Volume 4, Issue 9
First experience of using gastro-laryngeal intubation to provide ventilation in advanced endoscopic procedures
Svitlana Melnyk, Ivan Titov
Abstract: Anaesthetic management of advanced endoscopic interventions requires some improvements. The objective of our research was to assess the advantages and disadvantages of using gastro-laryngeal intubation when performing advanced endoscopic procedures and compare it with standard anaesthetic strategies. There were examined 175 consecutive patients. Three anaesthetic tactics including intravenous sedation with spontaneous respiration, intravenous anaesthesia with endotracheal intubation and artificial pulmonary ventilation, and intravenous deep sedation with an intubation using gastro-laryngeal tube and assisted ventilation were used. Anaesthesia using the gastro-laryngeal tube was found to have significant advantages compared to other types of anaesthesia. This method is safe for patients allowing us to control the adequacy of ventilation and protect the airways against aspiration improving the anaesthesiologist and endoscopist’s working conditions. Conclusions. Anaesthetic management of transduodenal endoscopic surgery using the gastro-laryngeal tube reduces the incidence of complications of the respiratory system and blood circulation. The incidence of hypoxic episodes was lower compared to anaesthesia with the preservation of spontaneous ventilation. The use of the gastro-laryngeal tube facilitates the procedure performance by the anaesthesiologist and endoscopist and is well tolerated by patients.
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