Endosonographic evaluation of the mediastinum through the i-gel O2 supraglottic airway device

Federico Piccioni, Daniela Codazzi, Maria C. Paleari, Paola Previtali, Gabriele Delconte, Luca Fumagalli, Renato Manzi, Marco Faustini, Laura Persiani, Maurilia Rizzi, Federico Sodi, Enzo Masci

Research output: Contribution to journalArticle

Abstract

Introduction: Endobronchial ultrasound (EBUS) is an endoscopic diagnostic procedure combining flexible fibrobronchoscopy with ultrasound techniques; it allows transbronchial needle aspiration biopsy for the diagnosis and staging of mediastinal masses. We present our preliminary experience with the use of the i-gel O2 supraglottic airway device for management of EBUS procedures. Methods: An observational study on 39 patients who underwent EBUS under general anesthesia was performed. Airways were managed with i-gel O2 by anesthesiologists unfamiliar with it. Data collected included patient characteristics, i-gel O2 positioning, mechanical ventilation, procedure, and complications occurring during and after the EBUS. Results: The i-gel airway was successfully positioned during the first attempt in 34/39 cases (87.2%). No failed positioning was recorded. The EBUS scope easily passed through the i-gel in all patients and in 14 (35.6%) cases it was also inserted through the esophagus allowing the examination or fine needle aspiration of paraesophageal lymph nodes. In one case, during the EBUS procedure, the i-gel was dislocated but easily put in place again. During EBUS, air leakages were significant in 2 cases (5.1%) and minimal in 14 cases (35.9%). A brief self-solved laryngospasm and a bronchospasm during bronchoscopy were recorded. After recovery, no patients had dysphagia; mild odynophagia and pharyngodinia were referred by 2 (5.1%) and 12 (30.1%) patients, respectively. Conclusions: The i-gel O2 airway is easy to position and manage even for anesthesiologists unfamiliar with it. This supraglottic airway device is suitable for a complete endosonographic evaluation of the mediastinum.

Original languageEnglish
JournalTumori
DOIs
Publication statusAccepted/In press - Jan 1 2019

Fingerprint

Mediastinum
Gels
Equipment and Supplies
Needle Biopsy
Laryngismus
Bronchial Spasm
Airway Management
Bronchoscopy
Deglutition Disorders
Fine Needle Biopsy
Artificial Respiration
General Anesthesia
Esophagus
Observational Studies
Lymph Nodes
Air

Keywords

  • Airway management
  • endoscopic ultrasound-guided fine needle aspiration
  • endoscopy
  • endosonography
  • general anesthesia
  • laryngeal masks
  • mediastinal diseases

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Endosonographic evaluation of the mediastinum through the i-gel O2 supraglottic airway device. / Piccioni, Federico; Codazzi, Daniela; Paleari, Maria C.; Previtali, Paola; Delconte, Gabriele; Fumagalli, Luca; Manzi, Renato; Faustini, Marco; Persiani, Laura; Rizzi, Maurilia; Sodi, Federico; Masci, Enzo.

In: Tumori, 01.01.2019.

Research output: Contribution to journalArticle

Piccioni, Federico ; Codazzi, Daniela ; Paleari, Maria C. ; Previtali, Paola ; Delconte, Gabriele ; Fumagalli, Luca ; Manzi, Renato ; Faustini, Marco ; Persiani, Laura ; Rizzi, Maurilia ; Sodi, Federico ; Masci, Enzo. / Endosonographic evaluation of the mediastinum through the i-gel O2 supraglottic airway device. In: Tumori. 2019.
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abstract = "Introduction: Endobronchial ultrasound (EBUS) is an endoscopic diagnostic procedure combining flexible fibrobronchoscopy with ultrasound techniques; it allows transbronchial needle aspiration biopsy for the diagnosis and staging of mediastinal masses. We present our preliminary experience with the use of the i-gel O2 supraglottic airway device for management of EBUS procedures. Methods: An observational study on 39 patients who underwent EBUS under general anesthesia was performed. Airways were managed with i-gel O2 by anesthesiologists unfamiliar with it. Data collected included patient characteristics, i-gel O2 positioning, mechanical ventilation, procedure, and complications occurring during and after the EBUS. Results: The i-gel airway was successfully positioned during the first attempt in 34/39 cases (87.2{\%}). No failed positioning was recorded. The EBUS scope easily passed through the i-gel in all patients and in 14 (35.6{\%}) cases it was also inserted through the esophagus allowing the examination or fine needle aspiration of paraesophageal lymph nodes. In one case, during the EBUS procedure, the i-gel was dislocated but easily put in place again. During EBUS, air leakages were significant in 2 cases (5.1{\%}) and minimal in 14 cases (35.9{\%}). A brief self-solved laryngospasm and a bronchospasm during bronchoscopy were recorded. After recovery, no patients had dysphagia; mild odynophagia and pharyngodinia were referred by 2 (5.1{\%}) and 12 (30.1{\%}) patients, respectively. Conclusions: The i-gel O2 airway is easy to position and manage even for anesthesiologists unfamiliar with it. This supraglottic airway device is suitable for a complete endosonographic evaluation of the mediastinum.",
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AU - Piccioni, Federico

AU - Codazzi, Daniela

AU - Paleari, Maria C.

AU - Previtali, Paola

AU - Delconte, Gabriele

AU - Fumagalli, Luca

AU - Manzi, Renato

AU - Faustini, Marco

AU - Persiani, Laura

AU - Rizzi, Maurilia

AU - Sodi, Federico

AU - Masci, Enzo

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N2 - Introduction: Endobronchial ultrasound (EBUS) is an endoscopic diagnostic procedure combining flexible fibrobronchoscopy with ultrasound techniques; it allows transbronchial needle aspiration biopsy for the diagnosis and staging of mediastinal masses. We present our preliminary experience with the use of the i-gel O2 supraglottic airway device for management of EBUS procedures. Methods: An observational study on 39 patients who underwent EBUS under general anesthesia was performed. Airways were managed with i-gel O2 by anesthesiologists unfamiliar with it. Data collected included patient characteristics, i-gel O2 positioning, mechanical ventilation, procedure, and complications occurring during and after the EBUS. Results: The i-gel airway was successfully positioned during the first attempt in 34/39 cases (87.2%). No failed positioning was recorded. The EBUS scope easily passed through the i-gel in all patients and in 14 (35.6%) cases it was also inserted through the esophagus allowing the examination or fine needle aspiration of paraesophageal lymph nodes. In one case, during the EBUS procedure, the i-gel was dislocated but easily put in place again. During EBUS, air leakages were significant in 2 cases (5.1%) and minimal in 14 cases (35.9%). A brief self-solved laryngospasm and a bronchospasm during bronchoscopy were recorded. After recovery, no patients had dysphagia; mild odynophagia and pharyngodinia were referred by 2 (5.1%) and 12 (30.1%) patients, respectively. Conclusions: The i-gel O2 airway is easy to position and manage even for anesthesiologists unfamiliar with it. This supraglottic airway device is suitable for a complete endosonographic evaluation of the mediastinum.

AB - Introduction: Endobronchial ultrasound (EBUS) is an endoscopic diagnostic procedure combining flexible fibrobronchoscopy with ultrasound techniques; it allows transbronchial needle aspiration biopsy for the diagnosis and staging of mediastinal masses. We present our preliminary experience with the use of the i-gel O2 supraglottic airway device for management of EBUS procedures. Methods: An observational study on 39 patients who underwent EBUS under general anesthesia was performed. Airways were managed with i-gel O2 by anesthesiologists unfamiliar with it. Data collected included patient characteristics, i-gel O2 positioning, mechanical ventilation, procedure, and complications occurring during and after the EBUS. Results: The i-gel airway was successfully positioned during the first attempt in 34/39 cases (87.2%). No failed positioning was recorded. The EBUS scope easily passed through the i-gel in all patients and in 14 (35.6%) cases it was also inserted through the esophagus allowing the examination or fine needle aspiration of paraesophageal lymph nodes. In one case, during the EBUS procedure, the i-gel was dislocated but easily put in place again. During EBUS, air leakages were significant in 2 cases (5.1%) and minimal in 14 cases (35.9%). A brief self-solved laryngospasm and a bronchospasm during bronchoscopy were recorded. After recovery, no patients had dysphagia; mild odynophagia and pharyngodinia were referred by 2 (5.1%) and 12 (30.1%) patients, respectively. Conclusions: The i-gel O2 airway is easy to position and manage even for anesthesiologists unfamiliar with it. This supraglottic airway device is suitable for a complete endosonographic evaluation of the mediastinum.

KW - Airway management

KW - endoscopic ultrasound-guided fine needle aspiration

KW - endoscopy

KW - endosonography

KW - general anesthesia

KW - laryngeal masks

KW - mediastinal diseases

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