Comparison of the laryngeal mask (LMA™) and laryngeal tube (LT®) with the new perilaryngeal airway (CobraPLA®) in short surgical procedures

Turan, Alparslan; Kaya, G.; Koyuncu, Onur; Karamanlıoğlu, Beyhan; Pamukçu, Zafer

doi:10.1017/s0265021505002243

Cited by 41 publications

(38 citation statements)

References 14 publications

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“…But we do not consider a 7.5-s difference in insertion time to be clinically important. Although the insertion time for the LMA Classic seems to be longer than expected, it is comparable to findings from previous studies that compared time to insertion of both devices [1,6]. We believe that both devices are similarly easy to insert and are equally effective in achieving a patent airway during general anaesthesia with controlled ventilation.…”

Section: Discussionsupporting

confidence: 82%

“…There are some reports that the CobraPLA can induce more mucosal damage than other supraglottic airway devices [6,7]. We inflated the cuff until the intracuff pressure reached 60 cmH 2 O.…”

Section: Discussionmentioning

confidence: 99%

“…One of these devices, the CobraPLA Ò (Engineered Medical Systems, Inc., Indianapolis, IN, USA) is a relatively new supraglottic airway device that has been proven safe and effective in several clinical settings [1][2][3][4][5][6][7]. However, to the best of our knowledge, there is only one study that compares the performance of the CobraPLA with that of other supraglottic airways in paralysed patients and it did not examine the airway leak pressure.…”

mentioning

confidence: 99%

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A randomised, crossover comparison between the CobraPLA^® and the LMA Classic^™ in paralysed patients*

et al. 2007

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SummaryWe performed a randomised, crossover study in 38 anaesthetised and paralysed patients to compare the performance of the CobraPLA 5 (20-25 [15-50]) s for the LMA Classic (p < 0.001). There was no significant difference between the two devices for the number of insertion and reposition attempts, the anatomical position scored by fibreoptic bronchoscopy or the peak and plateau airway pressures. There were no adverse events during anaesthesia. The CobraPLA provides a better airway leak pressure and takes less time to insert than the LMA Classic in paralysed patients. Our data show that the CobraPLA can be used to secure a patent airway during controlled ventilation in selected patients.

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Section: Discussionsupporting

confidence: 82%

“…There are some reports that the CobraPLA can induce more mucosal damage than other supraglottic airway devices [6,7]. We inflated the cuff until the intracuff pressure reached 60 cmH 2 O.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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A randomised, crossover comparison between the CobraPLA^® and the LMA Classic^™ in paralysed patients*

et al. 2007

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“…Turan et al 20 studied the efficacy of the CobraPLA®, the LMA Classic™, and the Laryngeal Tube LT in 90 healthy patients undergoing short surgical procedures. While insertion times were similar with all three devices, lower success rates, at first insertion attempt, were observed with the LMA Classic™ (57%), as compared to the CobraPLA® (97%).…”

Section: The Cobrapla® Descriptionmentioning

confidence: 99%

Brief review: The Cobra Perilaryngeal Airway (CobraPLA®) and the Streamlined Liner of Pharyngeal Airway (SLIPA™) supraglottic airways

Hooshangi

Wong

2008

Can J Anesth/J Can Anesth

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“…SD: standard deviation on the capnogram are observed (16). The LMA manufacturers recommend a cuff pressure of <60 cm H 2 O.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Supraglottic Airway Devices; LMA Classic, LMA Fastrach and LMA Supreme; A Prospective, Randomized, Clinical Trial of Efficacy, Safety and Complications

Kömür¹,

Bakan²,

Tomruk³

et al. 2015

Turk J Anaesth Reanim

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Amaç: Prospektif ve randomize olarak yapılan bu çalışmada; birincil olarak yerleştirme kolaylığı ve yerleştirme zamanı, ikincil olarak repozisyon gereksinimi, denemelerdeki başarı oranı, sPO 2 , EtCO 2 ve hemodinamik parametreler üzerine etkileri, yeterli ve güvenli havayolu sağlayabilme ve orafaringeal ve sistemik komplikasyonları açısından, laringeal maske (LMA) Klasik, LMA Klasik, LMA Fastrach and LMA Supreme'in karşılaştırılması amaçlandı.Yöntemler: Yaşları 18-70 arasında değişen, American Society of Anesthesiologists (ASA) I-II, doksan hasta randomize olarak 3 gruba ayrılarak havayolu sağlamak için LMA Klasik, LMA Fastrach ve LMA Supreme kullanıldı. Nöromüsküler bloker kullanıl-madı. Belirlenen LMA aynı anestezist tarafından bispektral index %40-%60 arasındayken yerleştirildi.Bulgular: Gruplar arasında birincil sonuç olarak belirlenen yerleştirme kolaylığı ve yerleştirme zamanı açısından istatiksel olarak fark yoktu. İkincil sonuç olarak yerleştirme sırasında repozisyon gerektirme oranı LMA klasik grupta diğer gruplara göre belirgin olarak yüksek (p<0,05), alet üzerinde kan lekesi varlığı ve mukozal ödem varlığı LMA Fastrach grubunda diğer gruplara göre yüksekti (p<0,05).Sonuç: LMA Klasik, LMA Fastrach ve LMA Supreme araçlarının tümünün etkinlik ve güvenli havayolu sağlama açısından benzer olduğunu düşünmekteyiz. Fakat LMA Supreme; repozisyon gerekmemesi ve daha az orafaringeal komplikasyona yol açmasından dolayı daha avantajlı görülmektedir. Anahtar kelimeler: Laringeal maske, havayolu yönetimi, etkinlikObjective: This prospective randomised study was designed to compare the Laryngeal Mask Airway (LMA) Classic, LMA Fastrach and LMA Supreme regarding ease of insertion and insertion time as primary outcomes and reposition, success rate of trials, effects on haemodynamic parameters, provision of an adequate and safe airway, amount of leakage and oropharyngeal and systemic complications as secondary outcomes. Methods:In this clinical trial, 90 patients aged 18-70 years of American Society of Anesthesiologists (ASA) group I-II were randomised into three groups as providing airway via LMA Classic, LMA Fastrach or LMA Supreme instead of tracheal intubation. No muscle relaxant was used. The allocated LMA was inserted by the same anaesthetist; bispectral index (BIS) was between 40% and 60%.Results: There was no statistical difference among the groups regarding the ease of insertion and insertion time as primary outcomes; the incidence of repositioning during placement was significantly higher in the LMA Classic group than that in other groups (p<0.05) and the rates of bloodstain on the device as well as oropharyngeal mucosal oedema were higher in the LMA Fastrach group than those in other groups (p<0.05) as secondary outcomes. Conclusion:We suggest that LMA Classic, LMA Supreme and LMA Fastrach had similar effectiveness regarding efficiency and airway safety. However, LMA Supreme seems to be more advantageous as it is more appropriate for fewer oropharyngeal complications and there was no repositioning. Keywords: L...

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Comparison of the laryngeal mask (LMA™) and laryngeal tube (LT®) with the new perilaryngeal airway (CobraPLA®) in short surgical procedures

Abstract: We conclude that haemodynamic, ventilation and oxygenation variables throughout the surgery were similar with, LMA, LT and PLA, but LT and PLA were easier to insert; LMA and LT caused less mucosal trauma.

Cited by 41 publications

References 14 publications

A randomised, crossover comparison between the CobraPLA^® and the LMA Classic^™ in paralysed patients*

A randomised, crossover comparison between the CobraPLA^® and the LMA Classic^™ in paralysed patients*

Brief review: The Cobra Perilaryngeal Airway (CobraPLA®) and the Streamlined Liner of Pharyngeal Airway (SLIPA™) supraglottic airways

A Comparison of Supraglottic Airway Devices; LMA Classic, LMA Fastrach and LMA Supreme; A Prospective, Randomized, Clinical Trial of Efficacy, Safety and Complications

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Comparison of the laryngeal mask (LMA™) and laryngeal tube (LT®) with the new perilaryngeal airway (CobraPLA®) in short surgical procedures

Abstract: We conclude that haemodynamic, ventilation and oxygenation variables throughout the surgery were similar with, LMA, LT and PLA, but LT and PLA were easier to insert; LMA and LT caused less mucosal trauma.

Cited by 41 publications

References 14 publications

A randomised, crossover comparison between the CobraPLA® and the LMA Classic™ in paralysed patients*

A randomised, crossover comparison between the CobraPLA® and the LMA Classic™ in paralysed patients*

Brief review: The Cobra Perilaryngeal Airway (CobraPLA®) and the Streamlined Liner of Pharyngeal Airway (SLIPA™) supraglottic airways

A Comparison of Supraglottic Airway Devices; LMA Classic, LMA Fastrach and LMA Supreme; A Prospective, Randomized, Clinical Trial of Efficacy, Safety and Complications

Contact Info

Product

Resources

About

A randomised, crossover comparison between the CobraPLA^® and the LMA Classic^™ in paralysed patients*

A randomised, crossover comparison between the CobraPLA^® and the LMA Classic^™ in paralysed patients*