Comparison of the Supreme™ and ProSeal™ laryngeal mask airways in infants: a prospective randomised clinical study.
| Autor: | Oba, Sibel, Sebnem Turk, Hacer, Tulay Isil, Canan, Erdogan, Huseyin, Sayin, Pinar, Dokucu, Ali Ihsan |
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| Předmět: |
ABDOMINAL surgery
ACTIVE oxygen in the body ANESTHESIA CARBON dioxide COMPARATIVE studies HEART beat HEMODYNAMICS LONGITUDINAL method PROBABILITY theory RESPIRATORY measurements SURGICAL complications TIME RANDOMIZED controlled trials PRE-tests & post-tests EXTUBATION DESCRIPTIVE statistics LARYNGEAL masks CHILDREN |
| Zdroj: | BMC Anesthesiology; 9/5/2017, Vol. 17, p1-6, 6p |
| Abstrakt: | Background: The Supreme™ and ProSeal™ laryngeal mask airways (LMAs) are widely used in paediatric anaesthesia; however, LMA use in infants is limited because many anaesthesiologists prefer to use tracheal intubation in infants. In this study, we compared the Supreme and ProSeal LMAs in infants by measuring their performance characteristics, including insertion features, ventilation parameters, induced changes in haemodynamics and rates of postoperative complications. Methods: Infants of ASA physical status I scheduled for elective, minor, lower abdominal surgery were divided into two groups: the Supreme LMA group and the ProSeal LMA group. Times and ease of LMA insertion were noted. The percentages of tidal volume leakage as well as peak, mean and leakage pressures for all infants were measured. Heart rate (HR), oxygen saturation (SpO2) and end tidal carbon dioxide (EtCO2) values were recorded before and after LMA insertion and before and after extubation. After extubation, complications and adverse effects were noted. Results: Demographic and surgical data were similar between the two groups. LMA insertion times were shorter for the ProSeal group than for the Supreme group (P < 0.002). The mean HR value for the ProSeal group was lower than for the Supreme group (P < 0.011). Both the peak pressure and the leakage percentage for the ProSeal group were statistically lower than for the Supreme group. The leakage pressure for the ProSeal group was statistically higher than for the Supreme group (P < 0.001). Conclusions: The ProSeal LMA is superior to the Supreme LMA for use in infants due to the ease of insertion, high oropharyngeal leakage pressure and fewer induced changes in haemodynamics. Trial registration: ClinicalTrial.gov, NCT03251105, retrospectively registered on 15 Aug 2017. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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