Six hours positive pressure ventilation with size 5 laryngeal mask in a 55-kg patient

Patki, Jayashree; Reddy, Cvm

doi:10.4103/0019-5049.63631

Cited by 1 publication

(1 citation statement)

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“…Certain patients, even with body weight <90 kg, may have an inadequate seal with a size 4 LMA, and would require a change to a size 5 LMA. This has been supported by a number of previous reports ( 18 , 19 ). Following the correction of the inadequate seal of the LMA at the beginning of anesthesia, the OLV process could be performed without further complications.…”

Section: Discussionsupporting

confidence: 87%

A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one-lung ventilation for thoracic surgery

et al. 2014

Experimental and Therapeutic Medicine

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In this study, the feasibility and performance of the combination of the Arndt endobronchial blocker and the laryngeal mask airway (LMA) ProSeal™ in airway establishment, ventilation, oxygenation and lung isolation was evaluated. Fifty-five patients undergoing general anesthesia for elective thoracic surgeries were randomly allocated to group Arndt (n=26) or group double-lumen tube (DLT; n=29). Data concerning post-operative airway morbidity, ease of insertion, hemodynamics, lung collapse, ventilators, oxygenation and ventilation were collected for analysis. Compared with group DLT, group Arndt showed a significantly attenuated hemodynamic response to intubation (blood pressure, 149±31 vs. 115±16 mmHg; heart rate, 86±15 vs. 68±15 bpm), less severe injuries to the bronchus (injury score, 1.4±0.2 vs. 0.4±0.1) and vocal cords (injury score, 1.3±0.2 vs. 0.6±0.1), and lower incidences of post-operative sore throat and hoarseness. Furthermore, the novel combination of the Arndt and the LMA ProSeal showed similar ease of airway establishment, comparable ventilation and oxygenation performance, and an analogous lung isolation effect to DLT. The novel combined use of the Arndt endobronchial blocker and the LMA ProSeal can serve as a promising alternative for thoracic procedures requiring one-lung ventilation. The less traumatic properties and equally ideal lung isolation are likely to promote its use in rapidly spreading minimally invasive thoracic surgeries.

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Section: Discussionsupporting

confidence: 87%

A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one-lung ventilation for thoracic surgery

et al. 2014

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

show abstract

Six hours positive pressure ventilation with size 5 laryngeal mask in a 55-kg patient

Cited by 1 publication

References 3 publications

A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one-lung ventilation for thoracic surgery

A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one-lung ventilation for thoracic surgery

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