EFFECT OF SLIPA LARYNGEAL MASK VENTILATION ON GENERAL ANESTHESIA, AIRWAY PRESSURE, AND SAFETY EVALUATION IN FEMALE ATHLETIC PATIENTS UNDERGOING GYNECOLOGICAL ENDOSCOPIC SURGERY

Abstract

Objective: This case-control study investigates the impact of Streamlined Liner of the Pharynx Airway (SLIPA) laryngeal mask ventilation on general anesthesia, airway pressure, and its safety in female athletic patients undergoing gynecological endoscopic surgery. Methods: From January 2020 to January 2021, 72 female athletes scheduled for gynecological endoscopic surgery were randomly divided into a control group (n=36) and a study group (n=36). The control group received traditional tracheal intubation post-anesthesia induction, whereas the study group was administered SLIPA laryngeal mask ventilation following anesthesia induction. Parameters compared included anesthesia time, recovery time, propofol dosage, systolic and diastolic blood pressure, heart rate, epinephrine (E), norepinephrine (NE) levels at various intervals, and the incidence of adverse reactions post-anesthesia. Results: Notably, the study group experienced significantly shorter extubation time, resuscitation time, and lower restlessness scores post-extubation, alongside reduced propofol dosage (P<0.05). Systolic and diastolic blood pressures, as well as heart rates, were significantly lower at key post-induction intervals in the study group (P<0.05). Airway pressures were higher in the study group at the pneumoperitoneum stage, but without significant differences in end-tidal carbon dioxide levels (P>0.05). Stress markers (E and NE) were significantly lower in the study group at critical intervals (P<0.05). The incidence of adverse reactions was significantly lower in the study group compared to the control group (P<0.05), indicating enhanced safety. Conclusion: SLIPA laryngeal mask ventilation during general anesthesia for endoscopic gynecological surgery in female athletic patients offers effective ventilation with minimal cardiovascular impact and reduced stress reactions. The method shows fewer adverse reactions, enhancing safety, and is thus highly recommended for clinical application. This approach not only facilitates a quicker return to physical activities but also potentially mitigates the anxiety associated with surgical recovery, supporting the overall mental health of the patient.