Cargando…
Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial
BACKGROUND AND AIMS: We aimed to compare three techniques for insertion of ProSeal laryngeal mask airway (PLMA). MATERIAL AND METHODS: Two hundred ten patients (American Society of Anaethesiologists I-II, aged 18–60 years) undergoing general anesthesia using the PLMA as an airway management device w...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5187619/ https://www.ncbi.nlm.nih.gov/pubmed/28096585 http://dx.doi.org/10.4103/0970-9185.194774 |
_version_ | 1782486880401489920 |
---|---|
author | Nalini, Kadirehally Bheemanna Shivakumar, Shivanna Archana, Shivashankar Sandhya Rani, Doddagavanahalli Channaiah Mohan, Chadalavada Venkata Rama |
author_facet | Nalini, Kadirehally Bheemanna Shivakumar, Shivanna Archana, Shivashankar Sandhya Rani, Doddagavanahalli Channaiah Mohan, Chadalavada Venkata Rama |
author_sort | Nalini, Kadirehally Bheemanna |
collection | PubMed |
description | BACKGROUND AND AIMS: We aimed to compare three techniques for insertion of ProSeal laryngeal mask airway (PLMA). MATERIAL AND METHODS: Two hundred ten patients (American Society of Anaethesiologists I-II, aged 18–60 years) undergoing general anesthesia using the PLMA as an airway management device were randomly allocated to digital (D), rotational (R), or pharyngoscopic (P) techniques. In the D group (n = 70), the PLMA insertion was performed by using digital manipulation. In the R group (n = 70), the PLMA was inserted into the mouth, rotated anticlockwise through 90° and advanced into the hypopharynx. In the P group (n = 70), the PLMA was inserted after gentle pharyngoscopy using laryngoscope. Success rate at the first attempt, insertion time, airway manipulations required, and postoperative complications were noted. RESULTS: Insertion at first attempt was more successful with P technique than the R and D groups (100% vs. 98.5% vs. 81.4% respectively, P < 0.01). Insertion time was shortest for the P group which was statistically significant compared to the group D (P < 0.001), but comparable with the R group. None of the patients required manipulation in the P group compared to the group R (P = 0.04) and D (P < 0.001). Blood staining (group P = 2.8% vs. group R = 2.8% vs. group D = 22%, P < 0.0001) and sore throat (group P = 0% vs. group R = 6.9% vs. group D = 16.7%, both: P < 0.005) were lower with the pharyngoscopic technique. CONCLUSION: We conclude that the pharyngoscopic technique for PLMA insertion is more successful with lower incidence of complications (mucosal bleeding and sore throat). |
format | Online Article Text |
id | pubmed-5187619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-51876192017-01-17 Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial Nalini, Kadirehally Bheemanna Shivakumar, Shivanna Archana, Shivashankar Sandhya Rani, Doddagavanahalli Channaiah Mohan, Chadalavada Venkata Rama J Anaesthesiol Clin Pharmacol Original Article BACKGROUND AND AIMS: We aimed to compare three techniques for insertion of ProSeal laryngeal mask airway (PLMA). MATERIAL AND METHODS: Two hundred ten patients (American Society of Anaethesiologists I-II, aged 18–60 years) undergoing general anesthesia using the PLMA as an airway management device were randomly allocated to digital (D), rotational (R), or pharyngoscopic (P) techniques. In the D group (n = 70), the PLMA insertion was performed by using digital manipulation. In the R group (n = 70), the PLMA was inserted into the mouth, rotated anticlockwise through 90° and advanced into the hypopharynx. In the P group (n = 70), the PLMA was inserted after gentle pharyngoscopy using laryngoscope. Success rate at the first attempt, insertion time, airway manipulations required, and postoperative complications were noted. RESULTS: Insertion at first attempt was more successful with P technique than the R and D groups (100% vs. 98.5% vs. 81.4% respectively, P < 0.01). Insertion time was shortest for the P group which was statistically significant compared to the group D (P < 0.001), but comparable with the R group. None of the patients required manipulation in the P group compared to the group R (P = 0.04) and D (P < 0.001). Blood staining (group P = 2.8% vs. group R = 2.8% vs. group D = 22%, P < 0.0001) and sore throat (group P = 0% vs. group R = 6.9% vs. group D = 16.7%, both: P < 0.005) were lower with the pharyngoscopic technique. CONCLUSION: We conclude that the pharyngoscopic technique for PLMA insertion is more successful with lower incidence of complications (mucosal bleeding and sore throat). Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5187619/ /pubmed/28096585 http://dx.doi.org/10.4103/0970-9185.194774 Text en Copyright: © Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Nalini, Kadirehally Bheemanna Shivakumar, Shivanna Archana, Shivashankar Sandhya Rani, Doddagavanahalli Channaiah Mohan, Chadalavada Venkata Rama Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial |
title | Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial |
title_full | Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial |
title_fullStr | Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial |
title_full_unstemmed | Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial |
title_short | Comparison of three insertion techniques of ProSeal laryngeal mask airway: A randomized clinical trial |
title_sort | comparison of three insertion techniques of proseal laryngeal mask airway: a randomized clinical trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5187619/ https://www.ncbi.nlm.nih.gov/pubmed/28096585 http://dx.doi.org/10.4103/0970-9185.194774 |
work_keys_str_mv | AT nalinikadirehallybheemanna comparisonofthreeinsertiontechniquesofproseallaryngealmaskairwayarandomizedclinicaltrial AT shivakumarshivanna comparisonofthreeinsertiontechniquesofproseallaryngealmaskairwayarandomizedclinicaltrial AT archanashivashankar comparisonofthreeinsertiontechniquesofproseallaryngealmaskairwayarandomizedclinicaltrial AT sandhyaranidoddagavanahallichannaiah comparisonofthreeinsertiontechniquesofproseallaryngealmaskairwayarandomizedclinicaltrial AT mohanchadalavadavenkatarama comparisonofthreeinsertiontechniquesofproseallaryngealmaskairwayarandomizedclinicaltrial |