The proseal™laryngeal mask airway: a review of the literature

Supraglottic airways in difficult airway management: successes, failures, use and misuse

“…Also the ILMA, designed especially for the management of the difficult airway, has been described as being successfully used for ventilation in the anticipated [26][27][28][29][30][31][32] and unanticipated [33,34] difficult airway in 97-100% of cases. Case reports or series (level 4) of successful ventilation in patients with difficult airways have been described for many other SADs: the LMA PLMA [35][36][37][38][39][40][41], the SLMA [42][43][44], the i-gel [45][46][47][48][49][50], the Ambu-i TM [51], the Air-Q [52][53][54][55], the CobraPLA [56] and the CobraPLUS [57]. The Laryngeal Tube, designed for emergency ventilation, is also successfully described in difficult airway management in elective adult [58] and paediatric [59] patients in the operation room.…”

Evaluation of the LMA Supreme™ in 100 non‐paralysed patients*

“…In contrast to the PLMA, which has been studied extensively [2], many of these features have yet to be tested. There are two small clinical studies published on the SLMA to date [3,4].…”

Use of a ProSeal™ laryngeal mask airway for eight hours of unplanned abdominal surgery

“…A size 5 PLMA (Laryngeal Mask Company, Henley-on-Thames, UK) was inserted uneventfully and correct positioning was confirmed. 1 Cuff pressure was maintained at 60 cmH 2 O by continuous monitoring. Oropharyngeal leak pressure was 35 cmH 2 O.…”

“…Notably, PLMA design and function minimizes the likelihood of regurgitation and aspiration, and extensive evidence supports this. 1 When the surgical plan changes during airway maintenance with a PLMA, we advocate assessing the device position, its performance, the airway seal, the quality of ventilation, and the risk of aspiration. If position and performance are optimal, we suggest that there is no logical reason to change to a TT.…”