Document Detail


A comparison of the ProSeal laryngeal mask and the laryngeal tube in spontaneously breathing anesthetized patients.
MedLine Citation:
PMID:  12538219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this multicenter, randomized study, we compared ease of insertion, postinsertion hemodynamic repercussion, quality of ventilation, and the capacity to achieve a "hands-free" anesthesia delivery between two new devices: the ProSeal laryngeal mask airway (PLMA) and the Laryngeal Tube (LT). The incidence of postoperative laryngopharyngeal discomfort was examined after short surgical interventions in spontaneously breathing patients. After induction with fentanyl and propofol, the respective airways were inserted into 70 adult ASA physical status I and II patients (35 patients in each group). First-attempt insertion success rates were more frequent for the PLMA (77% versus 51%; P < 0.05), but success rates were similar (100% versus 97%) after 3 attempts. The anesthesiologists considered that insertion of the PLMA was easier (P < 0.001). Expired tidal volume was larger with the PLMA (404.9 versus 328.4 mL; P < 0.005) and the ability to achieve hands-free ventilation was more frequent with the PLMA (32 versus 21 cases; P < 0.004). Positional maneuvers with the LT to correct ventilation deficiencies were not always completely effective (5 of 13). There were no differences in the incidence of intolerance, sore throat, dysphagia, and/or dysphonia between the two devices. We conclude that the PLMA showed greater ease of insertion and reliability than the LT for use in nonparalyzed anesthetized patients.
Authors:
Eduardo Figueredo; Miguel Martínez; Teresa Pintanel
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  96     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-01-22     Completed Date:  2003-02-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  600-5, table of contents     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, Hospital Torrecardenas, Almería, Spain. eduardofigueredo@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anesthesia, General*
Anesthetics, Inhalation
Body Surface Area
Female
Humans
Intubation, Intratracheal / adverse effects,  instrumentation*
Laryngeal Masks* / adverse effects
Male
Manometry
Methyl Ethers
Middle Aged
Postoperative Complications / epidemiology
Respiratory Mechanics / physiology
Tidal Volume
Chemical
Reg. No./Substance:
0/Anesthetics, Inhalation; 0/Methyl Ethers; 28523-86-6/sevoflurane
Comments/Corrections
Comment In:
Anesth Analg. 2003 Oct;97(4):1202; author reply 1203   [PMID:  14500191 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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