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Case Studies | Anaesthesiology | India | Volume 12 Issue 8, August 2023
A Case of Road Traffic Accident with History of Right Distal Femur Fracture Compound Grade 3b Posted for External Fixation under (TIVA) Total Intravenous Anaesthesia using Supraglottic Airway Device IGEL after Dry CSF tap on SAB (Subarchnoid Block): (Case Study)
Dr. Prashant H. Tembhurne | Dr. Vrishali Ankalwar
Abstract: Macewen initially described the first elective endotracheal intubation for anaesthesia in 1878, endotracheal intubation has been the most frequently used and universally acknowledged technique in anaesthetic treatment for airway control. Endotracheal intubation (ETT), which can deliver positive pressure breathing despite high airway pressures, is regarded as the gold standard for airway management. It provides defence against pulmonary aspiration and stomach distension. Endotracheal intubation is an invasive procedure that necessitates visualisation of glottis and subsequently leading to pressor response and trauma to surrounding structures. Supraglottic Airway devices ventilate patients by delivering anesthetic gases/oxygen above the level of the vocal cords. They are designed to overcome the disadvantages of endotracheal intubation such as damage to soft tissue, tooth, vocal cords, laryngeal and tracheal damage, exaggerated hemodynamic response, barotrauma etc. The advantages of the supraglottic airway devices include Avoidance of laryngoscopy, Less invasive to the respiratory tract, Better tolerated by patients, Increased ease of placement, Improved hemodynamic stability in emergence, Less coughing, less sore throat, Hands free airway and Easier placement even by inexperienced personal.
Keywords: SGAD - SUPRAGLOTTIC AIRWAY DEVICES, ETT - ENDOTRACHEAL INTUBATION, BP - BLOOD PRESSURE, SPO2 - SATURATION OF PERIPHERAL OXYGEN ETCO2 - ENDTIDAL CARBON DIOXIDE. HB ? HEMOGLOBIN. ECG - ELECTROCARDIOGRAM
Edition: Volume 12 Issue 8, August 2023,
Pages: 1154 - 1156