The laryngeal mask in infants and children: What is the cuff pressure?

Schloss, Bryan; Rice, Julie; Tobias, Joseph D.

doi:10.1016/j.ijporl.2011.11.022

Cited by 14 publications

(9 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our baseline results are similar to those of 2 prior pediatric studies that observed laryngeal mask airway cuff pressures >60 cmH 2 O in 53% of cases and laryngeal mask airway cuff pressures ranging from 8 to >100 cmH 2 O …”

Section: Patient Characteristics and Laryngeal Mask Airway Cuff Presssupporting

confidence: 89%

“…Sir—Inflating pediatric laryngeal mask airway cuffs with the maximum manufacturer recommended volumes of air leads to near universal cuff pressures in excess of recommended limits . Unintended laryngeal mask airway cuff hyperinflation is common during clinical practice, with cuff pressure >60 cmH 2 O in 68% of adults and 53% of children . Elevated laryngeal mask airway cuff pressures correlate with postoperative sore throat and other adverse pharyngolaryngeal events .…”

Section: Patient Characteristics and Laryngeal Mask Airway Cuff Pressmentioning

confidence: 99%

See 1 more Smart Citation

Reducing laryngeal mask airway cuff pressure: A quality improvement project

Taylor

Friesen

2018

Pediatric Anesthesia

View full text Add to dashboard Cite

Section: Patient Characteristics and Laryngeal Mask Airway Cuff Presssupporting

confidence: 89%

Section: Patient Characteristics and Laryngeal Mask Airway Cuff Pressmentioning

confidence: 99%

Reducing laryngeal mask airway cuff pressure: A quality improvement project

Taylor

Friesen

2018

Pediatric Anesthesia

View full text Add to dashboard Cite

“…29 The literature also contains reports of more serious morbidity following over-inflation of ETT and LMA cuffs. 4,8,19,21,[30][31][32] Our data indicate a gap in anaesthetic training with the first step to changing clinical practice being a refocus on appropriate education.…”

Section: Resultsmentioning

confidence: 82%

“…2,5,7,8,30 Instead, there seems to be great variation in clinical practice. We feel the importance of cuff pressure care should be included in the teaching of anaesthesia, at both undergraduate and postgraduate level.…”

Section: Resultsmentioning

confidence: 99%

Intraoperative management of ETT and LMA cuff pressures: a survey of anaesthetists’ knowledge, attitude and current practice

Castro

Gopalan

2016

Southern African Journal of Anaesthesia and Analgesia

View full text Add to dashboard Cite

Background: Endotracheal tubes and laryngeal mask airway devices are routinely used during anaesthesia. Inappropriate inflation of cuffs has been shown to cause postoperative airway morbidity, and limiting the pressure decreases the incidence of pharyngo-laryngeal complications. Subjective measurements of cuff pressures correlate poorly to actual pressures, yet the use of objective cuff manometry is not routinely practised. The aim of this study was to determine current clinical practice of cuff inflation as well as the knowledge and attitude of anaesthetists in the University of KwaZulu-Natal (UKZN) Discipline of Anaesthesiology and Critical Care. Methods: This was a descriptive, observational study and data were collected using an anonymous self-administered questionnaire from practising anaesthetists in the UKZN Discipline of Anaesthesiology and Critical Care. Results: A total of 160 anaesthetists participated. The minimal occlusive volume test (38.8%) and the pilot balloon palpation technique (36.3%) were most commonly used. Most participants felt it was important to accurately measure ETT (84.8%) and LMA (56.1%) cuff pressures and that using a cuff manometer should be mandatory (76%). Reasons for not using it routinely included manometers not being readily available. Gaps in knowledge and education were also identified. Conclusion: There is increasing importance placed on quality assurance. Clinical practice varies widely among practitioners with the only consistency being the omission of cuff manometers during routine intraoperative management, despite their proven benefit and efficacy. The authors propose recommendations to facilitate the routine intraoperative use of cuff manometers.

show abstract

“…However, even tracheal rupture has been reported in two patients [44]. Damage from cuff expansion of laryngeal mask devices has also been published [45,46,47,48,49]. The diffusion is larger in silicone based tubes and laryngeal mask airways than in PVC based tubes and LMA's.…”

Section: Diffusion Hypoxia and Filling Of Gas Containing Compartmentsmentioning

confidence: 99%

Nitrous oxide. Should it still be used in pediatric medicine ? (Part 1)

Booij¹

2017

Medical news of the North Caucasus

View full text Add to dashboard Cite

The laryngeal mask in infants and children: What is the cuff pressure?

Cited by 14 publications

References 13 publications

Reducing laryngeal mask airway cuff pressure: A quality improvement project

Reducing laryngeal mask airway cuff pressure: A quality improvement project

Intraoperative management of ETT and LMA cuff pressures: a survey of anaesthetists’ knowledge, attitude and current practice

Nitrous oxide. Should it still be used in pediatric medicine ? (Part 1)

Contact Info

Product

Resources

About