[Laryngeal mask LMA Supreme. Application by medical personnel inexperienced in airway management].

Der Anaesthesist
Arnd TimmermannSebastian G Russo

Abstract

The Laryngeal Mask Airway Supreme (LMA-S) is a new disposable airway device that combines features of the LMA ProSeal (PLMA, gastric access) and LMA Fastrach (curved shaft to ease insertion) and has been available since April 2007. In a prospective study, 10 final year medical students or first year anesthesia residents, all with limited experience in LMA anesthesia, were requested to manage the airway of anesthetized female patients with the LMA-S size 4, who seemed normal on routine airway examination. Data collection included the success rates and duration for insertion, oropharyngeal leak pressures (OLP), fiber optic position and airway morbidity. A total of 30 patients were enrolled in the study. Insertion of the LMA-S was possible in 27 (90%) patients at the first attempt and in 3 (10%) at the second attempt. Ventilation was established in 18.3 s (range 10-30 s, standard deviation +/-4.2 s). Insertion of a gastric tube was possible in all patients at the first attempt. Mean OLP at the level of 60 cmH2O cuff pressure was 29.1 cmH2O (range 21-35 cmH2O, standard deviation +/-4.8 cmH2O). Laryngeal fit evaluated by fiber optic control was rated as optimal in all patients both immediately after insertion of the LMA-S and after ...Continue Reading

Associated Clinical Trials

Jan 15, 2015·Gulsah Karaoren

References

Feb 16, 2000·British Journal of Anaesthesia·M S AvidanJ Ponte
Mar 7, 2002·British Journal of Anaesthesia·J BrimacombeS Donald
May 2, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A HowathS Kihara
Jan 7, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Roger MaltbyGordon H Fick
Mar 9, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Joseph Brimacombe, Christian Keller
Aug 4, 2005·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·A BorkowskiU Braun
Feb 24, 2006·Der Anaesthesist·A TimmermannB M Graf
Jan 24, 2008·Anaesthesia·A van Zundert, J Brimacombe
May 21, 2009·Anaesthesia·P J Strube

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Citations

Feb 23, 2012·Der Anaesthesist·A TimmermannE A Nickel
Sep 24, 2009·BMC Emergency Medicine·Johannes BickenbachRolf Rossaint
Oct 26, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Gereon SchälteNorbert Zoremba
Mar 29, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Gereon SchälteAnnette Rieg
Aug 27, 2009·European Journal of Anaesthesiology·Achmet AliAysel Altan
May 6, 2009·Anaesthesia·T M CookP A Clarke
Feb 26, 2010·Anaesthesia·B W HowesT M Cook
Sep 13, 2018·Minerva anestesiologica·Fabian EckardtValesco Mann

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