Uso anestésico del tubo endotraqueal versus mascarilla I-GEL y su impacto en el estado hemodinámico intraoperatorio y evolución clínica post operatoria de pacientes sometidos a cirugías electivas en el Hospital Teodoro Maldonado Carbo, durante el periodo septiembre del 2016 a marzo del 2017.

Abstract

INTRODUCTION: It´s a point of much interest to mantain the airway permeable during the use of the general anesthesia, in order to fulfill this purpose devices are used such as the Endotracheal tube (ETT) and the laryngial mask (LM). The ETT has been considered as an gold standard in the keeping of the airway, however as it can be related as an invasive method than the Laryngial Mask, wich has a greater likeable response, can cause oropharynx damage. Since the appearance of the Laryngial Mask it has growth a great reception in the anesthesiology service as it decrease the probabilities of wounds on the superior airway METHODOLOGY: Observational, longitudinal and analytical retrospective relational cohort study. For collection of data we used clinical histories review, anesthesia record and data collection sheets of patients that were submitted under general anesthesia that used ETT and LM in the HTMC from the 1st of September 2016 until the 31st of March 2017. For the analysis the program EPIDAT version 4.2 was used; the T Student test and Chi squared RESULTS: In the study 60 patients were included of wich 30 used the ETT and the other 30 used the LM, it showed up that the patients that used the ETT presented significant hemodynamic changes during the procedure moments as well greater postoperative complications as Odynophagia 76,92%, Dysphonia 81,25% and coughing in a 100%.CONCLUSIONS: The presented hemodynamic changes on the patients that used the ETT are considered in the normal range; we conclude that the use of the LM brings greater hemodynamical stability in addition to producing minor injuries in the upper airways reducing the index in patient dissatisfaction.