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Yurtlu BS, Hanci V, Köksal B, Okyay D, Ayoğlu H, Turan IÖ. [Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate]. Rev Bras Anestesiol 2015; 65:455-60. [PMID: 26655709 DOI: 10.1016/j.bjan.2013.03.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2012] [Accepted: 03/20/2013] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE We have planned to evaluate the laryngeal mask cuff pressures (LMcp) inflated by anesthesia workers of several seniority, without using manometer. METHODS 180 patients scheduled to have short duration surgery with laryngeal mask were included in the study. Five anesthesia specialists (Group S), 10 residents (Group R) and 6 technicians (Group T) inflated the LMc; thereafter LMcp were measured with pressure manometer. Participants have repeated this practice in at least five different cases. LMcp higher than 60cm H2O at the initial placement or intraoperative period were adjusted to normal range. Sore throat was questioned postoperatively. Groups were compared in terms of mean LMcp and occupational experience. RESULTS At the settlement of LM, LMcp pressures within the normal range were determined in 26 (14.4%) cases. Mean LMcp after LM placement in Group S, R and T were 101.2±14.0, 104.3±20.5cm H2O and 105.2±18.4cm H2O respectively (p>0.05). Mean LMcp values in all measurement time periods within the groups were above the normal limit (60cm H2O). When groups were compared in terms of LMcp, no difference has been found among pressure values. Occupational experience was 14.2±3.9; 3.3±1.1 and 6.6±3.8 years for specialists, residents and technicians respectively and measured pressure values were not different in regard of occupational experience. Seven (3.9%) patients had sore throat at the 24th hour interview. CONCLUSION Considering lower possibility of normal adjustment of LMcp and ineffectiveness of occupational experience to obtain normal pressure values, it is suitable that all anesthesia practitioners should adjust LMcp with manometer.
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Affiliation(s)
- Bülent Serhan Yurtlu
- Departamento de Anestesia e Reanimação, Faculdade de Medicina, Zonguldak Karaelmas University, Zonguldak, Turquia.
| | - Volkan Hanci
- Departamento de Anestesia e Reanimação, Faculdade de Medicina, Zonguldak Karaelmas University, Zonguldak, Turquia
| | - Bengü Köksal
- Departamento de Anestesia e Reanimação, Faculdade de Medicina, Zonguldak Karaelmas University, Zonguldak, Turquia
| | - Dilek Okyay
- Departamento de Anestesia e Reanimação, Faculdade de Medicina, Zonguldak Karaelmas University, Zonguldak, Turquia
| | - Hilal Ayoğlu
- Departamento de Anestesia e Reanimação, Faculdade de Medicina, Zonguldak Karaelmas University, Zonguldak, Turquia
| | - Işıl Özkoçak Turan
- Departamento de Anestesia e Reanimação, Faculdade de Medicina, Zonguldak Karaelmas University, Zonguldak, Turquia
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Michalek P, Donaldson W, Vobrubova E, Hakl M. Complications Associated with the Use of Supraglottic Airway Devices in Perioperative Medicine. BIOMED RESEARCH INTERNATIONAL 2015; 2015:746560. [PMID: 26783527 PMCID: PMC4691459 DOI: 10.1155/2015/746560] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Accepted: 11/24/2015] [Indexed: 12/15/2022]
Abstract
Supraglottic airway devices are routinely used for airway maintenance in elective surgical procedures where aspiration is not a significant risk and also as rescue devices in difficult airway management. Some devices now have features mitigating risk of aspiration, such as drain tubes or compartments to manage regurgitated content. Despite this, the use of these device may be associated with various complications including aspiration. This review highlights the types and incidence of these complications. They include regurgitation and aspiration of gastric contents, compression of vascular structures, trauma, and nerve injury. The incidence of such complications is quite low, but as some carry with them a significant degree of morbidity the need to follow manufacturers' advice is underlined. The incidence of gastric content aspiration associated with the devices is estimated to be as low as 0.02% with perioperative regurgitation being significantly higher but underreported. Other serious, but extremely rare, complications include pharyngeal rupture, pneumomediastinum, mediastinitis, or arytenoid dislocation. Mild short-lasting adverse effects of the devices have significantly higher incidence than serious complications and involve postoperative sore throat, dysphagia, pain on swallowing, or hoarseness. Devices may have deleterious effect on cervical mucosa or vasculature depending on their cuff volume and pressure.
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Affiliation(s)
- Pavel Michalek
- Department of Anaesthesia and Intensive Medicine, 1st Medical Faculty, Charles University in Prague and General University Hospital, U Nemocnice 2, 120 21 Prague, Czech Republic
- University of East Anglia, Norwich Research Park, Norwich, Norfolk NR4 7TJ, UK
| | - William Donaldson
- Department of Anaesthetics, Antrim Area Hospital, Bush Road, Antrim BT41 4RD, UK
| | - Eliska Vobrubova
- Department of Anaesthesia and Intensive Medicine, 1st Medical Faculty, Charles University in Prague and General University Hospital, U Nemocnice 2, 120 21 Prague, Czech Republic
| | - Marek Hakl
- Department of Anaesthesia and Intensive Medicine, St. Anne University Hospital, Pekarska 53, 656 91 Brno, Czech Republic
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Yurtlu BS, Hanci V, Köksal B, Okyay D, Ayoğlu H, Turan IÖ. Impact of the practising anesthesiologist team member on the laryngeal mask cuff pressures and adverse event rate. Braz J Anesthesiol 2015; 65:455-60. [PMID: 26614141 DOI: 10.1016/j.bjane.2013.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2012] [Accepted: 03/20/2013] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE We have planned to evaluate the laryngeal mask cuff pressures (LMcp) inflated by anesthesia workers of several seniority, without using manometer. METHODS 180 patients scheduled to have short duration surgery with laryngeal mask were included in the study. Five anesthesia specialists (Group S), 10 residents (Group R) and 6 technicians (Group T) inflated the LMc; thereafter LMcp were measured with pressure manometer. Participants have repeated this practice in at least five different cases. LMcp higher than 60 cm H2O at the initial placement or intraoperative period were adjusted to normal range. Sore throat was questioned postoperatively. Groups were compared in terms of mean LMcp and occupational experience. RESULTS At the settlement of LM, LMcp pressures within the normal range were determined in 26 (14.4%) cases. Mean LMcp after LM placement in Group S, R and T were 101.2 ± 14.0, 104.3 ± 20.5 cm H2O and 105.2 ± 18.4 cm H2O respectively (p > 0.05). Mean LMcp values in all measurement time periods within the groups were above the normal limit (60 cm H2O). When groups were compared in terms of LMcp, no difference has been found among pressure values. Occupational experience was 14.2 ± 3.9; 3.3 ± 1.1 and 6.6 ± 3.8 years for specialists, residents and technicians respectively and measured pressure values were not different in regard of occupational experience. Seven (3.9%) patients had sore throat at the 24th hour interview. CONCLUSION Considering lower possibility of normal adjustment of LMcp and ineffectiveness of occupational experience to obtain normal pressure values, it is suitable that all anesthesia practitioners should adjust LMcp with manometer.
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Affiliation(s)
- Bülent Serhan Yurtlu
- Anesthesiology and Reanimation Department, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey.
| | - Volkan Hanci
- Anesthesiology and Reanimation Department, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey
| | - Bengü Köksal
- Anesthesiology and Reanimation Department, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey
| | - Dilek Okyay
- Anesthesiology and Reanimation Department, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey
| | - Hilal Ayoğlu
- Anesthesiology and Reanimation Department, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey
| | - Işıl Özkoçak Turan
- Anesthesiology and Reanimation Department, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey
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Bick E, Bailes I, Patel A, Brain AIJ. Fewer sore throats and a better seal: why routine manometry for laryngeal mask airways must become the standard of care. Anaesthesia 2014; 69:1304-8. [DOI: 10.1111/anae.12902] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- E. Bick
- Royal National Throat Nose and Ear Hospital; London UK
| | - I. Bailes
- Royal National Throat Nose and Ear Hospital; London UK
| | - A. Patel
- Royal National Throat Nose and Ear Hospital; London UK
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Aydogmus MT, Eksioglu B, Oba S, Unsal O, Türk HSY, Sinikoglu SN, Tug A. Comparison of laryngeal mask airway supreme and laryngeal mask airway proseal for laryngopharyngeal trauma and postoperative morbidity in children. Braz J Anesthesiol 2013; 63:445-9. [PMID: 24565340 DOI: 10.1016/j.bjane.2012.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2012] [Accepted: 08/23/2012] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Laryngeal mask airway (LMA), which has been used frequently in airway management, can cause laryngopharyngeal injury and morbidity. In this trial, we compare the macroscopic changes on laryngopharyngeal structures and the postoperative laryngopharyngeal morbidity by using LMA supreme with LMA proseal in children. METHODS We divided patients into two groups. We inserted size three LMA proseal into the first group and size three LMA supreme into the second group. Before LMA insertion and after LMA removal, we performed direct laryngoscopy on the patients. We compared hyperemia, mucosal injury and blood staining on LMA removal, as well as insertion time, rate of success in gastric tube insertion on the first attempt, nausea, vomiting, and sore throat between the two groups. RESULTS We recorded no significant differences between the two groups for mean operation time, sex, age, weight, rate of success in gastric tube insertion on first attempt, nausea, vomiting, sore throat and mucosal injury. Mean insertion time for the LMA proseal group was significantly longer than the LMA supreme group (p = 0.0001). The ratio of blood staining on LMA removal was significantly higher in the LMA proseal group than the LMA supreme group (p = 0.034). The patients with blood staining on LMA removal exhibited significantly more mucosal hyperemia and injury than the patients with clear LMA (p = 0.0001, p = 0.020). CONCLUSION LMA supreme insertion is faster and easier than LMA proseal and causes less laryngopharyngeal injury than LMA proseal in children.
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Affiliation(s)
- Meltem Turkay Aydogmus
- Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
| | - Birsen Eksioglu
- Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Sibel Oba
- Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Oya Unsal
- Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Hacer Sebnem Yeltepe Türk
- Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Sitki Nadir Sinikoglu
- Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Aslihan Tug
- Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, Turkey
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Comparação de via aérea por máscara laríngea Supreme e via aérea por máscara laríngea ProSeal para trauma laringofaríngeo e morbidade pós-operatória em crianças. Braz J Anesthesiol 2013. [DOI: 10.1016/j.bjan.2012.08.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Park HS, Han JI, Kim YJ. The effect of head rotation on efficiency of ventilation and cuff pressure using the PLMA in pediatric patients. Korean J Anesthesiol 2011; 61:220-4. [PMID: 22025944 PMCID: PMC3198183 DOI: 10.4097/kjae.2011.61.3.220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2011] [Revised: 06/29/2011] [Accepted: 07/12/2011] [Indexed: 11/10/2022] Open
Abstract
Background This study examined whether changing the head position from neutral to side can affect expiratory tidal volume (TV) and cuff pressure when the appropriate sizes of a Proseal™ Laryngeal Mask Airway (PLMA)-depending on the body weight -are used in pediatric patients during pressure controlled ventilation (PCV). Methods Seventy-seven children (5-30 kg) were divided into three groups according to their body weight, PLMA#1.5 (group I, n = 24), #2 (group II, n = 26), and #2.5 (group III, n = 27). After anesthesia induction, a PLMA was placed with a cuff-pressure of 60 cmH2O. The TV and existence of leakage at the peak inspiratory pressure (PIP) of 20 cmH2O, and the appropriate PIP for TV 10 ml/kg were examined. Upon head rotation to the left side, the TV, PIP, cuff pressure changes, and the appropriate PIP to achieve a TV 10 ml/kg were evaluated. Results Head rotation of 45 degrees to the left side during PCV caused a significant increase in cuff pressure and a decrease in TV, and there was no definite leakage. Changes in PIP and TV were similar in the three groups. The cuff pressure increased but there was no significant difference between the three groups. Conclusions Although cuff pressure and TV of the PLMA were changed significantly after turning the head from the neutral position to the side, a re-adjustment of the cuff pressure and PIP to maintain a TV of 10 ml/kg can make the placed PLMA useful and successful in pediatric patients under general anesthesia.
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Affiliation(s)
- Hahck Soo Park
- Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea
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Dias NH, Braz JRC, Defaveri J, Carvalho LR, Martins RHG. Morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube or laryngeal mask airway. Acta Cir Bras 2011; 26:357-64. [PMID: 21952658 DOI: 10.1590/s0102-86502011000500006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2011] [Accepted: 04/19/2011] [Indexed: 11/22/2022] Open
Abstract
PURPOSE To study morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube (ET) or laryngeal mask airway (LMA). METHODS Twelve dogs randomly were allocated to two groups: ET group (n-6) and LMA group (n-6), anaesthetized and mechanically ventilated, without CO(2) reabsorption. Haemodynamic and ventilatory parameters, tympanic temperature, temperature, relative and absolute humidity of the ambient and inhaled gases were analyzed during three hours. The animals were submitted to euthanasia and biopsies were carried out along the tracheal segment to morphological study. Three healthy dogs were used to morphological control. RESULTS Inhaled gas temperature was maintained between 24ºC and 26ºC, relative humidity between 10% and 12%, and absolute humidity between 2 - 3 mg H(2)O.L(-1) with no significant differences between groups. In both groups, histological analysis showed epithelial inflammation and congestion in the corion and scanning electron microscopy showed ciliary grouping and disorganization. Transmission electron microscopy showed higher alterations in ET group than LMA group as widening of cell junctions, ciliary disorientation, cytoplasmic vacuolization, nuclear abnormalities, picnosis and chromatin condensation. CONCLUSION LMA determined less pronounced changes in the tracheal epithelium in dogs exposed to the inhalation of poorly conditioned gases.
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Affiliation(s)
- Norimar Hernandes Dias
- Experimental Anesthesia Laboratory, Botucatu Medical School, Sao Paulo State University, Brazil.
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9
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Comparison of the laryngeal mask airway Supreme and laryngeal mask airway Classic in adults. Eur J Anaesthesiol 2009; 26:1010-4. [DOI: 10.1097/eja.0b013e3283313fdd] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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10
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Tekİn M, Kati I, Tomak Y, Yuca K. Comparison of the effects of room air and N2O + O2 used for ProSeal LMA cuff inflation on cuff pressure and oropharyngeal structure. J Anesth 2008; 22:467-70. [DOI: 10.1007/s00540-008-0654-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2008] [Accepted: 06/09/2008] [Indexed: 11/29/2022]
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Birkholz T, Irouschek A, Kessler P, Blunk JA, Labahn D, Schmidt J. Feasibility of the laryngeal tube airway for artificial ventilation in pigs and comparison with the laryngeal mask airway. Lab Anim (NY) 2008; 37:371-9. [PMID: 18650825 DOI: 10.1038/laban0808-371] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2008] [Accepted: 04/23/2008] [Indexed: 11/09/2022]
Abstract
Airway management in anesthetized pigs is known to be technically demanding, and the 'gold standard' technique of endotracheal intubation is particularly difficult to master. The authors investigated the feasibility of the laryngeal tube as an alternative technique for airway management in German Landrace pigs (n = 5). They compared this method with the laryngeal mask, which is considered to be an effective yet relatively straightforward tool for porcine airway management. One after the other, investigators attempted to establish an airway in each anesthetized, artificially ventilated pig using each device. The laryngeal tube was too short to intubate the largest pig (weighing 45 kg), and it took investigators slightly longer to insert this device compared with the laryngeal mask. With the laryngeal mask, there were several incidents of gastric insufflation. Despite these complications, all investigators were able to establish a secure airway and maintain oxygenation with the laryngeal tube, and all subjectively rated both devices as easy to use.
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Affiliation(s)
- Torsten Birkholz
- Department of Anaesthesiology, University Hospital, University of Erlangen-Nuremberg, Erlangen, Germany.
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12
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Laryngopharyngeal mucosal injury after prolonged use of the ProSealTM LMA in a porcine model: A pilot study. Can J Anaesth 2007; 54:822-8. [DOI: 10.1007/bf03021710] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Maino P, Dullenkopf A, Keller C, Bernet-Buettiker V, Weiss M. Cuff filling volumes and pressures in pediatric laryngeal mask airways. Paediatr Anaesth 2006; 16:25-30. [PMID: 16409525 DOI: 10.1111/j.1460-9592.2005.01672.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Hyperinflation of LMA cuffs carries the risk of airway morbidity by exerting pressure on laryngeal and pharyngeal structures. Cuff hyperinflation in LMAs can result from nitrous oxide diffusion into the LMA cuff and from deliberate manual cuff inflation. METHODS In an in vitro set up, maximum recommended cuff filling volumes for size 1, 1.5, 2, 2.5, 3 disposable LMAs from different manufacturers [SoftSeal LMA (Portex); Unique LMA (Intavent); Marshall LAD, LaryngoSeal (Tyco)] and reusable Classic and ProSeal LMAs (Intavent) were inflated into completely emptied LMA-cuffs and into LMA-cuffs at resting volume. Cuff pressures were measured using a cuff manometer. Experiments were performed eight times using two exemplars of each brand/size. RESULTS Maximum recommended cuff filling volumes for pediatric LMAs resulted in hyperinflation (cuff pressure >60 cmH(2)O) in almost all LMAs, starting with emptied cuff. Starting from resting cuff volume, the maximum recommended inflation volume resulted in cuff pressures of >120 cmH(2)O in all LMAs and sizes except in the ProSeal size 3 (101 +/- 1 cmH(2)O). CONCLUSIONS Since the volume of air which is effectively required depends on several factors and varies between patients, the cuffs should be inflated only with the minimum volume of air required to form an effective seal with the respiratory and gastrointestinal tracts and the cuff pressure should be controlled.
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Affiliation(s)
- Paulo Maino
- Department of Anaesthesia, University Children's Hospital, Zurich, Switzerland.
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Maino P, Dullenkopf A, Bernet V, Weiss M. Nitrous oxide diffusion into the cuffs of disposable laryngeal mask airways. Anaesthesia 2005; 60:278-82. [PMID: 15710013 DOI: 10.1111/j.1365-2044.2004.04072.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The aim of this study was to investigate cuff pressure changes found in disposable size 3 laryngeal mask airways (LMAs) from different manufacturers during nitrous oxide exposure and to compare the results with the re-usable Classic LMA. In an in vitro experiment, laryngeal mask airway cuff pressures starting from a baseline pressure of 40 cm H(2)O were recorded using a pressure transducer for 60 min with the laryngeal mask airway cuff exposed to 66% N(2)O in oxygen. Cuff pressure increases within 5 min of nitrous oxide exposure were > 250% in the Classic LMA and were not significantly different from those found in the Marshall laryngeal mask airway. However, they were significantly greater than those in the Soft Seal, the Unique, the AMBU, and Intersurgical laryngeal mask airways, all of which demonstrated stable cuff pressure levels within the first 5 min. The cuff pressure increase following 60 min of nitrous oxide exposure was 13.0 +/- 1.1 and 14.6 +/- 0.7 cm H(2)O in the Intersurgical and Unique laryngeal mask airways, respectively, which was significantly lower than the cuff pressure increase in the Soft Seal and in the Ambu laryngeal mask airways (28.3 +/- 2.9 and 30.9 +/- 1.2 cm H(2)O, respectively). Unlike the re-usable Classic LMA and the disposable Marshall laryngeal mask airway, which have silicone cuffs, the disposable Ambu, Intersurgical, Portex Soft Seal and Unique laryngeal mask airways have cuffs constructed from PVC, which seems to be less susceptible to hyperinflation caused by nitrous oxide diffusion.
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Affiliation(s)
- P Maino
- Department of Anaesthesia, University Children's Hospital Zurich, Switzerland
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Martins RHG, Dias NH, Braz JRC, Castilho EC. Complicações das vias aéreas relacionadas à intubação endotraqueal. ACTA ACUST UNITED AC 2004. [DOI: 10.1590/s0034-72992004000500015] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Descrevemos as principais complicações das vias aéreas relacionadas à intubação endotraqueal, por meio de revisão da literatura e apresentação dos resultados de pesquisas clínicas e experimentais realizadas pelo nosso grupo de estudo. Procuramos alertar os profissionais de saúde quanto à alta incidência de complicações secundárias à intubação, as quais podem ser reduzidas com a adoção de medidas profiláticas simples e de cunho prático, estabelecidas após a compreensão da fisiopatologia das lesões.
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Adnet F, Bally B, Péan D. [Airway management in adult scheduled anaesthesia (difficult airway excepted)]. ANNALES FRANCAISES D'ANESTHESIE ET DE REANIMATION 2003; 22 Suppl 1:60s-80s. [PMID: 12943863 DOI: 10.1016/s0750-7658(03)00205-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- F Adnet
- Samu 93, hôpital Avicenne, 93009 Bobigny cedex, France.
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