A randomised controlled trial comparing ProSeal laryngeal mask airway, i-gel and Laryngeal Tube Suction-D under general anaesthesia for elective surgical patients requiring controlled ventilation

Indian Journal of Anaesthesia
Bikramjit DasSubhro Mitra

Abstract

The ProSeal™ laryngeal mask airway (PLMA), i-gel™ and Laryngeal Tube Suction-D (LTS-D™) have previously been evaluated alone or in pair-wise comparisons but differing study designs make it difficult to compare the results. The aim of this study was to compare the clinical performance of these three devices in terms of efficacy and safety in patients receiving mechanical ventilation during elective surgical procedures. This prospective, randomised, double-blind study was conducted on 150 American Society of Anesthesiologists physical status I-II patients, randomly allocated into 3 groups, undergoing elective surgical procedures under general anaesthesia. PLMA, i-gel™ or LTS-D™ appropriate for weight or/and height was inserted. Primary outcome measured was airway sealing pressure. Insertion time, ease of insertion, number of attempts, overall success rate and the incidence of airway trauma and complications were also recorded. Intergroup differences were compared using one-way analysis of variance with post hoc correction for continuous data and Chi-square test for categorical variables. Overall success rate was comparable between the three devices (i-gel™ 100%, LTS-D™ 94%, PLMA 96%). Airway sealing pressure was lower with i-gel™...Continue Reading

References

Oct 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T Asai, S Morris
Jan 7, 2003·Anesthesiology Clinics of North America·Joseph Brimacombe, Christian Keller
Aug 17, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Tim M CookJerry P Nolan
Feb 20, 2010·Revista brasileira de anestesiologia·Afshin AminiMasoud Maghbooli
Jul 22, 2010·Anaesthesia·L GasteigerC Keller
May 8, 2015·Journal of Anaesthesiology, Clinical Pharmacology·Poonam A JadhavBharati A Tendolkar
Aug 24, 2016·Singapore Medical Journal·Geoffrey Haw Chieh LiewHarikrishnan Kothandan

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Citations

Apr 22, 2021·BMC Emergency Medicine·Maja Pålsdatter LønvikOddvar Uleberg

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Clinical Trials Mentioned

NCT02877940

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Excel
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