Comparision of Ambu AuraGain™ and LMA<sup>®</sup> ProSeal in children under controlled ventilation

Joshi, Reesha; Rudingwa, Priya; Kundra, Pankaj; Panneerselvam, Sakthirajan; Mishra, Sandeep Kumar

doi:10.4103/ija.ija_86_18

Cited by 13 publications

(13 citation statements)

References 21 publications

(32 reference statements)

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“…However, the mean difference of 1.6 s (95% CI 0.09–3.12) between the two groups does not account for clinical significance. Similar to our findings mean time taken to insert Ambu AuraGain has been reported between 12 and 13 s 3,4 …”

Section: Discussionsupporting

confidence: 92%

“…In a comparison study in children with LMA supreme, Ambu AuraGain has shown a mean OLP of 19 cm H 2 O 4 . Ambu AuraGain has also been shown to have higher OLP compared with proseal LMA, with a mean OLP of 23.3 ± 4.6 cm H 2 O 3 . The authors attributed the higher OLP to the preformed shape and slightly larger cuff size of the Ambu AuraGain compared with the proseal LMA.…”

Section: Discussionmentioning

confidence: 97%

“…The possible reason for this could be the appropriate anatomy of the device and better alignment with the oropharyngeal curve due to the short and >95° angle of the airway tube of BlockBuster LM. In comparative studies with other SGAs, Ambu AuraGain had a high first‐attempt insertion success rate of more than 93% 3,4,7 …”

Section: Discussionmentioning

confidence: 99%

“…In this study, the mean OLP for BlockBuster LM was significantly higher than Ambu AuraGain. Multiple studies compared the efficacy of the Ambu AuraGain with other SGA like LMA supreme, proseal, and i‐gel in pediatric patients 2–4,7 . In a comparison study in children with LMA supreme, Ambu AuraGain has shown a mean OLP of 19 cm H 2 O 4 .…”

Section: Discussionmentioning

confidence: 99%

“…Its wider and anatomically preshaped airway tube is designed to facilitate intubation. The Ambu AuraGain had higher OLP compared with the proseal laryngeal mask airway in children 3 …”

Section: Introductionmentioning

confidence: 88%

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Comparison of Ambu AuraGain and BlockBuster laryngeal mask for controlled ventilation in children undergoing minor surgical procedures under general anesthesia: A prospective randomized controlled study

Kumar

Soni

Saxena

et al. 2023

Pediatric Anesthesia

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Background: Ambu AuraGain has proven to be better compared with other supraglottic airway devices in terms of higher first-attempt insertion success rate, time and ease of insertion, high oropharyngeal leak pressure, and fewer complications in children. The performance of the BlockBuster laryngeal mask has not been evaluated in children. Aims:The primary objective of this study was to compare the oropharyngeal leak pressure of the BlockBuster laryngeal mask with those of the Ambu AuraGain during controlled ventilation in children. Methods:Fifty children aged 6 months to 12 years with normal airways were randomized into group A (Ambu AuraGain) and group B (BlockBuster laryngeal mask).After administration of general anesthesia, an appropriate size supraglottic airway (size 1.5/2.0/2.5) was inserted according to the groups. Oropharyngeal leak pressure, success and ease of supraglottic airway insertion, gastric tube insertion, and ventilatory parameters were noted. The glottic view was graded by fiberoptic bronchoscopy.Results: Demographic parameters were comparable. The mean oropharyngeal leak pressure in the BlockBuster group (24.72 ± 6.81 cm H 2 O) was significantly higher than Ambu AuraGain group (17.20 ± 4.28 cm H 2 O) by 7.52 cm H 2 O (95% CI 4.27 to 10.76; p = 0.001). The mean time for supraglottic airway insertion in the BlockBuster and Ambu AuraGain group was 12.04 ± 2.55 s and 13.64 ± 2.76 s, respectively (mean difference-1.6 s, 95% CI 0.09-3.12; p = 0.04). Ventilatory parameters, first-attempt supraglottic airway insertion success rate, and ease of gastric tube insertion were comparable between the groups. The BlockBuster group showed easy supraglottic airway insertion compared with the Ambu AuraGain group. The BlockBuster group had better glottic views with only the larynx seen in 23 out of 25 children compared to the Ambu AuraGain with only the larynx seen in 19 out of 25 children. No complication was noted in either group.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Its wider and anatomically preshaped airway tube is designed to facilitate intubation. The Ambu AuraGain had higher OLP compared with the proseal laryngeal mask airway in children 3 …”

Section: Introductionmentioning

confidence: 88%

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Comparison of Ambu AuraGain and BlockBuster laryngeal mask for controlled ventilation in children undergoing minor surgical procedures under general anesthesia: A prospective randomized controlled study

Kumar

Soni

Saxena

et al. 2023

Pediatric Anesthesia

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Update 2022: interdisciplinary statement on airway management with supraglottic airway devices in pediatric emergency medicine—The laryngeal mask is and remains state of the art

et al. 2023

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Comparison of oropharyngeal leak pressure of I-gelTM and BlockbusterTM laryngeal mask airway in anaesthetized pediatric patients

et al. 2023

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Background: Supraglottic airways (SGA) are increasing used in pediatric anesthesia. Among SGA i-gelTM is commonly used device in pediatric patients. The BlockbusterTM laryngeal mask airway (LMA) is latest addition in pediatric airway armamentarium. This study was conducted to compare the clinical performance of i-gelTM and BlockbusterTM LMA in pediatric patients. Methods: A total of 140 children aged 1–5 years, who were undergoing elective surgery, were randomized into two groups either i-gelTM (Group I) or BlockbusterTM LMA (Group B). Airway was secured with appropriate-sized LMA according to group allocation under general anesthesia. The primary objective of study was oropharyngeal leak pressures (OPLP), and secondary objectives were number of attempts of device insertion, success rate, ease of LMA insertion, hemodynamic parameters, and postoperative pharyngolaryngeal morbidities. Results: The mean OPLP was significantly higher for i-gelTM compared to BlockbusterTM LMA (27.97 ± 1.65 vs. 26.04 ± 2.12; P < 0.000). The devices were successfully inserted on the first attempt in 97.14% and 90% of the i-gelTM group and BlockbusterTM LMA groups respectively. The insertion time, ease of insertion, hemodynamic parameters and postoperative complications were comparable between groups. Conclusions: The i-gelTM was more efficacious device in term of OPLP than BlockbusterTM LMA for positive pressure ventilation in pediatric patients undergoing short surgical procedures under general anesthesia.

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Comparision of Ambu AuraGain™ and LMA^® ProSeal in children under controlled ventilation

Cited by 13 publications

References 21 publications

Comparison of Ambu AuraGain and BlockBuster laryngeal mask for controlled ventilation in children undergoing minor surgical procedures under general anesthesia: A prospective randomized controlled study

Comparison of Ambu AuraGain and BlockBuster laryngeal mask for controlled ventilation in children undergoing minor surgical procedures under general anesthesia: A prospective randomized controlled study

Update 2022: interdisciplinary statement on airway management with supraglottic airway devices in pediatric emergency medicine—The laryngeal mask is and remains state of the art

Comparison of oropharyngeal leak pressure of I-gelTM and BlockbusterTM laryngeal mask airway in anaesthetized pediatric patients

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Comparision of Ambu AuraGain™ and LMA® ProSeal in children under controlled ventilation

Cited by 13 publications

References 21 publications

Comparison of Ambu AuraGain and BlockBuster laryngeal mask for controlled ventilation in children undergoing minor surgical procedures under general anesthesia: A prospective randomized controlled study

Comparison of Ambu AuraGain and BlockBuster laryngeal mask for controlled ventilation in children undergoing minor surgical procedures under general anesthesia: A prospective randomized controlled study

Update 2022: interdisciplinary statement on airway management with supraglottic airway devices in pediatric emergency medicine—The laryngeal mask is and remains state of the art

Comparison of oropharyngeal leak pressure of I-gelTM and BlockbusterTM laryngeal mask airway in anaesthetized pediatric patients

Contact Info

Product

Resources

About

Comparision of Ambu AuraGain™ and LMA^® ProSeal in children under controlled ventilation