Comparison of laryngeal mask airway vs tracheal intubation: a systematic review on airway complications

Esch, Babette F. van; Stegeman, Inge; Smit, A.L.

doi:10.1016/j.jclinane.2016.10.004

Cited by 85 publications

(46 citation statements)

References 30 publications

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“…In a study by Jarineshin et al there were no significant differences in hemodynamic variables (such as pulse or systolic and diastolic pressures) when comparing LMA and LMA-S devices with endotracheal intubation [38]. Utilization of LMA-S was reported by Van Esch and Kömür et al to result in the smallest number of airway complications [39,40].…”

Section: Discussionmentioning

confidence: 95%

Supraglottic devices — future or everyday life?

Sip

Dąbrowska

Prucnal

et al. 2017

Disaster Emerg Med J

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The most common cause of upper respiratory tract obstruction in an unconscious or unresponsive patient is the loss of muscle tone in the upper airway. Consequently, this leads to a reduction in the tone of the epiglottis, collapse of the tongue and closure of the airway at the level of the pharynx, preventing respiration. Diagnosing airway obstruction is associated with the implementation of urgent procedures aimed at restoring and maintaining patency. Among the techniques of restoring airway patency anatomically, we prefer extending the head and pushing the posterior mandible forward. Airway ventilation is not always possible through the use of non-surgical methods. Ventilating patients with obstructed airways using a self-inflating bag can prove to be very difficult. In such situations, it is necessary to use airway adjuncts. The purpose, regardless of the circumstances, is to remove anatomical barriers, prevent gastric aspiration and to facilitate proper lung ventilation. Endotracheal intubation is the gold standard for instrumentally maintaining a secure airway. The procedure, however, is reserved for experienced personnel because of how difficult it is to perform and the many complications that arise with it. In situations where difficulty is encountered, an alternative device to secure airway patency is needed.

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Section: Discussionmentioning

confidence: 95%

Supraglottic devices — future or everyday life?

Sip

Dąbrowska

Prucnal

et al. 2017

Disaster Emerg Med J

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“…The LMA reduces complications associated with intubation because it does not impact the anatomical location of the trachea and vocal cords. Compared with endotracheal tubes, the LMA has a lower incidence of a sore throat and hoarseness afterwards [18,19,20,21]. During anesthesia induction and recovery, hemodynamic stability was improved, intraocular pressure decreased, oxygen saturation increased during anesthesia recovery, the incidence of postoperative pharyngalgia in adults also decreased.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of the New Double-tube Laryngeal Mask and the Endotracheal Intubation for Gastroesophageal Reflux Radiofrequency Ablation under General Anesthesia:A Randomized, Prospective, and Controlled Clinical Trial

Wang

Ran

et al. 2019

Preprint

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Bsckground Stretta radiofrequency ablation therapy is a minimally invasive endoscopic anti-reflux procedure, which used to treat patients with gastroesophageal reflux.The operation has a longer time, greater stimulation, and higher requirements for anesthesia.The purpose of this trial To compare the safety and efficacy of the laryngeal mask airway and the endotracheal intubation in radiofrequency therapy under general anesthesia with GERD in adults. Methods 30 patients (ASA grade I-II) with gastroesophageal reflux disease receiving radiofrequency therapy were randomly divided into the laryngeal mask group (L group) and the tracheal intubation group (T group). After pre--oxygenation, routine intravenous anesthesia was induced, the PLMA or ETT inserted, the cuff inflated. The proper depth of anesthesia was maintained during the operation. The time of successful placement of the radiofrequency catheter, MAP, HR, SPO2, PetCO2 and airway pressure at six time points, operation time, extubation time (time from the end of surgery to the extraction of the mask), endoscopic physician, patient satisfaction, the incidence of reflux aspiration, and the postoperative sore throat were recorded. Results The success rate of laryngeal mask catheterization was 100%. The successful placement time of radiofrequency catheter in the LMA group was significantly shorter than that in the ETT group. In the LMA group,the operation time and postoperative extubation time or the time to pull out laryngeal mask was shorter than in the ETT group. The satisfaction scores of patients and endoscopy doctor in the LMA group were better than in the ETT group. The HR and MAP in the ETT group were significantly higher than in the LMA group at T1 time point. The incidence of the postoperative sore throat was higher in the LMA group than in the ETT group. There was no significant difference in ventilation oxygenation between the two groups, and no adverse events such as reflux and aspiration occurred. Conclusions PLMA has the characteristics of simple operation, stable hemodynamics, and proper airway sealing function, can significantly shorten the operation time, and improve the perioperative comfort of patients and the satisfaction of endoscopists. It can effectively and safely replace ETT in the radiofrequency treatment of gastroesophageal reflux disease.

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“…4 Laryngeal mask airway (LMA) has proven to have some advantages over endotracheal intubation (ETI) when comparing immediate postoperative laryngopharyngeal symptoms and voice quality. 5,6 Most of the previous studies conducted in this field have concentrated on the first 24 hours and have shown evident differences between ETI and LMA in the immediate postoperative period. [7][8][9] Therefore, study of longer term complaints, including post hospitalization period, is necessary to evaluate their actual clinical impact.…”

Section: Introductionmentioning

confidence: 99%

Effect of endotracheal intubation versus laryngeal mask airway on patient’s quality of voice and swallowing

Sõber

Lepner

Kirsimägi

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: The aim of our study was to evaluate postoperative voice and swallowing disorders during the first postoperative week and to compare these findings between two anesthesia methods: endotracheal intubation tube (ETI) and laryngeal mask airway (LMA).Methods: We conducted a prospective cohort study of patients who underwent laparoscopic cholecystectomy with ETI (n=103) and patients who underwent open hernioplasty or lower extremity varicectomy with LMA (n=100). All subjects underwent preoperatively and during the first postoperative week laryngeal imaging by videolaryngostroboscopy (VLS), filled in subjective evaluations of voice and swallowing complaints. In addition, acoustic voice analysis (AVA), maximum phonation time (MPT) measurement and perceptual voice evaluation were conducted. Results: VLS showed visual changes in pharyngeal and laryngeal anatomy in 4 (4%) patients of the LMA group and 14 (13.6%) patients of the ETI group (p=0.02). No statistically significant postoperative subjective voice and swallowing changes were found in either group. In female patients AVA showed a statistically significant increase of the SPI value in the ETI group (p=0.037). In male patients we noted an increase in mean fundamental frequency (F0) and decrease in MPT with both ventilation methods.Conclusions: Both investigated ventilation methods can be regarded as practically equal. Although clinical signs showed more intense trauma in the ETI group, objective measurements and patient subjective evaluation of voice and swallowing function were similar in both groups.

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Comparison of laryngeal mask airway vs tracheal intubation: a systematic review on airway complications

Cited by 85 publications

References 30 publications

Supraglottic devices — future or everyday life?

Supraglottic devices — future or everyday life?

A Comparison of the New Double-tube Laryngeal Mask and the Endotracheal Intubation for Gastroesophageal Reflux Radiofrequency Ablation under General Anesthesia:A Randomized, Prospective, and Controlled Clinical Trial

Effect of endotracheal intubation versus laryngeal mask airway on patient’s quality of voice and swallowing

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