The Size 1 ProSeal™ laryngeal mask airway in infants: a randomized, noncrossover study with the Classic™ laryngeal mask airway
Autor: | Teresa Blanco, Ignacio Mantilla, Enrique Teigell, Mónica Herviás, M. Lopez-Gil, Rosa Fernández-López |
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Rok vydání: | 2012 |
Předmět: |
Insufflation
Leak medicine.medical_specialty business.industry medicine.medical_treatment Sevoflurane Surgery Anesthesiology and Pain Medicine Laryngeal mask airway Anesthesia Pediatrics Perinatology and Child Health medicine Intubation Airway management Respiratory system business Airway medicine.drug |
Zdroj: | Pediatric Anesthesia. 22:365-370 |
ISSN: | 1155-5645 |
DOI: | 10.1111/j.1460-9592.2012.03801.x |
Popis: | Summary Background: In recent years, numerous scientific publications have endorsed the superiority of the ProSeal™ laryngeal mask airway (PLMA) over the Classic™ laryngeal mask airway (cLMA) in adults, children, and infants. The PLMA forms a better seal for both the respiratory and gastrointestinal tracts, provides easier access to the gastrointestinal tract, and exerts lower mucosal pressures for a given seal pressure. This study aims to determine whether this superiority can also be observed for the size 1 PLMA used in anesthetized neonates and infants with positive pressure ventilation. Methods: Sixty consecutive neonates and infants undergoing elective surgical procedures were randomized to airway management with the size 1 PLMA or cLMA. For all patients, we recorded ease of insertion, effective airway time, number of placement attempts, oropharyngeal leak pressure, fiberoptic position, audible leaks, mask displacement, number of reinsertions during maintenance, gastric insufflation, and frequency of blood stain. Results: Ease of insertion, successful insertion in |
Databáze: | OpenAIRE |
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