Document Detail


A study of airway management using the ProSeal LMA laryngeal mask airway compared with the tracheal tube on postoperative analgesia requirements following gynaecological laparoscopic surgery.
MedLine Citation:
PMID:  17697218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a randomised double blind prospective study, we tested the hypothesis that postoperative pain is lower in patients who receive an ProSeal LMA laryngeal mask airway compared with a tracheal tube. One hundred consecutive female patients (ASA I-II, 18-75 years) undergoing laparoscopic gynaecological surgery were divided into two equal-sized groups for airway management with the ProSeal LMA or tracheal tube. Anaesthesia management was identical for both groups and included induction of anaesthesia using propofol/fentanyl, and maintenance with propofol/remifentanil, muscle relaxation with rocuronium, positive pressure ventilation, gastric tube insertion, dexamethasone/tropisetron for anti-emetic prophylaxis, and diclofenac for pain prophylaxis. All types of postoperative pain were treated using intravenous patient-controlled analgesia (PCA) morphine. Patients and postoperative staff were unaware of the airway device used. Data were collected by a single blinded observer. We found that pain scores were lower for the ProSeal LMA at 2 h and 6 h but not at 24 h. Morphine requirements were lower for the ProSeal LMA by 30.4%, 30.6% and 23.3% at 2, 6 and 24 h, respectively. Nausea was less common with the ProSeal LMA than with the tracheal tube at 2 h and 6 h but not at 24 h. There were no differences in the frequency of vomiting, sore throat, dysphonia or dysphagia. We conclude that postoperative pain is lower for the ProSeal LMA than the tracheal tube in females undergoing gynaecological laparoscopic surgery.
Authors:
M Hohlrieder; J Brimacombe; S Eschertzhuber; H Ulmer; C Keller
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Anaesthesia     Volume:  62     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  913-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia and Intensive Care Medicine, Medical University Innsbruck, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Analgesia, Patient-Controlled
Analgesics, Opioid / administration & dosage
Double-Blind Method
Drug Administration Schedule
Female
Gynecologic Surgical Procedures
Humans
Intubation, Intratracheal / adverse effects
Laparoscopy*
Laryngeal Masks / adverse effects*
Middle Aged
Morphine / administration & dosage
Pain Measurement / methods
Pain, Postoperative / drug therapy,  etiology*
Postoperative Nausea and Vomiting / etiology
Prospective Studies
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 57-27-2/Morphine

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


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