HIỆU QUẢ CỦA MẶT NẠ THANH QUẢN I-GEL TRONG GÂY MÊ ĐỂ CẮT TÚI MẬT NỘI SOI

Abstract

Background: Cholelithiasis with a high incidence greatly affecting the patient's health. With the development of modern medicine, laparoscopic cholecystectomy and modern general anesthesia techniques have helped patients recover quickly; reduce costs and hospital stay. In Vietnam, the laryngeal mask with many advantages has been used for anesthesia in laparoscopic, urological surgeries... However, the application of I-gel laryngeal mask is not popular and there is no research in medium and short surgeries such as laparoscopic cholecystectomy. Objectives: To evaluate the effectiveness, examining hemodynamic, respiratory changes and complications of I-gel laryngeal mask anesthesia compared with endotracheal anesthesia in laparoscopic cholecystectomy. Materials and methods: This study was a randomized controlled trial study. 120 patients with general anaesthesia for elective laparoscopic cholecystectomy, randomly assigned to two groups: I-gel and intubation, 60 patients each group. Results: The efficacy of I-gel laryngotracheal mask placement was roughly equivalent to that of a management mask without complications or irritation during anesthesia and during withdrawal. The hemodynamic and respiratory changes of the two methods differed from time to time, but were still within normal limits. Conclusion: I-gel laryngeal mask placement technique is easy to perform, less invasive, fast to place, and has a high success rate, so general anesthesia with I-gel laryngeal mask is one of the options for laparoscopic cholecystectomy and surgeries that do not require muscle relaxation.