COMPARISON OF THE EFFECTS OF THE LARYNGEAL MASK AIRWAY AND ENDOTRACHEAL INTUBATION ON VOCAL FUNCTION

Publisher Website
Google Scholar
Abstract
We have compared changes in vocal function produced after insertion of a laryngeal mask airway (LMA) with those produced by tracheal intubation in 20 patients. Using acoustic waveform analysis, we computed amplitude variability (AV), pitch variability (PV), harmonics-to-noise ratio (HNR) and additive noise level (ANL) before anaesthesia and at 1, 4, and 24 h after tracheal extubation. There were no significant changes in vocal function after extubation except for HNR ratio (P = 0.046) at 4 h in the LMA group. There were differences in all four variables at 1 h, 4 h, or both, after tracheal extubation compared with baseline in the tracheal tube group. In both groups, all variables were the same as baseline values 24 h after extubation. We observed significant differences in AV (4 h), PV and ANL (1, 4 h) values between the two groups. These observations suggest that the LMA causes less vocal change than tracheal intubation.

This publication has 0 references indexed in Scilit: