Prolonged use of the LMA Supreme™

Kammah, Maryem; Áñez, C.

doi:10.1007/s12630-013-9894-x

Cited by 11 publications

(4 citation statements)

References 5 publications

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“…There are no randomized studies currently available that compare the SGA with the ETT for longer periods of use, but case reports describe safe use over 7.5 and 9 h [28,29].…”

Section: Duration Of the Laryngeal Mask Airway Usementioning

confidence: 99%

Laryngeal mask airway indications

Timmermann

Bergner

Russo

2015

Current Opinion in Anaesthesiology

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“…There are no randomized studies currently available that compare the SGA with the ETT for longer periods of use, but case reports describe safe use over 7.5 and 9 h [28,29].…”

Section: Duration Of the Laryngeal Mask Airway Usementioning

confidence: 99%

Laryngeal mask airway indications

Timmermann

Bergner

Russo

2015

Current Opinion in Anaesthesiology

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“…Their study also did not use second-generation LMA or investigate variables related to intraoperative gas exchange. Although a few case reports[ 16 , 17 ] and one retrospective study[ 18 ] described the prolonged use of second-generation LMA, our report is the first of its kind to suggest that intraoperative gas exchange may be effective even with LMA in prolonged laparoscopic abdominal surgery.…”

Section: Discussionmentioning

confidence: 72%

Second-generation laryngeal mask airway as an alternative to endotracheal tube in prolonged laparoscopic abdominal surgery: a comparative analysis of intraoperative gas exchanges

Park¹,

Lee²,

Choi³

et al. 2021

Singapore Medical Journal

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Introduction: Despite several advantages over endotracheal tube (ETT), laryngeal mask airway (LMA), which is used in emergencies under difficult airway maintenance conditions, is rarely utilized in prolonged surgery. We compared the variables representing intraoperative gas exchange with second-generation LMA and ETT during prolonged laparoscopic abdominal surgery. Methods: Prolonged surgery was defined as a surgery lasting more than 2 h. In total, 394 patients who underwent laparoscopic liver resection via either second-generation LMA or ETT were retrospectively analysed. Parameters including end-tidal pressure of carbon dioxide (ETCO2), tidal volume (TV), respiratory rate (RR), peak inspiratory pressure (PIP), arterial partial pressure of carbon dioxide (PaCO2), pH, and ratio of arterial partial pressure of oxygen to fractional inspired oxygen (PFR) during surgery were compared between the two groups. In addition, the incidence of postoperative pulmonary complications (PPC) including pulmonary aspiration was also compared. Results: The values of ETCO2, TV, RR and PIP during pneumoperitoneum were comparable between the two groups. Although PaCO2 at 2 h after induction was higher in patients with LMA (40.5 vs. 38.5 mmHg, p < 0.001), the pH and PFR values of the two groups were comparable. The incidence of PPC was not different. Conclusion: During prolonged laparoscopic abdominal surgery, the second-generation LMA facilitates adequate intraoperative gas exchange and represents an alternative to ETT.

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“…Other case reports have described the unexpectedly safe usage of second-generation supraglottic airways for 7 hours and 20 minutes in a parotid gland tumor excision and 9 hours in a multiple traumatic patient before surgical airway achievement [13,14]. Therefore, despite the prolonged anesthesia and laparoscopic approach involved, our decision to use this approach achieved successful anesthetic management without any postoperative laryngeal complications [11][12][13][14].…”

Section: Discussionmentioning

confidence: 98%

Successful use of supraglottic airway in a professional singer undergoing laparoscopic living donor right hepatectomy - A case report -

Kim

et al. 2018

Anesth Pain Med

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Recently, purely laparoscopic donor hepatectomy has been increasingly performed for its cosmetic and rapid recovery advantages. Because it requires a longer operative time and capnoperitoneum, it is preferred to use endotracheal intubation. This report presents our experience with using a supraglottic airway in a young female singer undergoing a laparoscopic donor right hepatectomy. Our case shows how the supraglottic airway can be a safe and effective alternative to endotracheal intubation during laparoscopic donor hepatectomy. CASE REPORTA 25-year-old female singer (weight 43.3 kg, height 150.4 cm) was scheduled to undergo a right hepatectomy for her father's liver transplantation. She elected the laparoscopic approach for rapid recovery and prevention of cosmetic complications. After we had a direct conversation with the patient, the use of the supraglottic airway was decided upon to prevent potential laryngeal damage after endotracheal intubation. After starting fasting at midnight the night before, the patient was transferred to the operating room. After instituting monitoring by standard devices, including pulse oximetry, 3-lead electrocardiography and non-invasive arterial blood pressure monitoring, 400 µg of morphine sulfate (Hana Pharmaceutical Co., Ltd., Korea) was injected intrathecally for postoperative pain control. Anesthesia was induced with 300 mg of thiopental sodium, and maintained with continu-

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Prolonged use of the LMA Supreme™

Cited by 11 publications

References 5 publications

Laryngeal mask airway indications

Laryngeal mask airway indications

Second-generation laryngeal mask airway as an alternative to endotracheal tube in prolonged laparoscopic abdominal surgery: a comparative analysis of intraoperative gas exchanges

Successful use of supraglottic airway in a professional singer undergoing laparoscopic living donor right hepatectomy - A case report -

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