Comparative evaluation of Bailey manoeuvre of deep extubation with conventional awake extubation technique - A randomized clinical study
Comparative evaluation of Bailey manoeuvre of deep extubation with conventional awake extubation technique - A randomized clinical study
Blog Article
Background: Extubation is a critical procedure in anesthesia and critical care, often accompanied by complications, such as bucking, coughing, and hemodynamic instability, particularly after major surgeries.The Bailey manoeuvre, involving deep extubation with the i-gel laryngeal mask airway (LMA), may mitigate these issues.The study was planned to compare the hemodynamic effects Siemens IQ-500 MB557G5S0B Built In Double Oven - Stainless Steel and side effect profiles of conventional awake endotracheal extubation and exchange extubation with the i-gel LMA.
Aims and Objectives: The study was designed to compare hemodynamic stress response and respiratory complication between the conventional extubation group and the following exchange extubation group.Materials and Methods: In a prospective, randomized, single-blinded controlled study, 60 patients undergoing surgery under general anesthesia were divided into two groups: Group T (awake extubation) and Group L (exchange extubation with the i-gel LMA).Hemodynamic parameters and side effects were recorded and analyzed.
Results: Group L exhibited significantly lower heart rates, systolic and diastolic blood pressures, and mean arterial pressures at various time points post-extubation compared to Group T.The incidence of hypertension was significantly higher in Group T (90%) versus Group L (50%).Bucking and coughing less in the i-gel syd-hill-leather-drovers-belt/ LMA exchange group compared to the standard endotracheal tube extubation group.
Conclusion: Exchange extubation with the i-gel LMA offers better hemodynamic stability and a lower incidence of hypertension compared to conventional awake extubation.This technique may be particularly beneficial for high-risk patients and those undergoing complex surgeries.