Document Detail


The cuffed oropharyngeal airway. Its clinical use in 100 patients.
MedLine Citation:
PMID:  9797528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied the efficacy of the cuffed oropharyngeal airway in 100 patients. Insertion of the airway after induction of anaesthesia with propofol was easy in 95 of 100 patients, moderately difficult in four patients and failed in one patient. Complications, such as coughing, gagging or body movement, occurred during induction and insertion in 15 patients. Insertion of the airway was not associated with tachycardia or hypertension. Manual ventilation through the airway was easy in less than 30% of patients immediately after insertion. Manual ventilation became easier after adjusting the position of the patient's head, neck or jaw. During spontaneous breathing, adjustment of the head, neck or jaw was required in 30% of patients. Complete airway obstruction occurred in one patient after insertion of the device and in two patients during maintenance of anaesthesia. The airway was left in place during emergence from anaesthesia in the remaining 97 patients. No complications occurred in 91 patients and coughing occurred in the remaining six patients before or during removal of the airway. No regurgitation, vomiting or laryngospasm occurred in any patient at any time. Therefore, the cuffed oropharyngeal airway has a potential use in anaesthetised patients who are breathing spontaneously.
Authors:
T Asai; K Koga; R M Jones; M Stacey; I P Latto; R S Vaughan
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  53     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-11-04     Completed Date:  1998-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  817-22     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesiology, Kansai Medical University, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Airway Obstruction / etiology
Anesthesia, General
Anesthetics, Intravenous
Anthropometry
Female
Humans
Incisor / anatomy & histology
Intubation / adverse effects,  instrumentation*
Male
Mandible / anatomy & histology
Middle Aged
Oropharynx*
Propofol
Chemical
Reg. No./Substance:
0/Anesthetics, Intravenous; 2078-54-8/Propofol
Comments/Corrections
Comment In:
Anaesthesia. 1999 Apr;54(4):402-3   [PMID:  10455857 ]

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