LMA Gastro Airway Seen Through the Eyes of a Cardiac Anesthesiologist

Saxena, Sarah; Aminian, Adel; Nahrwold, Daniel A.; Daper, Anne

doi:10.1053/j.jvca.2019.04.014

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…As a special type of laryngeal mask, the endoscopic LMA has been shown to be safe and effective in upper gastrointestinal endoscopic surgery [ 20 ]. There are also reports on its application in minimally invasive cardiovascular surgery such as atrial fibrillation radiofrequency ablation [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Jcerity Endoscoper Airway with the LMA supreme for airway management in patients undergoing cerebral aneurysm embolization: a randomized controlled non-inferiority trial

Zhou

Wang

et al. 2022

BMC Anesthesiol

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Background Jcerity Endoscoper Airway is a new back-open endoscopic laryngeal mask airway device with a unique design. Our study sought to compare the implantation, ventilation quality and complications of JEA (Jcerity Endoscoper airway) versus LMA (Laryngeal Mask Airway) Supreme in the procedure of cerebral aneurysm embolization. Methods In this prospective, randomised clinical trial, 182 adult patients with American Society of Anesthesiologists class Ι-II scheduled for interventional embolization of cerebral aneurysms were randomly allocated into the Jcerity Endoscoper airway group and the LMA Supreme group. We compared success rate of LMA implantation, ventilation quality, airway sealing pressure, peak airway pressure, degree of blood staining, postoperative oral hemorrhage, sore throat and other complications between the groups. Results There were no significant differences between the groups in terms of one-time success rate of LMA implantation, ventilation quality, airway sealing pressure or airway peak pressure. However, LMA Supreme group showed a higher degree of blood staining than the JEA group when the laryngeal mask airway was removed (P = 0.04), and there were also more oral hemorrhages and pharyngeal pain than JEA group (P = 0.03, P = 0.02). No differences were observed between groups in terms of other airway complications related to the LMA. Conclusions The JEA could not only achieve comparable one-time success rate of implantation and quality of ventilation as the LMA Supreme, but also have lower blood staining degree of mask and less sore throat in patients undergoing perioperative anticoagulation for cerebral aneurysm interventional embolization. Trial registration Chinese Clinical Trial Registry, ChiCTR2100044133; Registered 11/03/2021. Statement: This study adheres to CONSORT guidelines.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Jcerity Endoscoper Airway with the LMA supreme for airway management in patients undergoing cerebral aneurysm embolization: a randomized controlled non-inferiority trial

Zhou

Wang

et al. 2022

BMC Anesthesiol

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“…Therefore, based on the characteristics of this kind of surgery for perioperative anticoagulant patients, we need a ventilation device that not only ensures effective ventilation but also reduces oropharyngeal injuries. As a special type of laryngeal mask, the endoscopic laryngeal mask airway has been shown to be safe and effective in upper gastrointestinal endoscopic surgery [29].There are also reports on its application in minimally invasive cardiovascular surgery such as atrial brillation radiofrequency ablation [30].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Jcerity Endoscoper Airway with the LMA Supreme for Airway Management in Patients Undergoing Cerebral Aneurysm Embolization

Zhou

Wang

et al. 2021

Preprint

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Background Interventional embolization of cerebral aneurysms often requires anticoagulation and antiplatelet therapy during perioperative period. A new type of laryngeal mask airway (Jcerity Endoscoper Airway)with a unique design may cause less oropharyngeal injury and bleeding for patients receiving perioperative anticoagulation. This study sought to compare the efficacy, safety and complications of Jcerity Endoscoper airwayvs LMA((Laryngeal Mask Airway) Supreme in the procedure of cerebral aneurysm embolization. Methods In this prospective, randomised clinical trial, 182 adult patients with American Society of Anesthesiologists class Ι-II scheduled for interventional embolization of cerebral aneurysms were randomly allocated into the Jcerity Endoscoper airway group and the LMA Supreme group. We compared success rate of LMA implantation, ventilation quality, airway sealing pressure, peak airway pressure, degree of blood staining, postoperative oral hemorrhage, sore throat and other complications between the groups. Results There were no significant differences between the groups in terms of success rate of LMA implantation, ventilation quality, airway sealing pressure or airway peak pressure. The LMA Supreme group showed a significantly higher degree of blood staining than the Jcerity Endoscoper airway group when the laryngeal mask airway was removed (P = 0.04), and there were also more oral hemorrhages and pharyngeal pain than in the the Jcerity Endoscoper airway group (P = 0.03,P = 0.02). No differences were observed between groups in terms of other complications related to the LMA. Conclusions The Jcerity Endoscoper airway can be safely and effectively used for airway management in patients undergoing cerebral aneurysm embolization, which can significantly reduce airway complications related to perioperative anticoagulation.

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“…successfully used the LGA for insertion of trans-oesophageal echo-cardiography probes. [ 11 ] LGA can potentially be useful in combined bronchoscopy and gastroscopy procedures or for emergency airway management in patients with haematemesis as it allows simultaneous diagnostic endoscopy and haemorrhage control.…”

Section: Introductionmentioning

confidence: 99%

LMA gastro for gastro-intestinal endoscopic procedures: Pearls, pitfalls, and troubleshoots of its usage

Gupta¹,

Parida²,

Subramaniam³

et al. 2022

Indian J Anaesth

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LMA Gastro Airway Seen Through the Eyes of a Cardiac Anesthesiologist

Cited by 7 publications

References 12 publications

Comparison of the Jcerity Endoscoper Airway with the LMA supreme for airway management in patients undergoing cerebral aneurysm embolization: a randomized controlled non-inferiority trial

Comparison of the Jcerity Endoscoper Airway with the LMA supreme for airway management in patients undergoing cerebral aneurysm embolization: a randomized controlled non-inferiority trial

Comparison of the Jcerity Endoscoper Airway with the LMA Supreme for Airway Management in Patients Undergoing Cerebral Aneurysm Embolization

LMA gastro for gastro-intestinal endoscopic procedures: Pearls, pitfalls, and troubleshoots of its usage

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