Comparing 3 ventilation modalities by measuring several respiratory parameters using the ProSeal laryngeal mask airway in children

Templeton, T. Wesley; Hoke, Lauren K.; Yaung, Jill; Aschenbrenner, Carol A.; Rose, Danielle M.; Templeton, Leah B.; Bryan, Yvon F.

doi:10.1016/j.jclinane.2016.04.031

Cited by 12 publications

(6 citation statements)

References 18 publications

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“…[ 9 ] A Study by Templeton et al . [ 13 ] who compared respiratory parameters using PLMA between three modes: SV, PSV, and PCV in children 12 months to 5 years of age. Found, respiratory rate was significantly higher in SV group compared to PSV group and PCV group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of spontaneous ventilation, pressure control ventilation and pressure support ventilation in pediatric patients undergoing infraumbilical surgery using proseal laryngeal mask airway

et al. 2021

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Background: Pediatric infraumbilical surgeries are often performed under general anaesthesia using different modes of ventilation through Laryngeal Mask Airway .Although controlled ventilation has been successfully used, very less studies have been done to compare them with spontaneous ventilation for short duration surgeries. Aims: We tried to measure quantitave differences in haemodynamic and respiratory parameters and assess the recovery profile between controlled and spontaneous ventilation using Proseal LMA. Settings and Design: This was a prospective, randomized, double-blind study that comprised 90 American Society of Anaesthesiologist (ASA) classes I and II pediatric patients posted for infra umbilical surgery. Materials and Methods: 90 paediatric patients undergoing infraumbilical surgeries were included. Three different ventilation strategies: spontaneous , pressure support and pressure-controlled ventilation were applied depending on attending anaesthesiologist's preference. Haemodynamic and respiratory parameters were recorded during the procedure. Post procedure parameters including need for supplementary oxygen, recovery time, complications were recorded. Statistical Methods: Analysis of variance (ANOVA) was employed for inter group analysis and for multiple comparisons, least significant difference (LSD) test was applied. Chi-square test or Fisher's exact test, whichever appropriate, was used for comparison of categorical variables. Results: The mean time interval between end of surgery and removal of LMA was significantly higher in PCV group in comparison to SV and PSV groups. In SV group lesser number of patients required oxygen supplementation and had shorter stay in recovery than PCV group. Conclusion: We conclude that spontaneous mode of ventilation can be used as safely as controlled /assist ventilation mode in short duration surgeries in high turn over settings.

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Section: Discussionmentioning

confidence: 99%

Comparison of spontaneous ventilation, pressure control ventilation and pressure support ventilation in pediatric patients undergoing infraumbilical surgery using proseal laryngeal mask airway

et al. 2021

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“…Controlled ventilation and pressure support ventilation have been shown to be superior to spontaneous ventilation with ProSeal LMA © . [ 12 13 14 ] Spontaneous ventilation or controlled ventilation using Bain's or Jackson Rees circuit was the most commonly used method of ventilation while using SGAD amongst our respondents. This is in contrast to the SPA survey where pressure support ventilation was used by a large number of respondents.…”

Section: Discussionmentioning

confidence: 99%

Current practice patterns of supraglottic airway device usage in paediatric patients amongst anaesthesiologists: A nationwide survey

et al. 2018

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Background and Aims:Supraglottic airway devices (SGADs) are increasingly being used for airway management in paediatric patients undergoing general anaesthesia. This survey was designed to assess the nationwide practice patterns of SGAD usage in paediatric patients.Methods:A questionnaire of 28 questions was circulated amongst 16,532 members of the Indian Society of Anaesthesiologists through online survey engine Google Forms® and served manually to 500 delegates attending the Asian Society of Paediatric Anaesthesiologists conference 2017. Percentage, mean and standard deviation were calculated using Microsoft Excel 2016 (Redmond, WA, USA).Results:Four hundred and five (2.3%) valid responses were obtained. The most commonly used device was i-gel© (60.74%). Three hundred and four (75.06%) respondents had access to second-generation SGADs. Second-generation devices (60.74%) were more commonly used than first-generation devices (39.26%). Anaesthesiologists utilised SGADs in various challenging scenarios such as in the difficult airway (53.33%), remote locations (55.47%), ophthalmologic (38.77%) and long-duration surgeries (17.53%). Sixty per cent respondents did not use SGADs in laparoscopic surgery. Disposable SGADs were reused by 77.28% respondents. Oropharyngeal seal and intracuff pressures were not measured by 86.91% and 56.92% respondents, respectively. Difficulty in size selection (84.19%), securing position (82.22%) and maintaining unobstructed ventilation (78.76%) were common problems encountered while using SGADs.Conclusion:Although there is a widespread use of second-generation SGADs in Indian paediatric anaesthesia, safe practices such as using capnography, measurement of oropharyngeal seal pressure, cuff pressure and appropriate disinfection are lacking.

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“…Our group recently published 2 articles in which we analyzed and compared different respiratory parameters including endtidal CO 2 (ETCO2) levels, respiratory rate, and tidal volume with spontaneous ventilation, pressure support, and pressure control ventilation with a ProSeal™ LMA (PLMA) . In 1 study, we looked at 33 children between the ages of 1 and 5 years and in a second study, 30 children <1 year of age.…”

Section: Summary Comparison Of Endtidal Co2 Tidal Volume Respiratormentioning

confidence: 99%

An inconvenient truth: Supraglottic devices can lead to potentially significant increases in the apparatus dead space in the anesthetized infant

Templeton

Goenaga‐Díaz

Templeton

et al. 2018

Pediatric Anesthesia

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Comparing 3 ventilation modalities by measuring several respiratory parameters using the ProSeal laryngeal mask airway in children

Cited by 12 publications

References 18 publications

Comparison of spontaneous ventilation, pressure control ventilation and pressure support ventilation in pediatric patients undergoing infraumbilical surgery using proseal laryngeal mask airway

Comparison of spontaneous ventilation, pressure control ventilation and pressure support ventilation in pediatric patients undergoing infraumbilical surgery using proseal laryngeal mask airway

Current practice patterns of supraglottic airway device usage in paediatric patients amongst anaesthesiologists: A nationwide survey

An inconvenient truth: Supraglottic devices can lead to potentially significant increases in the apparatus dead space in the anesthetized infant

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