scholarly journals Comparison of postoperative complication between Laryngeal Mask Airway and endotracheal tube during low-flow anesthesia with controlled ventilation

2013 ◽  
Vol 29 (2) ◽  
Author(s):  
Ali Peirovifar ◽  
Mahmood Eydi ◽  
Mir Musa Mirinezhad ◽  
ATA Mahmoodpoor ◽  
Afsaneh Mohammadi ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Postoperative Complication ◽  
Endotracheal Tube ◽  
Laryngeal Mask ◽  
Low Flow ◽  
Controlled Ventilation ◽  
Low Flow Anesthesia

scholarly journals Low flow anesthesia: Efficacy and outcome of laryngeal mask airway versus pressure-optimized cuffed-endotracheal tube

2010 ◽  
Vol 4 (1) ◽  
pp. 6 ◽  
Author(s):  
ZeinabAhmed El-Seify ◽  
AhmedMetwally Khattab ◽  
Ashraf Shaaban ◽  
Dobrila Radojevic ◽  
Ivanka Jankovic
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Laryngeal Mask ◽  
Low Flow ◽  
Cuffed Endotracheal Tube ◽  
Low Flow Anesthesia

scholarly journals LOW FLOW ANESTHESIA

2016 ◽  
Vol 23 (12) ◽  
pp. 1522-1526
Author(s):  
Hamid Raza ◽  
Bashir Ahmed ◽  
Mr Kamlaish
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Tertiary Care ◽  
Laryngeal Mask ◽  
Low Flow ◽  
Care Hospital ◽  
Asa Classification ◽  
Significant Difference ◽  
Low Flow Anesthesia

Objectives: The aim of our study is to determine the incidence of complicationswhen using Laryngeal mask airway and compare it with endotracheal tube intubation, duringadministration of low flow anesthesia. Study Design: A randomized control trial. Period: 3months from February 2015 to April 2015. Setting: Tertiary Care Hospital in Karachi Pakistan.Materials and Methods: The study population consisted of n= 100 patients who underwentelective operative procedures of the eye. Patients who belonged to the ASA classification typeI and II were allocated into two groups using a random number generator. Group A consistedof all the patients on whom endotracheal tube was used as airway and group B included all thepatients on whom Laryngeal mask airway was used. The complications were noted on a predesignedproforma. Data was analyzed using SPSS version 23. Results: The study populationconsisted of n= 100 patients out of which n= 43 were males and n= 57 were females, 42%of the patients belonged to ASA classification I and 58% belonged to the ASA classificationII. Leakage of air was observed in 7% of the patients, postoperative shivering was observedin 20%, sore throat was observed in n= 22 patients, of which n= 18 patients belonged to theETT group and n= 4 patients belonged to the LMA group. Endotracheal carbon dioxide levelsdid not show any significant difference. Conclusion: According to the results of our study,Laryngeal mask airway has a lower incidence of post-operative complications, provided that itspositioning and cuff pressure are noted and maintained regularly, and it can be used as a safealternative to endotracheal intubation when using low flow controlled anesthesia respectively.

scholarly journals Comparison of ProSeal laryngeal mask airway, classical laryngeal mask airway with endotracheal tube in gynecological laparoscopy under controlled ventilation

2019 ◽  
Vol 6 (1) ◽  
pp. 81
Author(s):  
Anupkumar S. Patel ◽  
Namrata Jain
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Airway Pressure ◽  
Pulmonary Ventilation ◽  
Proseal Laryngeal Mask Airway ◽  
Laryngeal Mask ◽  
Peak Airway Pressure ◽  
Controlled Ventilation ◽  
Gynecological Laparoscopy

Background: PLMA is a recent, complex, and ingenious development with some added feature of classic LMA like modified dual cuff, drain tube, positive pressure ventilation at higher peak inspiratory pressure. Study was to evaluate and compare the use of classical laryngeal mask airway, ProSeal laryngeal mask airway, and endotracheal tube with controlled ventilation in patients undergoing gynecological laparoscopic procedure.Methods: About 150 patients, ASA risk I and II, posted for elective gynecological laparoscopy were recruited in the study. All the patients between 18 to 45years of age were randomly divided in three groups, group PLMA, group CLMA, group ETT (50 patients each). Attempt of insertion of airway device, leaks pressure, pulmonary ventilation, hemodynamic; heart and MAP, gastric distention was recorded. All patients were of middle age group, comparable in weight. Mean duration of laparoscopy was comparable in all the groups.Results: Significant rise in heart rate and mean arterial pressure seen in group ETT after induction of anesthesia. Changes in the end tidal CO2 and peak airway pressure after induction of anesthesia, before and after pneumoperitonium were comparable in all three groups. After head low position peak airway pressure is slightly raised in group PLMA, group CLMA. Gastric distension was noted higher in group 10 % as compare to group PLMA (8%) and group (2%). Incidence of sore throat (22%), nausea vomiting (14%) and airway trauma (14%) was higher in group ETT.Conclusions: Hemodynamic stability was better in and CLMA group at time of induction and comparable in all three groups at time of pneumoperitoneum and trendelenburg position along with pulmonary ventilation. Post-operative sore throat, nausea vomiting was higher with endotracheal tube.

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