Time to consider supraglottic airway device oropharyngeal leak pressure measurement more objectively.

Autor: Kumar CM; Department of Anaesthesia, Khoo Teck Puat Hospital, Yishun, Singapore.; Newcastle University, Newcastle upon Tyne, UK., Van Zundert TC; Department of Anaesthesia & Critical Care, Onze-Lieve-Vrouw Hospital, Aalst, Belgium., Seet E; Department of Anaesthesia, Khoo Teck Puat Hospital, Yishun, Singapore.; National University of Singapore, Singapore., Van Zundert AA; Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, The University of Queensland & Queensland University of Technology, Brisbane, QLD, Australia.
Jazyk: angličtina
Zdroj: Acta anaesthesiologica Scandinavica [Acta Anaesthesiol Scand] 2021 Feb; Vol. 65 (2), pp. 142-145. Date of Electronic Publication: 2020 Nov 29.
DOI: 10.1111/aas.13727
Abstrakt: Oropharyngeal leak pressure (OLP) is considered a measure of successful placement, adequate performance and is a useful comparator between supraglottic airway devices (SADs). OLP measurement is based on the premise that the SAD is sited properly in the hypopharynx after blind placements, but the evidence suggests otherwise. Several limitations and controversies surround OLP. This editorial addresses the uses and pitfalls of OLP, the rationale for and methods of ascertaining OLP, the pros and cons of OLP measurement and newer modalities to improve its accuracy.
(© 2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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