The LMA, laparoscopic surgery and the obese patient — Canvs should

The proseal™laryngeal mask airway: a review of the literature

“…80 Gynecological laparoscopy PLMA and cLMA were compared with tracheal intubation for gynecological laparoscopy in 209 paralyzed patients. 48 A PLMA was used in the laryngeal mask group when BMI was > 30 kg·m -2 (17 patients) and a cLMA when BMI < 30 kg·m -2 .…”

“…An accompanying editorial questioned the use of laryngeal masks for laparoscopic surgery. 80 However, like a similar UK editorial, 81 this focused only on the potential problems of laryngeal mask use, without considering problems of TT use. Up to 65% of cases of aspiration occur around the time of laryngoscopy, and difficult intubation (which is causally associated with multiple complications) occurs in nearly 2% of cases.…”

Extubation and Reintubation of the Difficult Airway

“…We do not know whether gastric decompression reduces aspiration; a well-seated i-gel SGA 297 or ProSeal LMA may or may not offer some protection from aspiration. [298][299][300] With the current information, it is not appropriate to recommend the elective use of these devices in a patient at increased risk for aspiration.…”

Protection against aspiration of gastric contents: The laryngeal mask airway Proseal vs endotracheal tube

“…[6] The present study is not adequately powered to conclude that the PLMA is a safe and suitable alternative as compared with ETT where pulmonary aspiration of gastric contents is concerned.…”