Crossover comparison of airway sealing pressures of 1.5 and 2 size LMA‐ProSeal™ and LMA‐Classic™ in children, measured with the manometric stability test

Karippacheril, John George; Varghese, Elsa

doi:10.1111/j.1460-9592.2011.03554.x

Cited by 10 publications

(17 citation statements)

References 14 publications

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“…In adults, the rate of successful gastric tube placement correlates with correct positioning of the LMA ProSeal and LMA Supreme (14). Overall gastric tube placement was 100% in our study with LMA ProSeal same with the previous data published before (5,12,13). This rate was 97% for LMA Supreme and it is comparable the previous data too (1)(2)(3).…”

Section: Discussionsupporting

confidence: 92%

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Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Arslan¹,

Balcı²,

Oysu³

et al. 2013

Balkan Med J

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Objective: Dexmedetomidine has been reported to produce analgesia after intrathecal administration. In the present study the α2-adrenoceptor agonist dexmedetomidine was evaluated for its potential spinal neurotoxic effects.Material and Methods: Three days after intrathecal cannulation, rats were administered either dexmedetomidine (3 μg/30 μL, i.t.) or saline (30 μL, i.t.). Antinociceptive, sedative and motor effects of intrathecal administrations of dexmedetomidine or saline were evaluated during 90 min. The tail-flick and hot plate tests were used to assess the thermal nociceptive threshold. Seven days after drug administration, animals were sacrified and spinal cords were evaluated for histopathological changes by light microscopy.Results: Dexmedetomidine administered intrathecally produced antinociception. Antinociception was accompanied by immediate sedation and loss of placing-stepping reflexes that lasted over 40 min in all dexmedetomidine administered rats. In all rats, microscopic examination revealed mild gliosis and minimal infiltration of inflamatory r cells in posterior white matter. Mild (total score 4-6) histopathologic lesions were seen in four animals in dexmedetomidine adminisered rats, but there was no statistically significant difference when compared with the saline administered rats. Conclusion:We observed that intrathecal injections of dexmedetomidine at the dose of 3 μg/30 μL produce antinociception but did not cause any histopathological sign of injury in the spinal cord.

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Section: Discussionsupporting

confidence: 92%

“…These rates were even higher than neuromuscutar blockade receiving and spontaneously breathing children with LMA ProSeal (10)(11)(12). The studies comparing the LMA Supreme in spontaneously breathing and neuromuscular receiving children did not detect any gastric insufflation in any patient (1)(2)(3).…”

Section: Discussionmentioning

confidence: 84%

Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Arslan¹,

Balcı²,

Oysu³

et al. 2013

Balkan Med J

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“…Other studies have also reported similar incidence. [1314] Though i-gel inserts less pressure on perilaryngeal tissue because of its noninflatable cuff, the incidence of sore throat was comparable in all three groups. This observation of our study is supported by the study of Wong et al .…”

Section: Discussionmentioning

confidence: 99%

Comparison of i-gel^™ supraglottic device with classic laryngeal mask airway in anesthetized paralyzed children undergoing elective surgery

et al. 2012

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Context:The newest variation of the i-gel supraglottic airway is a pediatric version.Aims:This study was designed to investigate the usefulness of the size 2 i-gel compared with the classic laryngeal mask airway (cLMA) of the same size in anesthetized, paralyzed children.Settings and Design:A prospective, randomized, single-blinded study was conducted in tertiary care teaching hospital.Subject and Methods:Sixty ASA grade I–II patients undergoing lower abdominal, inguinal, and orthopedic surgery were included in this prospective study. The patients were randomly assigned to i-gel and cLMA groups (30 patients in each group). Size 2 supraglottic airway was inserted according to the assigned group. We assessed ease of insertion, hemodynamic data, oropharyngeal sealing pressure, and postoperative complications.Statistical Analysis Used:Parametric data were analyzed with the unpaired t-test and non-parametric data were analyzed with the Chi-square test. Unless otherwise stated, data are presented as mean (SD). Significance was taken as P < 0.05.Results:There were no differences in the demographic and hemodynamic data among the two groups. The airway leak pressure of the i-gel group (26.1 ± 2.4 cm H2O) was significantly higher than that of the cLMA group (22.64 ± 2.2 cm H2O). The success rates for first attempt of insertion were similar among the two devices. There were no differences in the incidence of postoperative airway morbidity among the two groups.Conclusions:Hemodynamic parameters, ease of insertion, and postoperative complications were comparable between the i-gel and cLMA groups, but airway sealing pressure was significantly higher in i-gel group.

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“…In that study the success rate for inserting the device was 80% on the first attempt and 100% after two attempts. [1213] Other studies of using the pediatric i-gel[14] and LMAs[1516] have shown similar results. The ease of insertion was graded as ‘easy’ or ‘very easy’ in all cases in the i-gel group and 90% (27 of 30) in the PLMA groups.…”

Section: Discussionmentioning

confidence: 78%

“…Other studies have also reported a similar incidence. [1415] Although i-gel inserts less pressure on the perilaryngeal tissue because of its non-inflatable cuff, the incidence of sore throat is comparable in the two groups. This observation in our study is supported by the study of Seet et al .…”

Section: Discussionmentioning

confidence: 99%

Comparison of size 2.5 i-gel^TMwith proseal LMA^TMin anaesthetised, paralyzed children undergoing elective surgery

2012

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Background:The newest variation of i-gel is its pediatric version. This novel supraglottic airway device has the added advantage of a drain tube. In this study, we compared the effectiveness of size 2.5 i-gel with size 2.5 ProSeal LMA.Aims:This study was designed to investigate the usefulness of the size 2.5 i-gel compared with the ProSeal laryngeal mask airway (PLMA) of the same size in anesthetized, paralyzed children.Materials and Methods:Sixty ASA grade I – II patients undergoing elective surgery were included in this prospective study and were randomly assigned to the i-gel and PLMA groups (30 patients in each group). A size 2.5 supraglottic airway was inserted according to the assigned group. We assessed the ease of insertion, hemodynamic data, oropharyngeal sealing pressure, and postoperative complications.Results:There were no differences in the demographic and hemodynamic data, success rates for the first attempt of insertion, or postoperative airway morbidity among the two groups. The airway leak pressure of the i-gel group (27.12 ± 1.69 cm H2O) was significantly higher than that of the PLMA group (22.75 ± 1.46 cm H2O).Conclusion:Hemodynamic parameters, ease of insertion and postoperative complications were comparable between the i-gel and PLMA, but the nairway sealing pressure was significantly higher in the i-gel group.

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Crossover comparison of airway sealing pressures of 1.5 and 2 size LMA‐ProSeal™ and LMA‐Classic™ in children, measured with the manometric stability test

Abstract: The LMA-ProSeal™ and LMA-Classic™ size 1.5 and 2 provide similar mean airway sealing pressures as assessed by the manometric stability test under standardized conditions, with similar air leak and optimal positioning.

Cited by 10 publications

References 14 publications

Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Comparison of i-gel^™ supraglottic device with classic laryngeal mask airway in anesthetized paralyzed children undergoing elective surgery

Comparison of size 2.5 i-gel^TMwith proseal LMA^TMin anaesthetised, paralyzed children undergoing elective surgery

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Crossover comparison of airway sealing pressures of 1.5 and 2 size LMA‐ProSeal™ and LMA‐Classic™ in children, measured with the manometric stability test

Abstract: The LMA-ProSeal™ and LMA-Classic™ size 1.5 and 2 provide similar mean airway sealing pressures as assessed by the manometric stability test under standardized conditions, with similar air leak and optimal positioning.

Cited by 10 publications

References 14 publications

Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Comparison of i-gel™ supraglottic device with classic laryngeal mask airway in anesthetized paralyzed children undergoing elective surgery

Comparison of size 2.5 i-gelTMwith proseal LMATMin anaesthetised, paralyzed children undergoing elective surgery

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Product

Resources

About

Comparison of i-gel^™ supraglottic device with classic laryngeal mask airway in anesthetized paralyzed children undergoing elective surgery

Comparison of size 2.5 i-gel^TMwith proseal LMA^TMin anaesthetised, paralyzed children undergoing elective surgery