Cargando…
Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion
INTRODUCTION: ProSeal-Laryngeal Mask Airway™ (P-LMA™) is one of the commonly used laryngeal mask airways. Despite the proper insertion technique, suboptimal positioning and airway morbidity still occurs. This study explored the possibility of the operating table height position affecting successful...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691322/ https://www.ncbi.nlm.nih.gov/pubmed/36474553 http://dx.doi.org/10.1155/2022/5118362 |
_version_ | 1784837015195353088 |
---|---|
author | Low, Song Lin Masdar, Azlina Md. Nor, Nadia Mohd Azidin, Azrin Low, Hsueh Jing Mohamad Mahdi, Siti Nidzwani |
author_facet | Low, Song Lin Masdar, Azlina Md. Nor, Nadia Mohd Azidin, Azrin Low, Hsueh Jing Mohamad Mahdi, Siti Nidzwani |
author_sort | Low, Song Lin |
collection | PubMed |
description | INTRODUCTION: ProSeal-Laryngeal Mask Airway™ (P-LMA™) is one of the commonly used laryngeal mask airways. Despite the proper insertion technique, suboptimal positioning and airway morbidity still occurs. This study explored the possibility of the operating table height position affecting successful P-LMA™ placement. METHODS: A total of 138 patients aged between 18 and 65 years old with the American Society of Anesthesiologists (ASA) I or II status, who required general anaesthesia and had no contraindication towards the use of P-LMA™, were recruited. They were randomly positioned into three anatomical landmarks, which were umbilicus, lowest rib margin, and xiphoid. P-LMA™ was inserted following muscle paralysis, and the first successful placement was evaluated using positional and performance tests. Duration, ease of P-LMA™ insertion, and airway complications were compared. RESULTS: Demographic and airway features were comparable among all groups. The P-LMA™ placement success rate improved when the table height was positioned at the lowest rib margin (p=0.002). All three positions were comparable in terms of duration, ease of insertion, and airway morbidities. CONCLUSION: The lowest rib margin anatomical landmark can be used as a guide in achieving the optimal operating table height for successful P-LMA™ placement. |
format | Online Article Text |
id | pubmed-9691322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-96913222022-12-05 Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion Low, Song Lin Masdar, Azlina Md. Nor, Nadia Mohd Azidin, Azrin Low, Hsueh Jing Mohamad Mahdi, Siti Nidzwani Int J Clin Pract Research Article INTRODUCTION: ProSeal-Laryngeal Mask Airway™ (P-LMA™) is one of the commonly used laryngeal mask airways. Despite the proper insertion technique, suboptimal positioning and airway morbidity still occurs. This study explored the possibility of the operating table height position affecting successful P-LMA™ placement. METHODS: A total of 138 patients aged between 18 and 65 years old with the American Society of Anesthesiologists (ASA) I or II status, who required general anaesthesia and had no contraindication towards the use of P-LMA™, were recruited. They were randomly positioned into three anatomical landmarks, which were umbilicus, lowest rib margin, and xiphoid. P-LMA™ was inserted following muscle paralysis, and the first successful placement was evaluated using positional and performance tests. Duration, ease of P-LMA™ insertion, and airway complications were compared. RESULTS: Demographic and airway features were comparable among all groups. The P-LMA™ placement success rate improved when the table height was positioned at the lowest rib margin (p=0.002). All three positions were comparable in terms of duration, ease of insertion, and airway morbidities. CONCLUSION: The lowest rib margin anatomical landmark can be used as a guide in achieving the optimal operating table height for successful P-LMA™ placement. Hindawi 2022-11-17 /pmc/articles/PMC9691322/ /pubmed/36474553 http://dx.doi.org/10.1155/2022/5118362 Text en Copyright © 2022 Song Lin Low et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Low, Song Lin Masdar, Azlina Md. Nor, Nadia Mohd Azidin, Azrin Low, Hsueh Jing Mohamad Mahdi, Siti Nidzwani Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion |
title | Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion |
title_full | Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion |
title_fullStr | Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion |
title_full_unstemmed | Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion |
title_short | Evaluating the Optimal Operating Table Height for ProSeal-LMA™ Insertion |
title_sort | evaluating the optimal operating table height for proseal-lma™ insertion |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691322/ https://www.ncbi.nlm.nih.gov/pubmed/36474553 http://dx.doi.org/10.1155/2022/5118362 |
work_keys_str_mv | AT lowsonglin evaluatingtheoptimaloperatingtableheightforproseallmainsertion AT masdarazlina evaluatingtheoptimaloperatingtableheightforproseallmainsertion AT mdnornadia evaluatingtheoptimaloperatingtableheightforproseallmainsertion AT mohdazidinazrin evaluatingtheoptimaloperatingtableheightforproseallmainsertion AT lowhsuehjing evaluatingtheoptimaloperatingtableheightforproseallmainsertion AT mohamadmahdisitinidzwani evaluatingtheoptimaloperatingtableheightforproseallmainsertion |