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العنوان
A randomized comparison of pediatric® AuraGain in supine, moderate lateral, and extreme lateral positions in terms of clinical performance and fiber optic glottic view/
المؤلف
Abdelmonaem, Mohamed Safwat,
هيئة الاعداد
باحث / Mohamed Safwat Abdelmonaem
مشرف / Hala Saad Abdel-Ghaffar
مشرف / Saeid Metwally Abo El-yazed
مناقش / Mustafa Sami Abbas
مناقش / Sahar Abdel Baqi Muhammad
الموضوع
Anesthesia.
تاريخ النشر
2023.
عدد الصفحات
102 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
الناشر
تاريخ الإجازة
15/2/2024
مكان الإجازة
جامعة أسيوط - كلية الطب - التخدير والعناية المركزه
الفهرس
Only 14 pages are availabe for public view

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from 124

Abstract

Unlike the endotracheal tube, the quality of ventilation through SADs can be influenced by the head and neck position because the pressure applied to the SAD cuff can be changed according to the changes in the oropharyngeal structure. The seal between the SAD and oropharynx can be assessed by the oropharyngeal leak pressure (OLP).
The changes in OLP and ventilation quality according to head and neck position are directly related to the anterolateral diameter of the pharyngeal space and the relative cuff sizes of SADs. Relative position of the opening of the SAD to the vocal cord inlet is important for effective ventilation; a predictor that may not appropriately be represented by the OLP.
Due to its anatomical and structural characteristics, we hypothesized that the effect of head and neck positioning on the OLP and ventilation quality of the AuraGain may be different compared to previous SADs. Furthermore, the effects of head-neck position changes on the functioning of AuraGain in the paediatric population have not yet been evaluated
Therefore, the primary aim of this study was to investigate the influence of lateral head and neck rotation on the OLP of AuraGain in children. The secondary aims of this study were to evaluate the changes in the peak inspiratory pressure, expiratory tidal volume, fibreoptic bronchoscopic view and ventilation score according upon lateral head and neck rotation in the same population.