| A randomized prospective study comparing the Cobra Perilaryngeal Airway and Laryngeal Mask Airway-Classic during controlled ventilation for gynecological laparoscopy. | |
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MedLine Citation:
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PMID: 17179252 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: An increasing number of noninvasive, supraglottic airway devices are currently available. In this randomized single-blind study, we compared the Cobra Perilaryngeal Airway (CobraPLA) to the [Laryngeal Mask Airway (LMA)-Classic] during gynecological laparoscopy. METHODS: Forty patients received either an LMA-Classic or a CobraPLA. Insertion, ventilation and removal characteristics were noted, as well as any throat morbidity. RESULTS: Devices were similar for insertion characteristics, adverse events, and throat morbidity. Before pneumoperitoneum, peak airway pressures were 20.3 +/- 4.9 cm H2O in the LMA-Classic group versus 25.5 +/- 7.9 cm H2O in the CobraPLA group, P = 0.01. This difference was maintained during pneumoperitoneum; LMA-Classic (22.8 +/- 6.1 cm H2O) and CobraPLA (28.1 +/- 8.5 cm H2O), P = 0.04. Macroscopic blood occurred only on the CobraPLA, seen on 40% of the devices after removal, P = 0.001. CONCLUSION: During gynecological laparoscopy, the CobraPLA provides similar insertion characteristics, but higher airway sealing pressures than the LMA-Classic. The usefulness of this finding requires further investigation. |
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Authors:
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Eilish M Galvin; Mirjam van Doorn; Juan Blazquez; Johannes F Ubben; Freek J Zijlstra; Jan Klein; Serge J C Verbrugge |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 104 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2006-12-20 Completed Date: 2007-01-23 Revised Date: 2007-08-20 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 102-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands. eilishgalvin@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Gynecologic Surgical Procedures* Humans Intubation, Intratracheal / instrumentation, methods* Laparoscopy* Laryngeal Masks* |
| Comments/Corrections | |
Comment In:
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Anesth Analg. 2007 Aug;105(2):546; author reply 546-7
[PMID:
17646536
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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