Comparative study of two laryngeal mask airways: Proseal laryngeal mask airway and supreme laryngeal mask airway in anesthetized paralyzed adults undergoing elective surgery

Gill, Ravneet Kaur; Tarat, Abhijit; Pathak, Debagopal; Dutta, Suneeta

doi:10.4103/0259-1162.177184

Cited by 11 publications

(8 citation statements)

References 16 publications

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“…This was assessed during and 30 minutes after insertion in all the subjects. Oropharyngeal leak pressure reveals the degree of airway protection, feasibility for using in positive pressure ventilation and success of the device placement (25) . High leak pressure was provided by Baska mask (38.33±4.4 cmH 2 O) at insertion time was (26) compared the Baska mask with the Proseal LMA and found that the sealing pressure was significantly higher in the Baska group (30±9 vs 24±6 cm of H 2 O).…”

Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

Dhanasekaran¹,

Mehta²,

Parameswari³

2019

JARSS

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Objective: Supraglottic airway devices with facility for gastric suction such as Proseal LMA and I gel have been successfully used for positive pressure ventilation in laparoscopic surgeries. Baska mask, a novel device with many unique features such as self-sealing membranous cuff and effective sump drainage system was designed in such a way that the perilaryngeal seal increases incrementally with increasing airway pressures. But Baska mask was not extensively evaluated to validate its use in laparoscopic surgeries. The efficiency of Baska mask (B), Proseal LMA (P) and I Gel (I) are compared during positive pressure ventilation in laparoscopic cholecystectomy. Methods: Ninety patients of ASA physical status I-II planned for laparoscopic cholecystectomy were randomized into three groups (B, I, P) of 30 each. The study was proceeded with 88 (B-30, I-29, P-29) patients. Oropharyngeal leak pressure, insertion time, effective airway time and airway morbidity were assessed and compared between the three groups. Mean, standard deviation, paired sample t-test, one way ANOVA with Tukey's Post-Hoc test was used. Results: The oropharyngeal leak pressure at insertion time was 38.33±4.353 cm of H 2 O for group B, 30.57±2.174 cm of H 2 O for group I, 29.36±2.706 cm of H2O for group P. The leak pressure was statistically significant between group B and other groups. Conclusions: Baska mask provided higher oropharyngeal leak pressure in comparison to other two supraglottic devices. ÖZ Amaç: Proseal LMA ve I gel gibi gastrik aspirasyon avantajı olan supraglottik hava yolu araçları, laparoskopik ameliyatlarda pozitif basınçlı ventilasyonda başarıyla kullanılmaktadır. Kendiliğinden yerleşen membranöz cuff ve etkin sıvı drenaj sistemi gibi pek çok benzersiz özelliğe sahip yeni bir cihaz olan Baska mask, perilarengeal yerleşme basıncının, artan hava yolu basınçları ile aşamalı olarak artacağı şekilde tasarlanmıştır. Ancak, Baska maskın, laparoskopik ameliyatlarda kullanımı kapsamlı olarak araştırılmamıştır. Laparoskopik kolesistektomide pozitif basınçlı ventilasyon sırasında Baska mask (B), Proseal LMA (P) ve I Gel (I)'in etkinliği karşılaştırıldı. Yöntem: Laparoskopik kolesistektomi planlanan ASA I-II 90 hasta, üç gruba (B, I, P) randomize edildi. Çalışma 88 (B-30, I-29, P-29) hasta ile sürdürüldü. Orofarengeal kaçak basıncı, yerleştirme zamanı, etkin hava yolu zamanı ve hava yolu morbiditesi değerlendirildi ve üç grup karşılaştırıldı. İstatistiksel analizde; ortalama, standart sapma, paired sample t-testi, Tukey Post-Hoc testi ile tek yönlü ANOVA kullanıldı. Bulgular: Yerleştirme sırasında orofarengeal kaçak basıncı, B grubunda 38.33±4.353 cmH 2 0, I grubunda 30.57±2.174 cmH 2 0, P grubunda 29.36±2.706 cmH 2 0 idi. Kaçak basıncı, B grubu ve diğer gruplar arasında istatistiksel olarak anlamlıydı. Sonuç: Baska mask, diğer iki supraglottik araç ile karşılaştırıldığında daha yüksek orofaringeal kaçak basıncı sağladı. Bu çalışmada kullanılan üç farklı ikinci kuşak supraglottik hava yolu aracı arasında, Baska mask, yüksek orofarengeal ...

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Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

Dhanasekaran¹,

Mehta²,

Parameswari³

2019

JARSS

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“…When the oropharyngeal leak pressure (OLP) was used as a benchmark, in some studies the results suggested that using any of these two airway devices resulted in the same outcome 8,9 . OLP was shown to be lower utilizing S-LMA than P-LMA in other studies 10,11 . While under general anesthesia, we wanted to test the effectiveness of both the proseal laryngeal mask airway and the supreme laryngeal mask airway.…”

Section: Discussionmentioning

confidence: 74%

Comparison of Outcome of Proseal Laryngeal Mask Airway and Supreme Laryngeal Mask Airway in Patients Undergoing Surgery Under General Anaesthesia

Malik¹,

Saleh²,

Raza³

et al. 2022

PJMHS

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Objective: To compare the proseal laryngeal mask airway's performance to that of the supreme laryngeal mask airway in patients undergoing surgery under general anesthesia. Study design: Descriptive-Comparative Study Settings:Department of Anesthesia, Jinnah Postgraduate Medical Centre Karachi Study duration:December 2020 to June 2021 Materials & Methods: It was estimated that 154 patients of both genders were considering elective surgery while under the effect of general anesthesia. They were between the ages of 18 and 60. Patients were not allowed to participate in the trial if they had trouble breathing, were known to have lung or heart problems, were at danger of aspiration, or had a fractured neck spine. Following the acquisition of informed permission, the selected cases were then randomly separated into two groups, one labelled group P and the other designated group S. Group P patients were given a proseal laryngeal mask, which is a form of airway. A supreme laryngeal mask was used by those in Group S. During the first twenty-four hours, the researcher checked on each patient to see if they were coughing or had sore throats. Results: More than 96% of patients with Proseal and 88% of patients with Supreme-LMA were able to successfully insert the device on their first try in our study. When it came to inserting patients, the S-LMA group performed better than the others (19.17 2.69 min vs. 23.16 1.73 min). When comparing the adverse effects of Proseal-LMA and Supreme-LMA, we found that 27.27 Vs 20.78 percent reported cough, 18.18 Vs 12.99 percent blood stains, and 20.78 Vs 3.90 percent painful throat respectively. Conclusion: The results of this study show that the supreme laryngeal mask airway is superior than the proseal laryngeal mask airway in patients undergoing surgery under general anesthesia. Keywords: general anesthesia, supreme laryngeal mask airway, outcome.

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“…16,18 We found that in the first attempt insertion success with LMA Supreme™ was 100% compared to LMA ProSeal™, which was 90%, but the mean numbers of successful attempts were comparable in both groups similar to other clinical studies. 16,19 However, Belena M et al found significant higher first success rate with LMA Supreme™ as compared to LMA ProSeal™. 15 Regarding hemodynamics variables in our study both the groups were comparable at various time intervals with P > 0.05 and the results were in concordance with the study conducted by Anand LK et al in 84 patients using LMA ProSeal™ and LMA Supreme™ in laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of LMA Supreme™ vs. LMA ProSeal™ for ambulatory surgeries in adult patients

Singh¹,

Kaur²,

Kaur³

et al. 2022

Anaesth. pain intensive care

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Background & objectives: The laryngeal mask airway Supreme™ (LMA-S) is a new, single-use, supraglottic device that combines the functionality of the ProSeal™ and Fastrach™ airways. Till now, there have been conflicting results regarding the oropharyngeal leak pressure (OLP) of the LMA Supreme™ vs. the LMA ProSeal™, which is the major determinant of effective ventilation and airway protection during LMA use. We compared the safety and efficacy of the LMA ProSeal™ vs. the LMA Supreme™ in ambulatory surgeries. Methodology: In this prospective, comparative trial, eighty adult patients undergoing elective surgery, were randomly allocated to one of the two groups: Group LMA–P (LMA ProSeal™ group) and Group LMA–S (LMA Supreme™ group) of 40 patients each. OLP, insertion times, number of insertion attempts, ease of insertion and pharyngolaryngeal morbidity were assessed. Statistical analysis was performed using SPSS version 21.0 software using Student’s t-test and Chi-square test. P < 0.05 was considered to be statistically significant. Results: Oropharyngeal leak pressure in Group LMA–P (26.65 ± 1.59 cmH2O) was comparable to Group LMA–S (26.08 ± 1.67 cmH2O) and both provided adequate seal and effective ventilation. The mean effective airway time was significantly less in Group LMA–S as compared to Group LMA–P (14.80 ± 1.24 sec and 17.80 ± 1.47 sec) respectively. Mean number of successful insertion attempts, hemodynamic response and pharyngolaryngeal morbidity were comparable in both the groups. Conclusion: Both LMA Supreme™ and LMA ProSeal™ are equally efficacious and safe for maintaining airway and ventilation in paralyzed patients. However, LMA Supreme™ is easier to insert with shorter effective airway time than LMA ProSeal™. Abbreviations: SAD - Supraglottic airway device; ETI - Endotracheal intubation; LMA - Laryngeal mask airways; PPV - Positive pressure ventilation; OLP - oropharyngeal leak pressure Key words: LMA ProSeal™, LMA Supreme™, Oropharyngeal leak pressure; Airway; Aieway management Citation: Singh A, Kaur J, Kaur S, Gupta KK. Safety and efficacy of LMA Supreme™ vs. LMA ProSeal™ for ambulatory surgeries in adult patients. Anaesth. pain intensive care 2021;26(1):63-68. DOI: 10.35975/apic.v26i1.1769 Received: June 02, 2021, Reviewed: December 13, 2021, Accepted: December 15, 2021

show abstract

Comparative study of two laryngeal mask airways: Proseal laryngeal mask airway and supreme laryngeal mask airway in anesthetized paralyzed adults undergoing elective surgery

Cited by 11 publications

References 16 publications

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

Comparison of Outcome of Proseal Laryngeal Mask Airway and Supreme Laryngeal Mask Airway in Patients Undergoing Surgery Under General Anaesthesia

Safety and efficacy of LMA Supreme™ vs. LMA ProSeal™ for ambulatory surgeries in adult patients

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