The ProSeal(TM) laryngeal mask airway is an effective alternative to laryngoscope-guided tracheal intubation for gynaecological laparoscopy

Lim, Y., Goel, S., and Brimacombe, J.R. (2007) The ProSeal(TM) laryngeal mask airway is an effective alternative to laryngoscope-guided tracheal intubation for gynaecological laparoscopy. Anaesthesia and Intensive Care, 35 (1). pp. 52-56.

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Abstract

We tested the hypothesis that the ProSeal laryngeal mask airway is superior to laryngoscope-guided tracheal intubation for gynaecological laparoscopy. One-hundred and eighty consecutive patients (ASA grade 1-2, aged 18-80 y) were divided into two equal-sized groups for airway management with the ProSeal laryngeal mask airway or tracheal tube. Induction was with fentanyl/propofol, maintenance with sevoflurane and muscle relaxation with atracurium. The following primary variables were tested: time to achieve an effective airway, ventilatory capability, peak airway pressure before and after pneumoperitoneum, duration of surgery and pneumoperitoneum and haemodynamic responses. Data about gastric size, airway trauma and sore throat were collected. The number of attempts for successful insertion were similar but effective airway time was shorter for the ProSeal laryngeal mask airway (20 +/- 2s vs 37 +/- 3 s, P < 0.001). All devices were successfully inserted within three attempts. There was no episode of failed ventilation or hypoxia. The haemodynamic stress responses to insertion and removal were greater for the tracheal tube than the ProSeal laryngeal mask airway. The duration of surgery, duration of pneumoperitoneum and intra-abdominal pressures were similar Gastric size was similar at the start and end of surgery. There were no differences in the frequency of complications or sore throat. We conclude that the ProSeal laryngeal mask airway is a similarly effective airway device to conventional laryngoscope-guided tracheal intubation for gynaecological laparoscopy, but is more rapidly inserted and associated with an attenuated haemodynamic response to insertion and removal.

Item ID: 2270
Item Type: Article (Refereed Research - C1)
Keywords: ProSeal laryngeal mask airway; ProSeal; tracheal intubation; gynaecological laparoscopy; ventilation
Additional Information:

Reproduced with permission from Anaesthesia and Intensive Care.

Lim Y, Goel S, Brimacombe JR (2007) The ProSeal(TM) laryngeal mask airway is an effective alternative to laryngoscope-guided tracheal intubation for gynaecological laparoscopy. Anaesthesia and Intensive Care, 35 (1). pp. 52-56.

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ISSN: 1448-0271
Date Deposited: 31 May 2009 23:52
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110301 Anaesthesiology @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 51%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 49%
Citation Count from Web of Science Web of Science 2
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