A Comparative Study of Classic Laryngeal Mask Airway And Proseal Laryngeal Mask Airway in Patients Undergoing Different Surgical Procedures Under General Anesthesia.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Introduction: Difficult airway is a nightmare situation for anesthesiologists and scenario has changed with introduction of LMA. Here, we intend to compare CLMA and PLMA in routine surgical procedures under general anesthesia. Methodology: 60 patients were randomly allocated in 2 groups. Numbers of attempts and time taken for successful placement to achieve effective ventilation were recorded. Haemodynamic parameters, quality of ventilation (in terms of audible leak, chest movement, tidal volume loss, requirement of manipulation) and complications were recorded. Results- First attempt insertion success rate were higher for the CLMA but after three attempts, success rate was same (93.3%). Duration of significantly raised heart rate and blood pressure were longer in CLMA group than in PLMA group. By considering the leak, chest movement, tidal volume loss, manipulation required, spo2 and EtCO2 , ventilation was adequate in 94% of patients in PLMA group and in 70% of patients in CLMA group. Sore throat was most common postoperative morbidity in both groups. Conclusion: After consideration of satisfactory first attempt insertion success rate, ease of OGT placement, easy diagnosis of misplacement, less haemodynamic changes, better quality of ventilation and less postoperative morbidity, we conclude that proseal LMA is a better option for airway management.
Authors and Affiliations
Dr. Ranjeet Rana De, Dr. Saurav Shekhar, Dr. D G Pathak, Dr. Harshwardhan, Dr. Shashank Dhiraj
Keywords
Related Articles
- EP ID EP595794
- DOI 10.9790/0853-1604102631.
- Views 49
- Downloads 0
A Prospective Study on Efficacy of Various Dressings in the Management of Diabetic Foot Ulcers
Diabetic foot ulcer is a historically important disease which has been managed in myriad ways over the ages. Dressings form an important aspect of the treatment protocol. Here efficacy some of the newer dressings-namely...
Accelerated Orthodontics: A Frontier in Orthodontic Treatment
The time span of orthodontic treatment is the principal concern of many orthodontic patients. Unfortunately, long orthodontic treatment time poses several disadvantages like a higher predisposition to dental caries, ging...
A Clinicopathological & Radiological Evaluation Of Scrotal Swellings
Scrotal swellings were earlier considered to be an area over unaided clinical expertise. Scrotal swelling can occur in males at any age. Scrotal masses may be intratesticular or extratesticular, either solid or cystic.A...
Anatomical Study of Pulmonary Fissures and lobes in Human Cadavers
The fissures in lung allows uniform expansion. Awareness of Anatomical variations in lung fissures is essential during segmental resection of lungs Anatomical variations of lungs including number, fissures and lobes are...
A 16-year-old female presenting with Splenic Marginal Zone Lymphoma indistinguishable from Hyperactive Malaria Splenomegaly syndrome.
Introduction: Splenomegaly is frequently observed among children and adolescents who reside in malaria endemic areas. Clinically, these are frequently complicated by hypersplenism, therefore defined as Hyperactive Malari...