| Insertion characteristics, sealing pressure and fiberoptic positioning of CobraPLA in children. | |
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MedLine Citation:
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PMID: 17767635 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The CobraPLA(TM) is a new supraglottic airway device designed for the use in spontaneously breathing and mechanically ventilated patients. In adults it has been found as effective as the LMA, but with better sealing qualities. The aim of the present study was to evaluate fit and sealing characteristics of CobraPLA size 1.5 and 2 in mechanically ventilated children. METHODS: Forty children, ASA I/II, aged 1-10 years, weighing 10-35 kg were scheduled for minor surgical procedures. The number of attempts for insertion and fiberoptic positioning of the CobraPLA was assessed. After muscle relaxation had been achieved, airway sealing pressure was measured by gradually increasing maximum inspiratory pressure to a maximum of 30 cm H(2)O. RESULTS: Insertion of CobraPLA was successful at the first attempt in 90% of patients. The vocal cords were visualized in 90% of patients (grade 0: 2.5%, grade 1: 7.5%, grade 2: 30%, grade 3: 15%, grade 4: 45%). Median sealing pressure was 20.0 +/- 6.0 cm H(2)O. In 21% of patients gastric insufflation was observed at a peak inspiratory pressure of 20 cm H(2)O or below. CONCLUSIONS: The CobraPLA was found to have easy insertion characteristics and good anatomical fitting in children between 10 and 35 kg. If positive pressure ventilation with CobraPLA size 1.5 and 2.0 is required, peak inspiratory pressure should be kept below the leak pressure and the abdomen closely monitored for signs of gastric insufflation. |
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Authors:
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Maurizio Passariello; Nicole Almenrader; Bruno Coccetti; Roberta Haiberger; Paolo Pietropaoli |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Paediatric anaesthesia Volume: 17 ISSN: 1155-5645 ISO Abbreviation: Paediatr Anaesth Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-04 Completed Date: 2007-11-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: France |
Other Details:
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Languages: eng Pagination: 977-82 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Intensive Care, University Hospital, Policlinico Umberto I, Rome, Italy. maurizio.passariello@libero.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia
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methods Child Child, Preschool Female Humans Infant Intubation, Intratracheal / instrumentation*, methods Male Respiration, Artificial / instrumentation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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