Comparação de via aérea por máscara laríngea Supreme e via aérea por máscara laríngea ProSeal para trauma laringofaríngeo e morbidade pós-operatória em crianças

Aydoğmuş, Meltem Türkay; Ekşioğlu, Birsen; Oba, Sibel; Ünsal, Oya; Türk, Hacer Şebnem; Sınıkoglu, Sıtkı Nadir; Tug, Aslıhan

doi:10.1016/j.bjan.2012.08.002

Cited by 9 publications

(2 citation statements)

References 17 publications

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“…The Supreme LMA is a single-use, second-generation device. The Supreme LMA was designed as a rigid, curved airway that combines features of the ProSeal and Fastrach™ airways [ 4 , 5 , 7 ]; however, infants have large tongues, floppy epiglottises and more anterior and higher larynxes than those of adults and older children. Such differences might influence the correct placement of the different LMA models.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the Supreme™ and ProSeal™ laryngeal mask airways in infants: a prospective randomised clinical study

et al. 2017

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BackgroundThe Supreme™ and ProSeal™ laryngeal mask airways (LMAs) are widely used in paediatric anaesthesia; however, LMA use in infants is limited because many anaesthesiologists prefer to use tracheal intubation in infants.In this study, we compared the Supreme and ProSeal LMAs in infants by measuring their performance characteristics, including insertion features, ventilation parameters, induced changes in haemodynamics and rates of postoperative complications.MethodsInfants of ASA physical status I scheduled for elective, minor, lower abdominal surgery were divided into two groups: the Supreme LMA group and the ProSeal LMA group. Times and ease of LMA insertion were noted. The percentages of tidal volume leakage as well as peak, mean and leakage pressures for all infants were measured. Heart rate (HR), oxygen saturation (SpO2) and end tidal carbon dioxide (EtCO2) values were recorded before and after LMA insertion and before and after extubation. After extubation, complications and adverse effects were noted.ResultsDemographic and surgical data were similar between the two groups. LMA insertion times were shorter for the ProSeal group than for the Supreme group (P < 0.002). The mean HR value for the ProSeal group was lower than for the Supreme group (P < 0.011). Both the peak pressure and the leakage percentage for the ProSeal group were statistically lower than for the Supreme group. The leakage pressure for the ProSeal group was statistically higher than for the Supreme group (P < 0.001).ConclusionsThe ProSeal LMA is superior to the Supreme LMA for use in infants due to the ease of insertion, high oropharyngeal leakage pressure and fewer induced changes in haemodynamics.Trial registrationClinicalTrial.gov, NCT03251105, retrospectively registered on 15 Aug 2017.

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Section: Discussionmentioning

confidence: 99%

“…In 2015, Jagannathan et al reviewed the current literature on newer supraglottic airways [ 4 ]. One of the studies reviewed was our study, in which we compared the use of the ProSeal and Supreme LMAs in children [ 5 ]; however, in that study, the leakage pressures of the LMAs were not calculated or compared.…”

Section: Discussionmentioning

confidence: 99%