcer 100 (4.67%), gastro-duodenitis 85 (3.97%), hiatus hernia 82 (3.82%), gastric ulcer 46 (2.14%) and no lesions in 594 (27.74%) were seen.Conclusions: Gastritis followed by oesophagitis was seen in half of the dyspeptic, while a quarter had functional dyspepsia with normal findings.Journal of Patan Academy of Health Sciences, Vol. 2, No. 2, 2015. page: 19-22

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Simple method for determining the size of the ProSeal laryngeal mask airway in children: a prospective observational study

Brazilian Journal of Anesthesiology (English Edition) ◽

10.1016/j.bjane.2015.06.004 ◽

2017 ◽

Vol 67 (1) ◽

pp. 15-20

Author(s):

Murat Haliloglu ◽

Sevgi Bilgen ◽

Neslihan Uzture ◽

Ozge Koner

Keyword(s):

Laryngeal Mask Airway ◽

Observational Study ◽

Prospective Observational Study ◽

Proseal Laryngeal Mask Airway ◽

Laryngeal Mask ◽

Simple Method

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RECENT UPPER GASTROINTESTINAL ENDOSCOPY QUALITY MEASURES SEEM TO BE USEFUL BUT NEED FURTHER VALIDATION. A MULTICENTER OBSERVATIONAL STUDY

10.1055/s-0040-1704085 ◽

2020 ◽

Author(s):

M Romańczyk ◽

B Ostrowski ◽

T Romańczyk ◽

T Marek ◽

M Błaszczyńska ◽

...

Keyword(s):

Observational Study ◽

Gastrointestinal Endoscopy ◽

Quality Measures ◽

Upper Gastrointestinal Endoscopy ◽

Multicenter Observational Study ◽

Upper Gastrointestinal

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Is It Necessary to Perform Pre Operative Upper Gastrointestinal Endoscopy in Elective Symptomatic Cholelithasis?

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i40b32258 ◽

2021 ◽

pp. 13-17

Author(s):

Ubedullah Shaikh ◽

Zahid Ali Memon ◽

Masroor Mubeen Phulpoto ◽

Munawar Hussain Mangi ◽

Nawaz Ali Dal ◽

...

Keyword(s):

Prospective Observational Study ◽

Gastrointestinal Endoscopy ◽

Gallstone Disease ◽

Upper Gastrointestinal Endoscopy ◽

Foetal Loss ◽

Medical College ◽

Atypical Symptoms ◽

Associated Conditions ◽

Study Population ◽

Upper Gastrointestinal

Objective: Is it necessary to perform pre operative upper gastrointestinal endoscopy in elective symptomatic cholelithasis? Study Design: Prospective observational study. Place and Duration of Study: This study was conducted at surgical departments of Services Hospital, Ruth PFAHU, Civil Hospital Karachi, Shaheed Benazir Bhutto Medical College, Lyari Karachi and Liaquat University Of Medical and Health Sciences, Jamshoro from July 2018 to December 2019. Methodology: Study consisted of 382 patients. All patients were subjected to Upper Gastrointestinal Endoscopy 24 to 48 hours before cholecystectomy followed by biopsy were obtained for histopathology if required. Those patients not willing for surgery, General anesthesia problem, pregnant ladies due to risk of foetal loss, carcinoma of gall bladder, stone in CBD and obstructive jaundice were excluded. Results: Out of the 382 patients, 66(17.27%) males and 316(82.72%) females with mean age of study population was 46.10 ± 6.31 years (22 to 65 years). Patients were present typical pain in 146(38.21%) cases and atypical pain in 236(61.78%) cases. Pre operative upper gastrointestinal endoscopy findings revealed Esophagitis in 22(5.75%) cases, GERD in 26(6.80%) cases, gastritis in 88(23.03%), gastric ulcer 49(12.82%), duodenal ulcer in 39(10.20%), polps 21(5.49%) and carcinoma of stomach 9(2.35%). Out of 236(61.78%) cases with atypical pain had persistence of symptoms in 141 (59.74%) cases upto four months. Conclusion: We conclude that upper gastrointestinal endoscopy preoperatively for gallstone disease should be performed. So that preoperatively atypical symptoms are evaluate and taken care of, and patients is fully informed and also treated for associated conditions.

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