Laryngeal mask airway indications

Timmermann, Arnd; Bergner, Urs Adrian; Russo, Sebastian G.

doi:10.1097/aco.0000000000000262

Cited by 66 publications

(24 citation statements)

References 43 publications

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“…These are above the thresholds of 25 cmH 2 O for oropharyngeal leak pressure and 12 L/min for maximum minute ventilation considered to reflect adequate clinical efficacy. [ 5 ] These values were comparable to those in Sng et al . 's preliminary assessment of the LMA Protector™ in 26 patients who had undergone minor gynaecological procedures requiring general anaesthesia and use of a SAD.…”

Section: Discussionsupporting

confidence: 89%

Laryngeal mask airway protector™: Advanced uses for laparoscopic cholecystectomies

Tan

Seet

2017

Indian J Anaesth

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The laryngeal mask airway (LMA) Protector™ is a second-generation perilaryngeal sealer type supraglottic airway device recently introduced into clinical practice. We describe our initial experiences with the use of the LMA Protector™ in three patients undergoing laparoscopic cholecystectomies. In all patients, we found the LMA Protector™ to have acceptable placements on the first attempt, adequate oropharyngeal leak pressures and ventilation adequacy.

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Section: Discussionsupporting

confidence: 89%

Laryngeal mask airway protector™: Advanced uses for laparoscopic cholecystectomies

Tan

Seet

2017

Indian J Anaesth

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“…The oropharyngeal leak pressure was 25 cmH 2 O. The sternal notch test and bubble test were performed after insertion to confirm the placement of the LMA protector [5]. Anesthesia was maintained with a mixture of sevoflurane and oxygen/air.…”

Section: Case Reportmentioning

confidence: 99%

Unilateral hypoglossal nerve palsy after the use of laryngeal mask airway (LMA) Protector

Beh

Shariffuddin

Wang

2019

Korean J Anesthesiol

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BackgroundThe laryngeal mask airway (LMAⓇ) ProtectorTM (Teleflex Medical Co., Ireland) is the latest innovation in the second generation of LMA devices. One distinguishing feature of this device is its integrated, color-coded cuff pressure indicator (Cuff PilotTM technology) which enables continuous cuff pressure monitoring and allows adjustments when necessary; this ensures patient safety due to better monitoring.CaseWe report a case of postoperative unilateral hypoglossal nerve palsy after uncomplicated use of the LMA Protector. To the best of our knowledge, this could be the second reported case.ConclusionsThis case demonstrates that anesthetists need to routinely measure cuff pressure and that the Cuff PilotTM technology is not a panacea for potential cranial nerve injury after airway manipulation.

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“…The SAD are broadly divided into the first-generation devices (only breathing lumen) and second-generation devices (additional lumen for aspiration of the gastric contents). [3] The complications with the first-generation devices include the increased risk of aspiration and poor ventilation. Baska ® mask and I-Gel ® device are the two commonly used second-generation SAD in anesthetic practice.…”

Section: Introductionmentioning

confidence: 99%

Supraglottic airway devices in short gynecological procedures: A randomized, clinical study comparing the Baska^® mask and I-Gel^® device

Garg

Lamba

Chandra

et al. 2019

J Family Med Prim Care

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Background: Supraglottic airway devices are used for anesthesia in elective surgical procedures circumventing the need for intubation. We investigated the efficacy and safety of Baska ® mask in comparison to an I-Gel ® device. Methods: In this cross-sectional, observational study, we randomized 100 female patients (age 18–45 years, American Society of Anaesthesiologists grade I or II) undergoing elective short gynecological procedures into two groups, to receive ventilation with either Baska mask ® (group 1, n = 50) or an I-Gel ® device (group 2, n = 50). We excluded patients with obesity, short neck, and known systemic and upper airway disorders. The primary outcome was the oropharyngeal airway seal pressure, and the secondary outcomes were the ease of insertion and the complication rate. The results were analyzed using Mann–Whitney U -test and Fisher's exact test, and correlation analysis was done by Spearman's correlation test. Results: A total of 56 patients underwent dilatation and curettage, whereas the remaining had hysteroscopy in the study. The airway seal pressure achieved was higher with Baska ® mask than I-Gel ® device (35.8 ± 10.3 and 26.9 ± 7.5 of cm H 2 O, respectively; P < 0.0001). The ease of insertion ( P < 0.0001) was better in group 1 and the complication rates were similar in both the groups ( P > 0.05). Conclusion: Baska ® mask offers a superior airway seal pressure with minimum complications in comparison to an I-Gel ® device. Further studies with a large number of patients in different surgical settings are required to confirm our findings.

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Laryngeal mask airway indications

Abstract: The use of second-generation SGA for expanded indications seems useful and safe, provided the contraindications are heeded, the placement and performance tests are successfully completed and there is adequate clinical expertise.

Cited by 66 publications

References 43 publications

Laryngeal mask airway protector™: Advanced uses for laparoscopic cholecystectomies

Laryngeal mask airway protector™: Advanced uses for laparoscopic cholecystectomies

Unilateral hypoglossal nerve palsy after the use of laryngeal mask airway (LMA) Protector

Supraglottic airway devices in short gynecological procedures: A randomized, clinical study comparing the Baska^® mask and I-Gel^® device

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Laryngeal mask airway indications

Abstract: The use of second-generation SGA for expanded indications seems useful and safe, provided the contraindications are heeded, the placement and performance tests are successfully completed and there is adequate clinical expertise.

Cited by 66 publications

References 43 publications

Laryngeal mask airway protector™: Advanced uses for laparoscopic cholecystectomies

Laryngeal mask airway protector™: Advanced uses for laparoscopic cholecystectomies

Unilateral hypoglossal nerve palsy after the use of laryngeal mask airway (LMA) Protector

Supraglottic airway devices in short gynecological procedures: A randomized, clinical study comparing the Baska® mask and I-Gel® device

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Product

Resources

About

Supraglottic airway devices in short gynecological procedures: A randomized, clinical study comparing the Baska^® mask and I-Gel^® device