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Comparison of Complications of Endotracheal Tube and Laryngeal Mask Airway Following Diagnostic Laparoscopy in Infertile Women


Author(s): Mohammad Hossein Jarahzadeh, Kambiz kianfar, Fatemeh Sadat Mousavi, Farshid Rahimi-Bashar, Adel Eftekhari

The preoperative, perioperative, and postoperative airway management by the anesthesiologist and the use of procedures and medicines that have the least interference with patients’ discharge from the hospital are of utmost importance. This can be achieved by the use of laryngeal mask airway and endotracheal tube. This study compared the postoperative complications of diagnostic laparoscopy between two groups of infertile women undergoing this procedure. This study was a double-blind clinical trial carried out on 120 patients undergoing gynecologic surgical laparoscopy. The patients were assigned into two equal groups of 60. The laryngeal classic mask, size 3-4, was applied for patients in group A and the cuffed endotracheal tube, size 7, was used for the patients in group B. All kinds of complications of anesthesia, consumption of anti-emetic drugs, analgesics, and also discomfort and pain in airways were recorded up to 24 hs. Our findings indicated that the relative frequencies of sore throat, voice hoarseness, and cough were statistically different between the two groups at 6 h and 12 h after anesthesia (P=0.001). At 24 h after anesthesia, there was only a significant difference between the two groups regarding sore throat frequency (P=0.003). Also, there was a significant difference between the two groups regarding heart rate (P=0.053) and mean arterial pressure (P=0.011).

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