PMID- 21712868
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20110714
LR  - 20240416
IS  - 0976-2817 (Electronic)
IS  - 0019-5049 (Print)
IS  - 0019-5049 (Linking)
VI  - 55
IP  - 2
DP  - 2011 Mar
TI  - The comparison of Proseal laryngeal mask airway and endotracheal tube in patients 
      undergoing laparoscopic surgeries under general anaesthesia.
PG  - 129-34
LID - 10.4103/0019-5049.79891 [doi]
AB  - Aims to compare the efficacy of Proseal laryngeal mask airway(PLMA) and 
      endotracheal tube (ETT) in patients undergoing laparoscopic surgeries under 
      general anaesthesia. This prospective randomised study was conducted on 60 adult 
      patients, 30 each in two groups, of ASA I-II who were posted for laparoscopic 
      procedures under general anaesthesia. After preoxygenation, anaesthesia was 
      induced with propofol, fentanyl and vecuronium. PLMA or ETT was inserted and cuff 
      inflated. Nasogastric tube (NGT) was passed in all patients. Anaesthesia was 
      maintained with N(2) O, O(2), halothane and vecuronium. Ventilation was set at 8 
      ml/kg and respiratory rate of 12/min. The attempts and time taken for insertion 
      of devices, haemodynamic changes, oxygenation, ventilation and intraoperative and 
      postoperative laryngopharyngeal morbidity (LPM) were noted. There was no failed 
      insertion of devices. Time taken for successful passage of NGT was 9.77 s (6-16 
      s) and 11.5 s (8-17 s) for groups P and E, respectively. There were no 
      statistically significant differences in oxygen saturation (SpO(2)) or end-tidal 
      carbon dioxide (EtCO(2)) between the two groups before or during peritoneal 
      insufflation. Median (range) airway pressure at which oropharyngeal leak occurred 
      during the leak test with PLMA was 35 (24-40) cm of H(2)O. There was no case of 
      inadequate ventilation, regurgitation, or aspiration recorded. No significant 
      difference in laryngopharyngeal morbidity was noted. A properly positionedPLMA 
      proved to be a suitable and safe alternative to ETT for airway management in 
      elective fasted, adult patients undergoing laparoscopic surgeries. It provided 
      equally effective pulmonary ventilation despite high airway pressures without 
      gastric distention, regurgitation, and aspiration.
FAU - Saraswat, Namita
AU  - Saraswat N
AD  - Department of Anaesthesia, Lady Hardinge Medical College, New Delhi, India.
FAU - Kumar, Aditya
AU  - Kumar A
FAU - Mishra, Abhijeet
AU  - Mishra A
FAU - Gupta, Amrita
AU  - Gupta A
FAU - Saurabh, Gyan
AU  - Saurabh G
FAU - Srivastava, Uma
AU  - Srivastava U
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Anaesth
JT  - Indian journal of anaesthesia
JID - 0013243
PMC - PMC3106384
OTO - NOTNLM
OT  - Endotracheal tube
OT  - IPPV
OT  - Proseal LMA
OT  - laparoscopy
OT  - oropharyngeal seal pressure
COIS- Conflict of Interest: None declared
EDAT- 2011/06/30 06:00
MHDA- 2011/06/30 06:01
PMCR- 2011/03/01
CRDT- 2011/06/30 06:00
PHST- 2011/06/30 06:00 [entrez]
PHST- 2011/06/30 06:00 [pubmed]
PHST- 2011/06/30 06:01 [medline]
PHST- 2011/03/01 00:00 [pmc-release]
AID - IJA-55-129 [pii]
AID - 10.4103/0019-5049.79891 [doi]
PST - ppublish
SO  - Indian J Anaesth. 2011 Mar;55(2):129-34. doi: 10.4103/0019-5049.79891.