Comparison of Rotational Technique versus Standard Technique of Laryngeal Mask Airway Insertion in Adults: A Prospective Randomised Controlled Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 4
Abstract
Background and Aim: The Laryngeal mask airway (LMA) is widely used for elective short surgical procedures with both spontaneous and controlled ventilation. Brain’s standard technique of insertion is reliable but not always successful. The rotational technique has been proposed to overcome some difficulties posed by the standard technique. The aim of this study is to compare the rotational technique with the standard technique in terms of number of attempts, time taken for insertion, presence of leak, and incidence of complications like trauma, hypoxemia and laryngospasm. Methodology: 88 ASA I and II patients were randomly allocated into two groups, Group R and Group S. Anaesthesia was induced with Inj. Propofol and after jaw relaxation and absence of response to jaw thrust, LMA was inserted by the rotational technique in Group R and the standard technique in Group S. Successful placement was confirmed by chest expansion and a square wave capnographic tracing. The number of attempts, time taken for successful insertion and presence of leak were recorded. Trauma was assessed by blood stained LMA on removal. Results: The first attempt success rate was 93.2% in the standard group and 84.1% in the rotational group, the difference being statistically significant. The mean time taken for successful insertion in the standard and rotational group was not statistically significant. The rotational technique resulted in fewer leaks than the standard technique (No leak in 47% vs. 31.8%). The incidence of trauma was significantly less in the rotational group (11.4% Vs 18.2). Conclusion: The incidence of leak around the cuff and trauma were significantly less in the rotational technique.
Authors and Affiliations
Vanishree Chandran
Keywords
Related Articles
- EP ID EP472171
- DOI 10.21088/ijaa.2349.8471.4417.44
- Views 105
- Downloads 0
Comparative Evaluation of Hyperbaric 0.5% Bupivacaine-Clonidine and only 0.5% Bupivacaine for Spinal Anaesthesia
Pain of any kind is distressing to the life style of human being and relief of pain becomes mandatory all the time. Intraoperative as well as postoperative pain is of concern as it results in morbidity and mortality. Pos...
Evaluation of Newborns by Normal Deliveries and Cesarean Sections under General Anesthesia by Application of Scanlon’s Scoring System
Background: In the present scenario there is an increased demand by the mothers for painless deliveries. Therefore the number of babies delivered by C Sections has increased. However it also necessitates one to study the...
A Prospective Comparative Study of 0.5% Levobupivacaine versus 0.5% Ropivacaine in Supraclavicular Brachial Plexus Block
Background: Levobupivacaine is a s enantiomer of bupivacaine has been introduced in clinical practise in India, with lower cardio toxicity and neurotoxicity in comparison to bupivacaine [7,8]. We have designed present st...
Comparative Evaluation of the Role of 0.5% Hyperbaric Bupivacaine with and without Clonidine under Spinal Anesthesia
Background: Among the various modalities of regional anesthesia, spinal anesthesia is widely practiced. Clonidine is of interest because it preserves cardiovascular reflexes, provides sedation, greater intra operative ha...
Assessment of Clinical Performance of Supraglottic Airway Devices in Adults for Short Surgical Procedures
Aim: In the present study we compared the clinical performance of the I-gel and LMA in terms of the effectiveness and safety administration in anesthetized patients. Materials & Methods: A total of 100 patients with req...