Use of the gastro-laryngeal tube in endoscopic retrograde cholangiopancreatography cases under sedation/analgesia

BACKGROUND/AIMS: In this study, we aimed to analyze the effects of Gastro-Laryngeal Tube (GLT) use on intraoperative and postoperative hemodynamic parameters, comfort of the procedure, and patients' satisfaction in endoscopic retrograde cholangiopancreatography (ERCP).

MATERIALS AND METHODS: A total of 80 patients between the ages of 20 and 75 years who were scheduled for elective ERCP were enrolled. The patients were randomly assigned to two groups: groups N and G. Those in group N underwent the procedure with sedation without any airway instruments and those in group G underwent procedure after sedation and airway management with GLT. Intraoperative and postoperative vital signs as well as the satisfaction of the patients were recorded.

RESULTS: The duration to esophageal visualization was found to be significantly higher in group N (16 s) than in group G (7 s) (p=0.001). The mean Visual Analogue Scale for Pain (VAS) was significantly higher in group G (1.85) than in group N (0.45) (p=0.016). Group G had higher endoscopist satisfaction scores than group N. The incidence of desaturation during ERCP was significantly higher in group N (60%) than in group G (0%) (p=0.000).

CONCLUSION: In conclusion, ERCP should be performed under optimal conditions to avoid the occurrence of unwanted complications, such as aspiration-related disorders. Therefore, according to the structural properties of GLT, sedation anesthesia application with GLT in ERCP will be safer, more comfortable, and more effective.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology - 27(2016), 3 vom: 31. Mai, Seite 246-51

Sprache:

Englisch

Beteiligte Personen:

Daşkaya, Hayrettin [VerfasserIn]
Uysal, Harun [VerfasserIn]
Çiftçi, Taner [VerfasserIn]
Baysal, Birol [VerfasserIn]
İdin, Kadir [VerfasserIn]
Karaaslan, Kazım [VerfasserIn]

Links:

Volltext

Themen:

Hypnotics and Sedatives
Journal Article
Randomized Controlled Trial

Anmerkungen:

Date Completed 11.09.2017

Date Revised 11.09.2017

published: Print

Citation Status MEDLINE

doi:

10.5152/tjg.2016.16121

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM260617792