Turkish Journal of Geriatrics 2015 , Vol 18, Issue 2
EFFECT OF LARYNGEAL MASK CUFF PRESSURE ON POSTOPERATIVE PHARYNGOLARYNGEAL MORBIDITY IN GERIATRIC PATIENTS
Ferim GÜNENÇ, Semih KÜÇÜKGÜÇLÜ, Şule ÖZBİLGİN, Bahar KUVAKİ, Fikret MALTEPE
Dokuz Eylül University, Faculty of Medicine, Department of Anesthesiology and Reanimation, İZMİR Introduction: In many of the world’s developed regions, the geriatric population forms a rapidly increasing portion of the total population. Therefore the vast majority of daily operating schedule constitutes the elderly patients. Pharyngolaryngeal complications are indicators of quality geriatric patient care. This study compared postoperative pharyngolaryngeal morbidity in geriatric patients managed with manometers to limit the laryngeal mask intracuff pressure (60 cmH2O) with geriatric patients under routine care.

Materials and Method: Over 65 years of age with indications for elective surgery requiring laryngeal mask insertion were included in this prospective randomized and double-blind study. The Laryngeal Mask Unique intracuff pressure was measured with a manometer and recorded. In the pressure limiting group, LMU intracuff pressure was adjusted equal to 60 cmH2O (44 mmHg). No intervention was performed in the routine care group. Ventilation parameters evaluated in the peroperative period, and throat pain, dysphonia and dysphagia were evaluated in the 1st and 24th hour postoperative.

Results: In the study, the throat pain (p< 0.001), dysphonia (p< 0.001) and dysphagia (p=0.007) in the Group Pressure Limiting at postoperative 1st hour group were statistically significantly lower than in the in the Group Rutine Care. In the 24th hour postoperative throat pain (p< 0.001), dysphonia (p=0.022) and dysphagia (p=0.042) were statistically significantly lower in the Group Pressure Limiting.

Conclusion: According to the results of this study, the conclusion was reached that limiting the cuff inner pressure reduced postoperative pharyngolaryngeal complications in geriatric patients using Laryngeal Mask Unique. Keywords : Aged; Laryngeal Mask; Postoperative Complications