Evaluation der neuen Kehlkopfmasken Ambu AuraOnce™ und Intersurgical i-gel™

Abstract

The tested SGADs were comparable with regard to ease of insertion, insertion times and airway morbidity. Considering leak tightness and patient comfort the PLMA and the AuraOnce fared better with regard to tightness of seal and patient comfort.

Comparison of oropharyngeal leak pressure and clinical performance of LMA ProSeal™ and i-gel® in adults: Meta-analysis and systematic review

“…Device insertion time 5 , 6 , 8 – 13 , 15 , 16 , 18 was significantly shorter for i-gel® than for LMA ProSeal™, with high heterogeneity (MD −3.01 s; I 2 = 97%; P = 0.03). Subgroup analysis indicated significantly shorter insertion time for i-gel® than for LMA ProSeal™ in studies published in 2013–2014, with sustained high heterogeneity (MD −6.20 s; I 2 = 96%; P < 0.00001; Figure 3B ).…”

“…The initial electronic publication search identified 699 potential studies (267 from MEDLINE®, 282 from EMBASE®, 136 from CENTRAL, 12 from KoreaMed and 2 from Google Scholar®). After exclusions, the analysis included 14 RCTs 5 – 18 published between 2009 and 2014, comprising 1104 patients (545 with LMA ProSeal™ and 559 with i-gel®). No records were obtained from ClinicalTrials.gov.…”

“…The studies included in this analysis originated from eight countries (Austria, 13 Belgium, 12 China, 10 Germany, 16 India, 5 , 6 , 8 , 15 , 17 , 18 Japan, 9 Republic of Korea 11 , 14 and the UK 7 ). Patients had undergone various modes of surgery, including laparoscopic, 10 , 11 , 15 , 17 gynecological, orthopedic and ambulatory surgery.…”

“…7 – 9 , 11 – 13 , 15 Intracuff LMA ProSeal™ pressures were maintained at 30 cmH 2 O 6 or 60 cmH 2 O. 5 , 7 – 13 , 15 , 16 The studies included spontaneously breathing anesthetized patients without the use of NMB 5 , 7 , 9 , 12 , 13 and paralyzed anesthetized patients with the use of NMB 8 , 10 , 11 , 14 , 15 , 17 during anesthesia. Details of studies included in the analysis are shown in Table 1 .…”

“…The clinical performance and safety of both LMA ProSeal™ and i-gel® have been studied extensively, 5 – 19 but reports vary as to which device offers superior OLP. Studies have shown LMA ProSeal™ to have comparable OLP to i-gel®, 5 , 9 , 11 , 12 , 14 or significantly higher 7 , 8 , 10 , 13 , 15 , 17 or lower 19 OLP than i-gel®.…”