| Title: |
Endosonographic evaluation of the mediastinum through the i-gel O 2 supraglottic airway device |
| Authors: |
Piccioni, Federico; Codazzi, Daniela; Paleari, Maria C.; Previtali, Paola; Delconte, Gabriele; Fumagalli, Luca; Manzi, Renato; Faustini, Marco; Persiani, Laura; Rizzi, Maurilia; Sodi, Federico; Masci, Enzo |
| Source: |
Tumori Journal ; volume 107, issue 1, page 86-90 ; ISSN 0300-8916 2038-2529 |
| Publisher Information: |
SAGE Publications |
| Publication Year: |
2019 |
| Description: |
Introduction: Endobronchial ultrasound (EBUS) is an endoscopic diagnostic procedure combining flexible fibrobronchoscopy with ultrasound techniques; it allows transbronchial needle aspiration biopsy for the diagnosis and staging of mediastinal masses. We present our preliminary experience with the use of the i-gel O 2 supraglottic airway device for management of EBUS procedures. Methods: An observational study on 39 patients who underwent EBUS under general anesthesia was performed. Airways were managed with i-gel O 2 by anesthesiologists unfamiliar with it. Data collected included patient characteristics, i-gel O 2 positioning, mechanical ventilation, procedure, and complications occurring during and after the EBUS. Results: The i-gel airway was successfully positioned during the first attempt in 34/39 cases (87.2%). No failed positioning was recorded. The EBUS scope easily passed through the i-gel in all patients and in 14 (35.6%) cases it was also inserted through the esophagus allowing the examination or fine needle aspiration of paraesophageal lymph nodes. In one case, during the EBUS procedure, the i-gel was dislocated but easily put in place again. During EBUS, air leakages were significant in 2 cases (5.1%) and minimal in 14 cases (35.9%). A brief self-solved laryngospasm and a bronchospasm during bronchoscopy were recorded. After recovery, no patients had dysphagia; mild odynophagia and pharyngodinia were referred by 2 (5.1%) and 12 (30.1%) patients, respectively. Conclusions: The i-gel O 2 airway is easy to position and manage even for anesthesiologists unfamiliar with it. This supraglottic airway device is suitable for a complete endosonographic evaluation of the mediastinum. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1177/0300891619871104 |
| Availability: |
https://doi.org/10.1177/0300891619871104; https://journals.sagepub.com/doi/pdf/10.1177/0300891619871104; https://journals.sagepub.com/doi/full-xml/10.1177/0300891619871104 |
| Rights: |
https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| Accession Number: |
edsbas.8526629F |
| Database: |
BASE |