Anaesthetic management of a patient in prone position-advantage of proseal laryngeal mask airway along with review of literature

Saini, Sharanjot; Bansal, Teena

doi:10.7197/1305-0028.1518

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Induction in the prone position may also be advantageous in patients who are unable to lie in the supine position due to painful lesions on the back. [ 1 10 ]…”

Section: Discussionmentioning

confidence: 99%

A prospective study to evaluate and compare laryngeal mask airway ProSeal and i-gel airway in the prone position

et al. 2015

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Background:Prone position is commonly used to provide surgical access to a variety of surgeries. In view of the advantages of induction of anesthesia in the prone position, we conducted a randomized study to evaluate and compare ProSeal laryngeal mask airway (LMA) and i-gel in the prone position.Materials and Methods:Totally, 40 patients of either sex as per American Society of Anesthesiologists physical status I or II, between 16 and 60 years of age, scheduled to undergo surgery in prone position were included in the study. After the patients positioned themselves prone on the operating table, anesthesia was induced by the standard technique. LMA ProSeal was used as an airway conduit in group 1 while i-gel was used in group 2. At the end of surgery, the airway device was removed in the same position.Results:Insertion of airway device was successful in first attempt in 16, and 17 cases in ProSeal laryngeal mask airway (PLMA) and i-gel groups, respectively. A second attempt was required to secure the airway in 4 and 3 patients in PLMA and i-gel groups, respectively. The mean insertion time was 21.8 ± 2.70 s for group 1 and 13.1 ± 2.24 s for group 2, the difference being statistically significant (P < 0.05). The mean seal pressure in group 1 was 36 ± 6.22 cm H2 O and in group 2 was 25.4 ± 3.21 cm H2 O. The difference was statistically significant (P < 0.05). 13 patients in group 1 had fiberoptic bronchoscopy (FOB) grade 1 while it was 6 for group 2. The remaining patients in both groups had FOB grade 2.Conclusion:Insertion of supraglottic airways and conduct of anesthesia with them is feasible in the prone position. The PLMA has a better seal while insertion is easier with i-gel.

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“…Induction in the prone position may also be advantageous in patients who are unable to lie in the supine position due to painful lesions on the back. [ 1 10 ]…”

Section: Discussionmentioning

confidence: 99%

A prospective study to evaluate and compare laryngeal mask airway ProSeal and i-gel airway in the prone position

et al. 2015

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“…There are only case reports about the use of various laryngeal masks in different head and neck positions and other operation positions such as prone position (Ceylan, 2008;Saini and Bansal, 2013). Prospective clinical studies are needed on LM types in different operation positions.…”

Section: )mentioning

confidence: 99%

Comparison of the Baska Mask® and Endotracheal Tube on Hemodynamic and Respiratory Parameters in Septoplasty Cases

Kuşderci¹,

Torun

Öterkuş

2021

Prague Med. Rep.

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Laryngeal mask (LM) types have been used as an airway device for an alternative to the standard endotracheal tube (ETT). One of the novel type of LM, the Baska Mask®, can be a safe alternative among the airway devices. The purpose of this study is to compare the effects of the new generation supraglottic airway device the Baska Mask® and the ETT on hemodynamic parameters (heart rate, mean arterial pressure), airway pressure and end tidal carbon dioxide (EtCO2) in patients undergoing general anesthesia. After the approval of the ethics committee, 70 patients who underwent septoplasty were included in the study. Written informed consent forms were taken from these patients. Demographic data of the patients were recorded. Hemodynamic data of patients were measured and recorded preoperative, during induction, at the time of intubation 1th, 3th and 5th minute and during extubation. Also, airway pressure and EtCO2 values of the patients were measured and recorded at the time of intubation, 1th, 3th and 5th minutes. Demographic data were similar in both groups. Mean arterial pressure, heart rate and airway pressure were lower in the group 2 (the Baska Mask® group) than in the group 1 (ETT group) and the difference was statistically significant (p<0.05). EtCO2 values were similar in both groups. No patients had tube leakage. In terms of hemodynamic and respiratory parameters the Baska Mask® is more advantageous than the ETT in short-term surgeries.

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Anaesthetic management of a patient in prone position-advantage of proseal laryngeal mask airway along with review of literature

Cited by 2 publications

References 7 publications

A prospective study to evaluate and compare laryngeal mask airway ProSeal and i-gel airway in the prone position

A prospective study to evaluate and compare laryngeal mask airway ProSeal and i-gel airway in the prone position

Comparison of the Baska Mask® and Endotracheal Tube on Hemodynamic and Respiratory Parameters in Septoplasty Cases

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