Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial
Introduction The objective of this study was to compare the practicality and efficacy of utilizing a view-adjustable video laryngeal mask (SafeLM) versus endotracheal intubation (ETI) in the context of arthroscopic shoulder surgery.Patients and Methods A randomized controlled trial enrolled 100 pati...
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2519683 |
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| author | Chun-Jing Geng Guang-Lei Su Ying Deng Zhu-Kai Cong Dan-dan Feng Si-Yuan Zhang Hai-Li Cao Hong Zeng |
| author_facet | Chun-Jing Geng Guang-Lei Su Ying Deng Zhu-Kai Cong Dan-dan Feng Si-Yuan Zhang Hai-Li Cao Hong Zeng |
| author_sort | Chun-Jing Geng |
| collection | DOAJ |
| description | Introduction The objective of this study was to compare the practicality and efficacy of utilizing a view-adjustable video laryngeal mask (SafeLM) versus endotracheal intubation (ETI) in the context of arthroscopic shoulder surgery.Patients and Methods A randomized controlled trial enrolled 100 patients undergoing arthroscopic shoulder surgery, randomly assigned to the SafeLM group (n = 50) or ETI group (n = 50). The primary outcome measure was hemodynamic parameters, while mechanical ventilation parameters, complications, and the quality of anaesthesia recovery were considered as secondary outcomes. These parameters were then compared between the two groups.Results During the intubation and extubation procedures, the SafeLM group demonstrated significantly lower mean arterial pressure and heart rate compared to the ETI group (p < 0.001). Furthermore, the airway pressure at T2 and T3 was notably lower in the SafeLM group compared to the ETI group (p < 0.001). However, there were no statistically significant differences in oxygen saturation observed between the two groups at any time point. Both groups were equally capable of quickly establishing a surgical airway when necessary. Notably, a smaller proportion of patients in the SafeLM group exhibited negative reactions during tube removal. Additionally, there was a statistically significant difference in the occurrence of post-operative sore throat, difficulty swallowing, choking, and coughing between the two groups (p < 0.001).Conclusions The utilization of SafeLM may result in enhanced regulation of blood pressure and heart rate among patients who undergo arthroscopic surgery for the shoulder while in the side decubitus position. |
| format | Article |
| id | doaj-art-d7cbf635b54d4476ba41f7e773e1104c |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-d7cbf635b54d4476ba41f7e773e1104c2025-08-20T03:47:20ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2519683Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trialChun-Jing Geng0Guang-Lei Su1Ying Deng2Zhu-Kai Cong3Dan-dan Feng4Si-Yuan Zhang5Hai-Li Cao6Hong Zeng7Department of Anesthesia, Peking University Third Hospital, ChinaDepartment of Anesthesia, Shanxi Provincial People’s Hospital, ChinaDepartment of Anesthesia, Peking University Third Hospital, ChinaDepartment of Anesthesia, Peking University Third Hospital, ChinaDepartment of Anesthesia, Peking University Third Hospital, ChinaDepartment of Anesthesia, Peking University Third Hospital, ChinaDepartment of Anesthesia, Peking University Third Hospital, ChinaDepartment of Anesthesia, Peking University Third Hospital, ChinaIntroduction The objective of this study was to compare the practicality and efficacy of utilizing a view-adjustable video laryngeal mask (SafeLM) versus endotracheal intubation (ETI) in the context of arthroscopic shoulder surgery.Patients and Methods A randomized controlled trial enrolled 100 patients undergoing arthroscopic shoulder surgery, randomly assigned to the SafeLM group (n = 50) or ETI group (n = 50). The primary outcome measure was hemodynamic parameters, while mechanical ventilation parameters, complications, and the quality of anaesthesia recovery were considered as secondary outcomes. These parameters were then compared between the two groups.Results During the intubation and extubation procedures, the SafeLM group demonstrated significantly lower mean arterial pressure and heart rate compared to the ETI group (p < 0.001). Furthermore, the airway pressure at T2 and T3 was notably lower in the SafeLM group compared to the ETI group (p < 0.001). However, there were no statistically significant differences in oxygen saturation observed between the two groups at any time point. Both groups were equally capable of quickly establishing a surgical airway when necessary. Notably, a smaller proportion of patients in the SafeLM group exhibited negative reactions during tube removal. Additionally, there was a statistically significant difference in the occurrence of post-operative sore throat, difficulty swallowing, choking, and coughing between the two groups (p < 0.001).Conclusions The utilization of SafeLM may result in enhanced regulation of blood pressure and heart rate among patients who undergo arthroscopic surgery for the shoulder while in the side decubitus position.https://www.tandfonline.com/doi/10.1080/07853890.2025.2519683View-adjustable video laryngeal maskendotracheal intubationlateral positionarthroscopic shoulder surgery |
| spellingShingle | Chun-Jing Geng Guang-Lei Su Ying Deng Zhu-Kai Cong Dan-dan Feng Si-Yuan Zhang Hai-Li Cao Hong Zeng Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial Annals of Medicine View-adjustable video laryngeal mask endotracheal intubation lateral position arthroscopic shoulder surgery |
| title | Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial |
| title_full | Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial |
| title_fullStr | Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial |
| title_full_unstemmed | Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial |
| title_short | Use of view-adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery: a randomized trial |
| title_sort | use of view adjustable video laryngeal mask versus endotracheal intubation for airway management during anaesthesia for arthroscopic surgery a randomized trial |
| topic | View-adjustable video laryngeal mask endotracheal intubation lateral position arthroscopic shoulder surgery |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2519683 |
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