Suction catheter guided insertion of ProSeal laryngeal mask airway: Experience by untrained physicians

Valter Perilli, Liliana Sollazzi, Paola Aceto, Teresa Sacco, Nunzia Martella, Maria Teresa Cazzato

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

5 Citazioni (Scopus)

Abstract

BACKGROUND: The use of suction catheter (SC) has been shown to improve success rate during ProSeal laryngeal mask airway (PLMA) insertion in expert users. AIMS: The aim of this study was to compare insertion of PLMA performed by untrained physicians using a SC or the digital technique (DT) in anaesthetised non-paralysed patients. METHODS: In this prospective randomised double-blind study, conducted in the operating setting, 254 patients (American Society of Anaesthesiologists I-II, aged 18-65 years), undergoing minor surgery were enrolled. Exclusion criteria were body mass index >35 kg/m(2), laryngeal or oesophageal varices, risk of aspiration or difficult face mask ventilation either referred or suspected (Langeron's criteria ≥2) and modified Mallampati classification score >2. Participants were randomly allocated to one of the two groups in which PLMA was inserted using DT (DT-group) or SC (SC-group). STATISTICAL ANALYSIS: Chi-square test with Yates' correction, Mann-Whitney U-test or Student's t-test were carried-out as appropriate. RESULTS: The final insertion success rate was greater in SC-groupcompared with DT-group 90.1% (n = 109) versus 74.4% (n = 99) respectively (P = 0.002). Mean airway leak pressure was higher in SC-group compared to DT-group (23.7 ± 3.9 vs. 21.4 ± 3.2 respectively; (P = 0.001). There were no differences in insertion time, post-operative airway morbidity and complications. CONCLUSION: The findings of this study suggest that SC-technique improves the success rate of PLMA insertion by untrained physicians.
Lingua originaleEnglish
pagine (da-a)25-29
Numero di pagine5
RivistaIndian Journal of Anaesthesia
Volume58
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • Digital technique
  • ProSeal laryngeal mask airway
  • suction catheter technique
  • untrained physicians

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