Effectiveness of Proseal laryngeal mask airway and laryngeal tube suction in elective non-laparoscopic surgeries of up to ninety minutes duration: A prospective, randomized study

Verma, Susheel; Sharma, Sunita

doi:10.4103/joacp.joacp_101_16

Cited by 3 publications

(1 citation statement)

References 13 publications

(19 reference statements)

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“…In 1983, Dr. Archie Brain successfully developed the world's frst laryngeal mask airway (LMA) [2]. ProSeal-Laryngeal Mask Airway ™ (P-LMA ™ ) is a second-generation LMA that is commonly used as it provides numerous advantages when compared to endotracheal intubation, including superior haemodynamic stability, less airway trauma, and superior patients' comfort [3][4][5]. Te success rate of P-LMA ™ insertion ranges from 77% to 90%, and suboptimal positioning occurs in 30-66% of cases [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion

Low

Masdar

Nor

et al. 2022

International Journal of Clinical Practice

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Introduction. ProSeal-Laryngeal Mask Airway™ (P-LMA™) is one of the commonly used laryngeal mask airways. Despite the proper insertion technique, suboptimal positioning and airway morbidity still occurs. This study explored the possibility of the operating table height position affecting successful P-LMA™ placement. Methods. A total of 138 patients aged between 18 and 65 years old with the American Society of Anesthesiologists (ASA) I or II status, who required general anaesthesia and had no contraindication towards the use of P-LMA™, were recruited. They were randomly positioned into three anatomical landmarks, which were umbilicus, lowest rib margin, and xiphoid. P-LMA™ was inserted following muscle paralysis, and the first successful placement was evaluated using positional and performance tests. Duration, ease of P-LMA™ insertion, and airway complications were compared. Results. Demographic and airway features were comparable among all groups. The P-LMA™ placement success rate improved when the table height was positioned at the lowest rib margin ( p = 0.002 ). All three positions were comparable in terms of duration, ease of insertion, and airway morbidities. Conclusion. The lowest rib margin anatomical landmark can be used as a guide in achieving the optimal operating table height for successful P-LMA™ placement.

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Section: Introductionmentioning

confidence: 99%

Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion

Low

Masdar

Nor

et al. 2022

International Journal of Clinical Practice

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The effects of laryngeal mask airway versus endotracheal tube on atelectasis in patients undergoing general anesthesia assessed by lung ultrasound: A protocol for a prospective, randomized controlled trial

Liu

Wang

et al. 2022

PLoS ONE

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Background The incidence of atelectasis is high in patients undergoing general anesthesia. This may cause oxygenation impairment and further contribute to postoperative pulmonary complications (PPCs). As important airway management devices for general anesthesia, few studies have compared the effects of laryngeal mask airway (LMA) and endotracheal tube (ETT) on atelectasis. Additionally, lung ultrasound has been increasingly used for bedside atelectasis diagnosis. For the above considerations, this trial is designed to compare the effects of LMA and ETT on atelectasis assessed by lung ultrasound scores, further providing more powerful clinical evidence for perioperative respiratory management of non-laparoscopic elective lower abdominal surgery under general anesthesia. Methods This is a prospective, single-center, single-blind, randomized controlled trial. From July 2021 to July 2022, 180 patients undergoing elective non-laparoscopic lower abdominal surgery under general anesthesia will be recruited and randomly divided into the ETT and LMA groups at a ratio of 1:1. The primary outcome is the total atelectasis LUS of 12 lung regions 15 min after the establishment of the artificial airway. The total atelectasis LUS at the end of surgery and 30 min after extubation, oxygenation index, postoperative airway complications, PPCs, and length of stay will be analyzed as secondary indicators. Trial registration ClinicalTrials.gov identifier: ChiCTR1900020818. Registered on January 20, 2019. Registered with the name of “Laryngeal mask airway versus endotracheal tube for atelectasis.” URL: https://www.chictr.org.cn/showproj.aspx?proj=35143.

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A comprehensive health classification model based on support vector machine for proseal laryngeal mask and tracheal catheter assessment in herniorrhaphy

Qing²,

et al. 2020

Mathematical Biosciences and Engineering

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Effectiveness of Proseal laryngeal mask airway and laryngeal tube suction in elective non-laparoscopic surgeries of up to ninety minutes duration: A prospective, randomized study

Cited by 3 publications

References 13 publications

Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion

Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion

The effects of laryngeal mask airway versus endotracheal tube on atelectasis in patients undergoing general anesthesia assessed by lung ultrasound: A protocol for a prospective, randomized controlled trial

A comprehensive health classification model based on support vector machine for proseal laryngeal mask and tracheal catheter assessment in herniorrhaphy

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