scholarly journals Effect of cost awareness on the utilization of laryngeal mask airway among anesthesiology residents

2013 ◽  
Vol 2 (3) ◽  
pp. 113
Author(s):  
Michael Stuart Green ◽  
Sheldon B. Gomes ◽  
Kelly A. Machovec ◽  
Parmis Green
Keyword(s):  
Laryngeal Mask Airway ◽  
Laryngeal Mask ◽  
Significant Difference ◽  
Before And After ◽  
Utilization Patterns ◽  
Survey Results ◽  
Approximate Cost ◽  
Cost Awareness ◽  
Single Blind ◽  
Selection Of

Introduction: Knowledge of cost perception is the primary step towards determining the role cost plays in decision making. We examined perception of cost and utilization. We tried to determine reasons for choosing pieces of equipment and tested the effect of cost awareness. We hypothesized altered utilization patterns in favor of a less expensive product. Methods: We conducted a single blind prospective study examining the perceptions of laryngeal mask airway (LMA) cost among residents. The study tested whether cost awareness would alter utilization. The price was altered without residents’ knowledge to ensure recognition of a price difference. Utilization before and after price labeling was compared. Results: The survey results showed when asked specifically ‘does cost influence your choice of LMA?’ 56% of the residents answered ‘No’. Only 2 out of 23 resident responses to the question ‘how much does an LMA cost’ fell within a 50% range of its approximate cost of $8. When asked ‘if two products are equivalent, would you choose the cheaper one?’ all residents answered ‘Yes’. Prior to price labeling, LMA selection 8.25% GREEN and 91.75% CLEAR. After price labeling, selection of LMA’s was 24.27% GREEN and 75.73% CLEAR LMA’s. There was a significant difference between the utilization of GREEN and CLEAR LMA’s before and after price labeling. Conclusion: This prospective single blind study on how cost awareness effects LMA selection showed altered selection following price labeling towards lower cost products. Focusing on cost awareness may have an impact on the future utilization and health care expenses.

scholarly journals A comparison of laryngeal mask airway-supreme and endotracheal tube use with respect to airway protection in patients undergoing septoplasty: a randomized, single-blind, controlled clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erol Karaaslan ◽  
Sedat Akbas ◽  
Ahmet Selim Ozkan ◽  
Cemil Colak ◽  
Zekine Begec
Keyword(s):  
Laryngeal Mask Airway ◽  
Adverse Events ◽  
Endotracheal Tube ◽  
Sore Throat ◽  
Fiberoptic Bronchoscopy ◽  
Laryngeal Mask ◽  
Controlled Clinical Trial ◽  
Airway Protection ◽  
Link Type ◽  
Single Blind

Abstract Background There are doubts among anesthesiologists on the use of the Laryngeal Mask Airway (LMA) in nasal surgeries because of concerns about the occurrence of blood leakages to the airway. We hypothesized that the use of LMA-Supreme (LMA-S) in nasal surgery is comparable with endotracheal tube (ETT) according to airway protection against blood leakage through the fiberoptic bronchoscopy, oropharyngeal leakage pressure (OLP), heart rate (HR), mean arterial pressure (MAP), and postoperative adverse events. Methods The present study was conducted in a prospective, randomized, single-blind, controlled manner on 80 patients, who underwent septoplasty procedures under general anesthesia, after dividing them randomly into two groups according to the device used (LMA-S or ETT). The presence of blood in the airway (glottis/trachea, distal trachea) was analyzed with the fiberoptic bronchoscope and a four-point scale. Both groups were evaluated for OLP; HR; MAP; postoperative sore throat, nausea, and vomiting; dysphagia; and dysphonia. Results In the fiberoptic evaluation of the airway postoperatively, less blood leakage was detected in both anatomic areas in the LMA-S group than in the ETT group (glottis/trachea, p = 0.004; distal trachea, p = 0.034). Sore throat was detected less frequently in the LMA-S group at a significant level in the 2nd, 6th, and 12th hours of postoperative period; however, other adverse events were similar in both groups. Hemodynamic parameters were not different between the two groups. Conclusion The present findings demonstrate that the LMA-S provided more effective airway protection than the ETT in preventing blood leakage in the septoplasty procedures. We believe that the LMA-S can be used safely and as an alternative to the ETT in septoplasty cases. Trial registration This trial is registered at the US National Institutes of Health (ClinicalTrials.gov) # NCT03903679 on April 5, 2019.

To compare the frequency of postoperative sore throat with I-gel versus laryngeal mask airway in patients

2021 ◽  
Vol 15 (12) ◽  
pp. 3232-3235
Author(s):  
M. J. Ahmed Kamal ◽  
Baber Zaheer ◽  
Naveed Ahmed Durrani ◽  
Khaleel Ahmad ◽  
Sumara Tabassam ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
General Anesthesia ◽  
Sore Throat ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Postoperative Sore Throat ◽  
Significant Difference ◽  
Group A ◽  
Group Members ◽  
Group B

Background: In case of general anesthesia, airway maintenance along with least complications is the most important goal of team of anesthesiologists. In case of clinical practice, the laryngeal mask airway (LMA) devices have superiority in managing supraglottic airway. Recently i-gel airway has been introduced as supraglottic airway equipment (disposable). Aim: To make comparison between laryngeal mask and I-gel with respect to postoperative complication of sore throat in case of patients who were given general anesthesia. Study design: Randomized trial Setting: Anesthesia Department Study duration: 6 after synopsis approval in total 6months of duration Methods: Candidates were divided randomly divided into two groups. In case of members of group A, patients were given i-gel where as members of group B, disposable LMA was given. General anesthesia was administered according to the standardized protocols. A day after operation, candidates were check post operatively for 24 hours, for sore throat and information was documented on Performa. Results: The candidates mean age was 44.23±15.11years in case of i-gel group members whereas 46.10±15.56 years in case of LMA group. In case of i-gel group, there were about twenty five males members and thirty five were females members . In case of LMA group members, there were about twenty six males and thirty four female members . In present case research, sore throat postoperatively was seen in case of 17(14.2%) cases, i.e. 4 (6.7%) in i-gel group while 13(21.7%) in case of LMA group. The significant difference was witnessed between members of both groups (p<0.05). Conclusion: Thus i-gel is better than LMA for general anesthesia as it has fewer chances of side effects like postoperative sore throat. Keywords: Postoperative sore throat, I-gel, laryngeal mask airway, general anesthesia

scholarly journals Selection of the Proper Size of Laryngeal Mask Airway in Adults

1996 ◽  
Vol 83 (3) ◽  
pp. 664 ◽  
Author(s):  
Joseph R. Brimacombe ◽  
Alison M. Berry ◽  
Robert C. Campbell ◽  
Chandi Verghese
Keyword(s):  
Laryngeal Mask Airway ◽  
Laryngeal Mask ◽  
Proper Size ◽  
Selection Of

scholarly journals Landscape Architects as Related to the Landscape/Nursery Industry: II. Selection of the Production Nursery and Plant Availability

1992 ◽  
Vol 10 (2) ◽  
pp. 73-77
Author(s):  
M.P. Garber ◽  
K. Bondari
Keyword(s):  
Firm Size ◽  
Small Firms ◽  
Large Firms ◽  
Sources Of Information ◽  
Plant Availability ◽  
Significant Difference ◽  
Two Factors ◽  
Survey Results ◽  
Selection Of

Abstract Information concerning the role of the landscape architect in verifying plant availability and selection of the production nursery where landscape contractors obtain plants can help growers develop effective marketing plans. A survey of Georgia landscape architects indicates that about 84% of the respondents confirm availability of plant material specified. A higher percentage of large firms (about 92%) confirm availability compared to medium (85.7%) and small (79.3%) firms. The three most frequently used sources of information for landscape architects to confirm plant availability are favorite local grower, nursery catalogs, and landscape contractor likely to install plants. The top three choices are the same regardless of firm size. Survey results demonstrate that landscape architects not only confirm availability of plants but also play an important role in selecting the production nursery where landscape contractors obtain plants. Approximately 61% of all respondents indicate they determine/recommend the nursery where landscape contractors obtain plants. There is a significant difference among firm size in response to this question with large firms most active in selecting the production nursery (about 92%) followed by medium (57%) and small (50%) firms. The two factors that most influence the decision of large firms are plant quality and plant varieties. Large firms are more price conscious than medium or small firms. The results suggest that growers can enhance their sales by marketing their product directly to landscape architects.

scholarly journals Evaluation of some water saving devices in urban areas: A case study from the Sultanate of Oman

2018 ◽  
Vol 22 (1) ◽  
pp. 18 ◽  
Author(s):  
Hayder A. Abdel Rahman ◽  
Halima A Al-Farsi ◽  
Mushtaque Ahmed ◽  
Matheus F. A Goosen
Keyword(s):  
Case Studies ◽  
Urban Areas ◽  
Water Saving ◽  
Line System ◽  
Significant Difference ◽  
Household Water ◽  
Before And After ◽  
Pipe Line ◽  
Survey Results ◽  
Supply Systems

Water Saving Devices (WSDs) sustain demands for potable water, soften impacts on supply systems and inflict a positive effect on wastewater treatment systems. This study evaluated the effect of some WSDs in Oman. A questionnaire survey and some case studies were used. The survey results revealed that the pipe line system network for water supply accounted for about 67.7%, whereas the rest mainly use tankers. Around 37.2% of the participants received consumed 25000 - 45000 liters per household per month. Case studies showed no significant difference in household water usage before and after installation of WSDs due to pre-installed aerators. Toilet bags and dual flush toilets were not effective promoting users to flush. However, WSDs were significantly effective in restaurants, mosques, hotels and government buildings. Water consumption in shopping centres and hospitals slightly decreased. Retrofitting programs that involve replacement of existing plumbing equipment and residential water audit programs are recommended.

scholarly journals A comparison of airway maintenance by cuffed Oropharyngeal airway (COPA) and laryngeal mask airway (LMA) in spontaneously breathing adult patients

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Ashraf Zia ◽  
Tahir Chaudhry ◽  
Riaz Hussain ◽  
Tafoorul Islam Ghalani
Keyword(s):  
Statistical Analysis ◽  
Laryngeal Mask Airway ◽  
Head Tilt ◽  
Adult Patients ◽  
Laryngeal Mask ◽  
Oropharyngeal Airway ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
Spontaneously Breathing

In this study total hundred patients wee included. Fifty (group I) were subjected to COPA device for airway maintenance and in other fifty (group II) LMA was used. In this study first attempt successful insertion rate in group I was 90% while in group II it was 94%. However statistical analysis showed no significant different in both groups. Regarding maneuvers needed to maintain smooth breathing in group I head tilt was used in 2 %. It is significantly high in group I than in group II. Laboured breathing was seen in 6% in group I while 2% in group II. There was no significant difference in both groups. According to this study LMA is better in all respect as it is easier to insert and better fit in.

scholarly journals Nasopharyngeal Airway Versus Laryngeal Mask Airway During Diagnostic Flexible Fiber-Optic Bronchoscope in Children

2018 ◽  
Vol 12 (1) ◽  
pp. 1-7
Author(s):  
Aktham Adel Shoukry ◽  
Amr Gaber Sayed Sharaf
Keyword(s):  
Laryngeal Mask Airway ◽  
General Anesthesia ◽  
Total Dose ◽  
Recovery Time ◽  
Arterial Oxygen Saturation ◽  
Laryngeal Mask ◽  
Fibreoptic Bronchoscopy ◽  
Arterial Oxygen ◽  
Significant Difference ◽  
Nasopharyngeal Airway

Background: Pediatric fibreoptic diagnostic bronchoscope under general anesthesia using Supraglottic devices as Laryngeal Mask Airway (LMA) and nasopharyngeal airway (NPA) are one of the variable techniques used for patient’s ventilation during this procedure. Objective: We studied the effect of both devices on hypoxemia, the duration of the procedure, recovery time and the overall propofol consumption. Methods: Ninety patients of both sexes, aged 5-10 years, American society of Anesthesiology class I & II scheduled for diagnostic fibreoptic bronchoscope under general anesthesia were divided randomly into two equal groups; LMA group & NPA group, during the procedure: heart rate, non invasive blood pressure, peripheral arterial oxygen saturation (SpO2), arterial partial pressure of carbon dioxide(PaCO2), time of procedure, recovery time and total dose of propofol were measured and compared for each patient in both groups. Results: Hypoxemia & desaturation incidence was more in LMA group than NPA group with high significant difference (p-value 0.005). Also the duration of procedure, recovery time in PACU, and total dose of propofol consumed were significantly less in the NPA group (p< 0.001). With no difference in hemodynamic status and PaCO2. Conclusion: The use of NPA as supraglottic ventilating device for children undergoing diagnostic flexible fibreoptic bronchoscopy is considered a good alternative for shortening the bronchoscopy time with less incidence of hypoxemia and better recovery time compared to LMA.

scholarly journals Penerapan Metode Simple Additive Weighting (SAW) dalam Penentuan Santri dengan Hafalan Terbaik

2021 ◽  
Vol 11 (2) ◽  
pp. 7-18
Author(s):  
Dedy Mulyadi ◽  
Diana Nur Windasari
Keyword(s):  
System Development ◽  
Test Results ◽  
Application Development ◽  
Comparison Test ◽  
Significant Difference ◽  
Before And After ◽  
Simple Additive Weighting ◽  
Selection Of

Currently, the selection of students with the best memorization is carried out based on estimates or assumptions that students who are selected with the best memorization have met the predetermined criteria. The objectives of this research are: to get the priority of students' assessment based on the best memorization, to get an effective process in selecting students with the best memorization, to develop applications which are then measured for accuracy. The results of the level of accuracy from this research are: the level of accuracy according to users before application development is very inaccurate, the level of accuracy according to users after application development is very accurate, the level of accuracy according to experts or system experts before application development is very inaccurate accurate, the level of accuracy according to system experts after application development is very accurate. Meanwhile, the comparison test results obtained: there is a significant difference in the accuracy of the system of applying the Simple Additive Weighting (SAW) method to determine the students with the best memorization, according to users between before and after system development, and there is no difference in the accuracy of the system of applying the Simple Additive Weighting (SAW) method to determine the students with the best memorization, according to experts or system experts between before and after system development.

Selection of the Proper Size of Laryngeal Mask Airway in Adults

1996 ◽  
Vol 83 (3) ◽  
pp. 664 ◽  
Author(s):  
Joseph R. Brimacombe ◽  
Alison M. Berry ◽  
Robert C. Campbell ◽  
Chandi Verghese
Keyword(s):  
Laryngeal Mask Airway ◽  
Laryngeal Mask ◽  
Proper Size ◽  
Selection Of

Effect of acupressure on post tonsillectomy pain in adolescents: a randomized, single-blind, placebo-controlled trial study

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Somaye Pouy ◽  
Abolfazl Etebarian Khorasgani ◽  
Ali Azizi-Qadikolaee ◽  
Yasaman Yaghobi
Keyword(s):  
Pain Control ◽  
Controlled Trial ◽  
Intervention Group ◽  
Routine Care ◽  
Control Group ◽  
Significant Difference ◽  
The World ◽  
Before And After ◽  
Positive Effect ◽  
Single Blind

Abstract Introduction Tonsillectomy is one of the most common pediatric surgeries in the world and pain control following tonsillectomy is very important. Objective The aim of this study is to investigate the effect of acupressure on the amount of pain following tonsillectomy in children. Method One hundred and forty-four children aged 5–12 years old were assigned into one of three groups: interventions, control and placebo. In the intervention group, acupressure was applied at three acupoints and in the placebo group, sham acupressure was applied. In the control group routine care only was applied. Results There was a significant difference between an average of changes in pain score before and after the intervention during the 3 time periods after the tonsillectomy operation in the acupressure group (p = 0.002). Conclusion The results showed that acupressure had a positive effect on pain reduction after tonsillectomy in children in the intervention group.

Sign in / Sign up

Export Citation Format

Share Document