Comparison of the LMA Supreme™ with the LMA Proseal™ for airway management in patients anaesthetized in prone position

López, A.M.; Valero, Ricard; Hurtado, Paola; Gambús, Pedro L.; Pons, Martí; Anglada, Teresa

doi:10.1093/bja/aer104

Cited by 62 publications

(51 citation statements)

References 21 publications

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“…It has a modified conical cuff which gives it a high-pressure seal and better performance during mechanical ventilation and a gastric channel running along the posterior midline through the airway tube to facilitate the passage of a gastric tube which allows functional separation of the respiratory and digestive systems. 4,5 The aim of this study was to evaluate the efficacy and superiority of LMA Supreme™, if any compared to endotracheal intubation for positive pressure ventilation with muscle relaxation for intraoperative and postoperative conditions.…”

Section: Introductionmentioning

confidence: 99%

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

2017

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Background: Laryngeal Mask Airways are increasingly being used now a day as an option to endotracheal intubation, as it is less invasive and causes less discomfort in the postoperative period. The aim of this study was to evaluate the clinical use of the laryngeal mask airway SupremeTM in patients undergoing elective gynaecological surgeries under general anaesthesia and compare it with endotracheal intubation.Methods: 60 ASA I and II females, having BMI <30kg.m-2 in the range of 20-50 years of age, scheduled for elective gynaecological surgeries were randomly allocated to one of the two groups according to the device used (LMAS or ETT). Time required for insertion, number of attempts, hemodynamic response to insertion/removal and incidence of immediate and late postoperative complications such as coughing, laryngospasm, sore throat, dysphagia etc. were assessed.Results: Number of attempts for successful insertion was similar but time required for LMA Supreme™ insertion was significantly less (25.40±12.90 versus 33.27±14.82 sec) similarly, time required for nasogastric tube insertion was significantly more in ETT group (30.28±16.22 versus 21.93±12.64 sec). No episode of failed ventilation or hypoxia was recorded. The changes in hemodynamic parameters were significantly higher after endotracheal intubation and during extubation. Incidence of postoperative complications was significantly higher after endotracheal intubation (p<0.05).Conclusions: The LMA Supreme™ is a suitable alternative to endotracheal intubation during general anaesthesia for elective gynaecological surgeries with the added advantage of less hemodynamic response during airway management and lower incidence of postoperative complications.

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Section: Introductionmentioning

confidence: 99%

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

2017

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“…Three pro-con debate reports were also excluded. A total of 12 articles [8][9][10][11][12][13][14][15][16][17][18][19] were deemed eligible for inclusion in the present review ( Figure 1). …”

Section: Resultsmentioning

confidence: 99%

Use of Supraglottic Airway Devices in the Prone Position

Kubo¹,

Kiyama²,

Suzuki³

et al. 2017

J Anesth Clin Res

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Supraglottic airway devices (SADs) have revolutionized airway management. These advanced devices incorporate specific features to protect against gastric regurgitation and aspiration and also create a high oropharyngeal seal pressure. These developments have broadened indications for SADs, and some anesthetists use SADs with the patient in the prone position. SADs are also used as rescue device in instances of unintentional tracheal extubation. In addition, there is the elective use of SADs in the prone position. However, the use of SADs in the prone position remains controversial. This review aims to examine the published evidence regarding the use of SADs in patients undergoing surgery in the prone position.

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“…In 2011, a comparison for use of iGel TM and Supreme TM in prone position for elective cases has been published [12]. A study on 40 patients [13] and the largest audit of LMA Supreme TM insertion in adult patients undergoing elective orthopedic surgery in the prone position both demonstrated high success rate, feasibility, safety, and satisfactory high sealing pressure.…”

Section: Discussionmentioning

confidence: 99%

Airway Rescue using the LMA Supreme™ in the prone position: a case report

Sorbello

Zdravković

Veroux

et al. 2015

CMI

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Surgery in prone positioning may pose considerable challenges to Anesthesiologists because of general accessibility to the patient; this is particularly true if referring to airway management, because the airway could be relatively inaccessible while the patient is lying prone. We report a case of an obese women scheduled for lower limbs surgery in the prone position in which the initial anesthetic choice for spinal anesthesia needed to be switched to general anesthesia during the procedure both for the occurrence of surgical complications and because the patient began to become uncooperative. We successfully managed this problem by inserting a LMA Supreme TM leaving the patient in the same prone position, and maintaining anesthesia in mechanical ventilation, thus allowing surgical procedure to be completed uneventfully. The possible options in similar cases and the specific features of LMA Supreme TM which allowed such a choice are discussed.

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Comparison of the LMA Supreme™ with the LMA Proseal™ for airway management in patients anaesthetized in prone position

Abstract: Airway management in patients anaesthetized in the prone position was efficient with both devices, although the PLMA required fewer manipulations and achieved a higher seal pressure.

Cited by 62 publications

References 21 publications

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

Comparison of laryngeal mask airway supreme™ versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions

Use of Supraglottic Airway Devices in the Prone Position

Airway Rescue using the LMA Supreme™ in the prone position: a case report

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