ProSeal<sup>TM</sup> as an alternative to endotracheal intubation in pediatric laparoscopy

Sinha, Aparna; Sharma, Bimla; Sood, Jayashree

doi:10.1111/j.1460-9592.2006.02127.x

Cited by 73 publications

(78 citation statements)

References 17 publications

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“…The mean OLP was 29 cm H 2O and Paw after carboperitoneum was 23.79 cm H2O [64]. In a descriptive study, Dave and colleagues successfully used PLMA for ventilating 30 children during LS lasting <60 min.…”

Section: Sad In Paediatric Laparoscopic Surgerymentioning

confidence: 99%

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Subramanian¹

2016

ACC

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Section: Sad In Paediatric Laparoscopic Surgerymentioning

confidence: 99%

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Subramanian¹

2016

ACC

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“…14 This development has allowed its use to be considered in a wider variety of operative settings where positive pressure would be used routinely. 15 The extent to which the esophageal vent can protect against aspiration is not yet clear.…”

mentioning

confidence: 99%

“…14 Grâce à cette évolution du dispositif, il est maintenant pris en compte dans une plus grande variété de contextes opératoires où la pression positive est généralement utilisée. 15 Il n'est pas clair jusqu'à quel point le conduit oesophagien peut protéger de l'inhalation. Des données limitées existent concernant l'utilisation du COBRA TM chez des enfants, bien qu'il existe des présen-tations de cas rapportant son utilisation réussie pour la bronchoscopie par fibres optiques et chez des enfants pré-sentant des voies aériennes difficiles.…”

unclassified

Supraglottic airways in children: past lessons, future directions

Cox

Lardner

2009

Can J Anesth/J Can Anesth

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The first prototype of the laryngeal mask airway (LMA TM ) was used clinically in the summer of 1981 at Ashford, Kent, UK, by Dr. Archie Brain. Dr. Brain followed in the worthy footsteps of Clover, O'Dwyer, Shipway, Leech, and others in developing a supraglottic airway to facilitate the delivery of anesthetic gases via a reliable supraglottic airway. 1 The LMA TM was released in the UK in 1988 and in the USA in 1992. Since the original range of pediatric LMAs TM was soon found to be inadequate to address all children's sizes, half-sizes (1.5 and 2.5) were developed. As with adult practice, the LMA TM and other supraglottic airways have radically changed pediatric anesthesia practice and have become a key component of airway management in children, both in the operating room and in remote anesthesia locations. These devices have increasingly been advocated for emergency airway control in the field, in the emergency department, and in the delivery suite. So what have we learned about pediatric supraglottic airways over the past two decades and where does the future lie with respect to these devices?Much of the published research in this area relates to the LMA Classic TM . From the clinical anesthesiologist's perspective, the following questions relating to the LMA Classic TM are important: When should it be used (patient and procedure related factors), how should it be used, and when should an alternative device be used?Indications for the use of the LMA Classic TM are extensive, and it is often the airway of choice in routine general anesthesia for minor procedures in children. In a prospective study of 1,400 children who had LMA TM -based anesthesia conducted by supervised trainees, the device was found to be highly effective for a broad range of surgical procedures, and there was no instance where the LMA TM had to be replaced with an endotracheal tube (ETT). 2 Initial misgivings about the use of the LMA TM for head and neck procedures were shown to be largely unfounded. For example, the LMA TM was shown to be safe and effective when used for ophthalmological surgery and adenotonsillectomy in children 3,4 ; however, these situations require a surgeon with some insight that the trachea is not intubated.Pediatric anesthesia is increasingly being delivered in areas outside the operating room where the LMA TM has been proven to be particularly valuable. For instance, the LMA TM has been used for radiotherapy, 5 magnetic resonance imaging, 6 fibreoptic bronchoscopy, 7 and upper gastrointestinal endoscopy. 8 Its relative stability combined with the ease of respiratory monitoring and the relative lack of airway complications are distinct advantages in these remote locations.One clinical scenario of particular interest is the difficult pediatric airway. Here the LMA TM has proven to be invaluable both as a rescue airway device in the child with a difficult airway and as a conduit for fibreoptic bronchoscopy and endotracheal intubation. 7 Consequently, the LMA TM has a role in both anticipated and unanticipated difficu...

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“…15,16,22,[24][25][26][27][28][29][30][31] Maltby JR et al 2002 did their study with the purpose to compare LMA-PS with ETT with respect to pulmonary ventilation and gastric distention during laparoscopic cholecystectomy. Their result showed that there was no statistically significant difference in SPO2 or ETCO2 between the two groups before or during peritoneal insufflations in either non-obese or obese patients.…”

Section: Discussionmentioning

confidence: 99%

The Lma Proseal: An Effective Alternative to Tracheal Intubation for Laparoscopic Cholecystectomy

Sarma¹,

G²,

Mahanta³

et al. 2015

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ProSeal^TM as an alternative to endotracheal intubation in pediatric laparoscopy

Abstract: The pediatric PLMA and TT have comparable ventilatory efficacy for elective short laparoscopic procedures.

Cited by 73 publications

References 17 publications

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Supraglottic airways in children: past lessons, future directions

The Lma Proseal: An Effective Alternative to Tracheal Intubation for Laparoscopic Cholecystectomy

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ProSealTM as an alternative to endotracheal intubation in pediatric laparoscopy

Abstract: The pediatric PLMA and TT have comparable ventilatory efficacy for elective short laparoscopic procedures.

Cited by 73 publications

References 17 publications

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Supraglottic airways in children: past lessons, future directions

The Lma Proseal: An Effective Alternative to Tracheal Intubation for Laparoscopic Cholecystectomy

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ProSeal^TM as an alternative to endotracheal intubation in pediatric laparoscopy