A Comparison of the Disposable Versus the Reusable Laryngeal Mask Airway in Paralyzed Adult Patients

1998 ◽  
Vol 87 (4) ◽  
pp. 921-924 ◽  
Author(s):  
Joseph Brimacombe ◽  
Christian Keller ◽  
Rebecca Morris ◽  
D. Mecklem
Keyword(s):  
Laryngeal Mask Airway ◽  
Adult Patients ◽  
Laryngeal Mask

Comparison of Proseal Laryngeal Mask Airway Versus Endotracheal Tube in Anaesthetized Adult Patients

2018 ◽  
Vol 5 (3) ◽  
pp. 415-418
Author(s):  
Saranjit Singh ◽  
◽  
Sapna Bansal ◽  
Rahul Midda ◽  
Dhanwant Kaur ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Proseal Laryngeal Mask Airway ◽  
Adult Patients ◽  
Laryngeal Mask

Comparison of the LMA-Classic ™ with the New Disposable Soft Seal Laryngeal Mask in Spontaneously Breathing Adult Patients

2003 ◽  
Vol 99 (5) ◽  
pp. 1066-1071 ◽  
Author(s):  
André A. J. van Zundert ◽  
Kristine Fonck ◽  
Baha Al-Shaikh ◽  
Eric Mortier
Keyword(s):  
Nitrous Oxide ◽  
Laryngeal Mask Airway ◽  
Sore Throat ◽  
Clinical Performance ◽  
Trade Mark ◽  
Adult Patients ◽  
Laryngeal Mask ◽  
Soft Seal ◽  
Spontaneously Breathing

Background The laryngeal mask airway LMA-Classic has been used widely in clinical practice. A new disposable supraglottic airway device, the Soft Seal LM, has been introduced recently. In a randomized study, the authors compared the LMA-Classic and the disposable Soft Seal LM in terms of their clinical performance, cuff pressures during nitrous oxide anesthesia, position of the laryngeal mask in situ by fiberoptic evaluation, and morbidity in a wide range of routine general surgery procedures. Methods A total of 200 adult patients were randomly assigned to a size 4 laryngeal mask in two equal-sized groups for airway management during surgery: (1) LMA-Classic (Intavent Orthofix Ltd., Maidenhead, Berkshire, United Kingdom); or (2) Soft Seal LM (Portex Ltd., Hythe, Kent, United Kingdom). Anesthesia was administered with fentanyl, propofol, nitrous oxide, oxygen, and sevoflurane. The variables studied were ease of insertion, fiberoptic view, time in situ, incidence of blood on the laryngeal mask at the time of removal, and the incidence of postoperative sore throat at 2 and 24 h. The laryngeal mask cuff pressures were measured continuously. Intracuff pressure limitation was not attempted. Results The LMA-Classic and the Soft Seal LM showed similar clinical performances, as shown by their insertion time (successful insertion at first attempt was achieved within 20 s in 97% with LMA-Classic trade mark vs. 95% with Soft Seal LM), fiberoptic evaluation of the anatomic position of the laryngeal mask, and satisfactory anesthesia conditions. Laryngeal mask cuff pressures increased from 45 to 100.3 mmHg in the LMA-Classic and from 45 to 46.8 mmHg in the Soft Seal LM (P < 0.001). Macroscopic blood was seen on only four occasions in the LMA-Classic group. The incidence of sore throat was significantly increased at 2 h postoperatively when using the LMA-Classic, although there was no difference at 24 h after surgery. Conclusions In spontaneously breathing adult patients requiring a size 4 laryngeal mask airway, the new disposable Soft Seal LM device is an acceptable alternative to the reusable LMA-Classic trade mark, resulting in a good laryngeal seal and offering similar clinical performance. Cuff pressures increase substantially when the LMA-Classic is used but not when using the Soft Seal LM. There was less trauma to patients using the Soft Seal LM, as assessed by the incidence of sore throat in the early postoperative period.

A Comparison of the Laryngeal Mask Airway and Cuffed Oropharyngeal Airway in Anesthetized Adult Patients

1998 ◽  
Vol 87 (1) ◽  
pp. 147-152
Author(s):  
J. R. Brimacombe ◽  
J. C. Brimacombe ◽  
A. M. Berry ◽  
R. Morris ◽  
D. Mecklem ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Adult Patients ◽  
Laryngeal Mask ◽  
Oropharyngeal Airway

scholarly journals A comparison of airway maintenance by cuffed Oropharyngeal airway (COPA) and laryngeal mask airway (LMA) in spontaneously breathing adult patients

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Ashraf Zia ◽  
Tahir Chaudhry ◽  
Riaz Hussain ◽  
Tafoorul Islam Ghalani
Keyword(s):  
Statistical Analysis ◽  
Laryngeal Mask Airway ◽  
Head Tilt ◽  
Adult Patients ◽  
Laryngeal Mask ◽  
Oropharyngeal Airway ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
Spontaneously Breathing

In this study total hundred patients wee included. Fifty (group I) were subjected to COPA device for airway maintenance and in other fifty (group II) LMA was used. In this study first attempt successful insertion rate in group I was 90% while in group II it was 94%. However statistical analysis showed no significant different in both groups. Regarding maneuvers needed to maintain smooth breathing in group I head tilt was used in 2 %. It is significantly high in group I than in group II. Laboured breathing was seen in 6% in group I while 2% in group II. There was no significant difference in both groups. According to this study LMA is better in all respect as it is easier to insert and better fit in.

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