The LMA Supreme™ in 700 parturients undergoing Cesarean delivery: an observational study

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Wei Yu YaoAlex Tiong Heng Sia

Abstract

The LMA Supreme™ (SLMA) is a single-use supraglottic device that provides a good seal for positive pressure ventilation. It has a double aperture design that facilitates the introduction of an orogastric tube to aspirate gastric contents. This observational study evaluated the role of the SLMA in parturients undergoing Cesarean delivery under general anesthesia. Non-obese parturients with at least four hours of fasting and antacid prophylaxis scheduled for uncomplicated Cesarean delivery were recruited from June 2009 through May 2010 at the Quanzhou Women's and Children's Hospital, China. We recorded the number of SLMA insertion attempts, the time to effective ventilation, the incidence of aspiration, and other anesthetic and obstetric outcomes. Postoperatively, we noted the presence of blood on the SLMA, postoperative sore throat, and patient satisfaction. Analysis included comparison of results between parturients having elective and urgent Cesarean delivery. We recruited 700 parturients (576 elective, 124 urgent). Mean (standard deviation) body mass index was 25.6 (2.5) kg·m(-2). All SLMA insertions were successful, with 686 (98%) inserted on first attempt and a time to effective airway of 19.5 (3.9) sec. We maintained venti...Continue Reading

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Citations

Apr 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ashraf S Habib
Oct 18, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Adam LawUNKNOWN Canadian Airway Focus Group
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Nov 21, 2015·Journal of Anesthesia·Hiroyiki SumikuraSatoshi Hagihira
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Dec 7, 2017·European Journal of Anaesthesiology·Mathilde RoukhomovskyUNKNOWN AzuRea, CAR’Echo Collaborative Networks
Apr 2, 2015·Current Opinion in Anaesthesiology·Sarah DevroeSteffen Rex
Feb 22, 2017·Chinese Medical Journal·Zhi-Yu Geng, Dong-Xin Wang
Nov 6, 2015·Current Opinion in Anaesthesiology·Arnd TimmermannSebastian Giuseppe Russo
Oct 28, 2019·Clinics in Perinatology·Nicole L Fernandes, Robert A Dyer
May 25, 2021·International Anesthesiology Clinics·Mary C MushambiRadha Kunte
Nov 22, 2017·British Journal of Anaesthesia·A F McNarry, A Patel

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