Acute Airway Obstruction Caused by the New Single Use Laryngeal Mask Airway Supreme™

Kleine‐Brueggeney, Maren; Theiler, Lorenz; Luyet, Cédric; Greif, Robert

doi:10.1097/aln.0b013e318190bdc9

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…However, in three patients, the LMA Supreme™ could not be successfully inserted, and thus, LMA Unique™ was used instead. In a case report, Brueggeney et al (16) stated that the inflated LMA Supreme™ cuff medially displaced the cuneiform and corniculate cartilages, thereby narrowing the laryngeal inlet and hindering successful ventilation. They proved this event with fibreoptic evaluation through LMA.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Laryngeal Mask Airway SupremeTM Versus UniqueTM in Edentulous Geriatric Patients

Beydeş¹,

Küçükgüçlü²,

Özbılgın³

et al. 2016

Turk J Anaesth Reanim

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Amaç: Dişsiz hastaların maske ile ventilasyonu dişi olan hastalara göre daha zor olur. Laringeal Maske (LMA) standart yüz maskesinin uygun olmadığı yanakları çökük hastalarda daha iyi bir alternatif sağlayabilir. Biz, dişşiz geriyatrik hastalarda iki farklı laringeal maskeyi karşılaştırmayı amaçladık.Yöntemler: Bu çalışmaya American Society of Anesthesiologists (ASA) I-II I,65 yaş ve üzeri elektif cerrahi geçirecek hastalar dahil edildi. Hastalar randomize olarak grup LMA Supreme™ (n=30) ve grup LMA Unique™ (n=30) olarak ikiye ayrıldı. İlk deneme başa-rısı, yerleştirme süresi ve kolaylığı ve orofaringeal kaçak basınçları kaydedildi. Bulgular:İlk denemede yerleştirme başarı oranı LMA Supreme grubunda LMA Unique grubuna göre daha yüksek bulundu (86,6 karşı %73,3, p=0,04). Yerleştirme süresi benzerdi (10,04 s ve 11,87 s), yerleştirme kolaylığı %90 ve %100 olarak bulundu. Orofaringeal kaçak basıncı LMA Unique'in 17,10 cm H 2 O, LMA Supreme'in 20,56 cm H 2 O olarak ölçüldü.Sonuç: Her iki gerecin de kısa süreli cerrahi girişimlerde ve dişsiz geriyatrik hastalarda etkinliği ve havayolu güvenirliği açısından benzerdir. Laringeal maske Supreme'in bu olgularda ilk denemedeki yerleştirme başarısının daha yüksek olduğu bulunmuştur. Anahtar kelimeler: Laringeal maske, dişsiz, geriyatriObjective: It is more difficult to perform bag-mask ventilation in edentulous patients than in patients with intact dentition. The laryngeal mask airway (LMA) provides a better alternative to the standard face mask if the facial contours of the patient are not suited for the standard face mask. We aimed to compare these two different LMAs in edentulous geriatric patients. Methods:Edentulous patients aged ≥65 years of American Society of Anesthesiologists physical status I-III were included in the study. They were randomly assigned to Supreme group (n=30) and Unique group (n=30). Success of first insertion attempt, ease and time of insertion and oropharyngeal leak pressure were recorded. Results:The success rate of the first insertion attempt was higher in the Supreme group than in the Unique group (86.6 and 73.3%, respectively; p=0.04). Time of insertion was similar (10.04 s and 11.87 s, respectively) and insertion was easy in 90% and 100% of patients, respectively. Oropharyngeal leak pressures were measured as 20.56-cm H 2 O and 17.10-cm H 2 O for LMA Supreme™ and LMA Unique™, respectively. Conclusion:The efficacy and safety in both groups were comparable in edentulous geriatric patients during short surgical procedures. Even the success rate of insertion with both was lower than that mentioned in the literature; the success of insertion at the first attempt was superior with the LMA Supreme™ in our edentulous study group. Keywords: Laryngeal mask, edentulous, geriatricsAbstract / Öz

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Section: Discussionmentioning

confidence: 99%