Laryngeal Mask Airways Have a Lower Risk of Airway Complications Compared With Endotracheal Intubation: A Systematic Review

Yu, Seung Han; Beirne, O. Ross

doi:10.1016/j.joms.2010.04.017

Cited by 182 publications

(125 citation statements)

References 90 publications

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“…A meta-analysis of 29 randomized prospective clinical trials showed that when LMA was used during general anaesthesia complications like hoarseness, coughing, and laryngospasm during emergence were less compared to use of endotracheal tube. 19 The hemodynamic response by tracheal intubation as well as extubation was much more compared to that of insertion and removal of laryngeal mask, as shown by our results. This was related to laryngoscopy which increases airway manipulation and increased release of catecholamines during tracheal intubation; this may be of concern in patients with high cardiac risk or low cardiovascular reserve.…”

Section: Discussionsupporting

confidence: 67%

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

2017

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Background: Laryngeal Mask Airways are increasingly being used now a day as an option to endotracheal intubation, as it is less invasive and causes less discomfort in the postoperative period. The aim of this study was to evaluate the clinical use of the laryngeal mask airway SupremeTM in patients undergoing elective gynaecological surgeries under general anaesthesia and compare it with endotracheal intubation.Methods: 60 ASA I and II females, having BMI <30kg.m-2 in the range of 20-50 years of age, scheduled for elective gynaecological surgeries were randomly allocated to one of the two groups according to the device used (LMAS or ETT). Time required for insertion, number of attempts, hemodynamic response to insertion/removal and incidence of immediate and late postoperative complications such as coughing, laryngospasm, sore throat, dysphagia etc. were assessed.Results: Number of attempts for successful insertion was similar but time required for LMA Supreme™ insertion was significantly less (25.40±12.90 versus 33.27±14.82 sec) similarly, time required for nasogastric tube insertion was significantly more in ETT group (30.28±16.22 versus 21.93±12.64 sec). No episode of failed ventilation or hypoxia was recorded. The changes in hemodynamic parameters were significantly higher after endotracheal intubation and during extubation. Incidence of postoperative complications was significantly higher after endotracheal intubation (p<0.05).Conclusions: The LMA Supreme™ is a suitable alternative to endotracheal intubation during general anaesthesia for elective gynaecological surgeries with the added advantage of less hemodynamic response during airway management and lower incidence of postoperative complications.

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Section: Discussionsupporting

confidence: 67%

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

2017

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“…In the literature, the first attempt success rates for PLMA were reported to range between 76% and 100% (6,7). In a report of patients receiving general anaesthesia, the use of the supraglottic airway device resulted in a statistically lower incidence of complications such as laryngospasm and coughing compared to endotracheal intubation (8).…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of a Patient with Pseudo-TORCH Syndrome

Berk¹,

Kuş²,

Şahin³

et al. 2013

Balkan Med J

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Background: Pseudo-TORCH syndrome is a rare, chronic disorder that is characterised by dimorphic features such as microcephaly, intracranial calcification, seizures, mental retardation, hepatosplenomegaly and coagulation disorders.Case Report: We present the anaesthetic management of a forty day-old boy with Pseudo-TORCH syndrome during magnetic resonance imaging. Microcephaly, growth failure, high palate and bilateral rales in the lungs were detected in pre-anaesthetic physical examination. The peripheral oxygen saturation was 88-89% in room-air and was 95% in a hood with 5 L/min oxygen. We planned general anaesthesia to ensure immobility during magnetic resonance imaging. After standard monitoring, general anaesthesia was induced with 8% sevoflurane in 100% O 2 . After an adequate depth of anaesthesia was reached, we inserted a supraglottic airway device to avoid intubation without the use of a muscle relaxant. Conclusion:In patients with Pseudo-TORCH syndrome, the perioperative anaesthetic risk was increased. We believe that using a supraglottic airway device to secure the airway is less invasive than intubation, and can be performed without the need of muscle relaxants.

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“…Since SGA allows spontaneous breathing or controlled mechanical ventilation and SGA-related complications like mucosal trauma, hematoma, and arytenoid dislocation are rare compared to endotracheal intubation or rigid bronchoscopy (where additional equipment like jet ventilators are needed), SGA devices have numerous well-known advantages (30). The use of the i-gel SGA (Intersurgical Inc., Wokingham, UK) shows fewer complications (i.e., blood staining, sore throat, and dysphagia) compared to other SGA and commonly is used for therapeutic fiberoptic bronchoscopy (31)(32)(33).…”

Section: Anaesthesia Management For Bronchoscopy Chartis Measurementmentioning

confidence: 99%

Anaesthesia management for bronchoscopic and surgical lung volume reduction

Grande

Loop

2018

J. Thorac. Dis.

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Laryngeal Mask Airways Have a Lower Risk of Airway Complications Compared With Endotracheal Intubation: A Systematic Review

Cited by 182 publications

References 90 publications

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

Anaesthetic Management of a Patient with Pseudo-TORCH Syndrome

Anaesthesia management for bronchoscopic and surgical lung volume reduction

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