Proseal Laryngeal Mask Airway versus Endotracheal Intubation for Laparoscopic Surgery: A Randomized Controlled Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 8
Abstract
Context: Proseal LMA (laryngeal mask airway) is an useful modification of the classical LMA, which provides better hemodynamic stability and protection against intra operative as well as postoperative complications when used in laparoscopic procedures. Aims: To compare the efficacy of Proseal laryngeal mask airway (LMA) and endotracheal tube (ETT) in patients posted for laparoscopic surgery under general anaesthesia. Settings and Design: This prospective randomized comparative study conducted in collaboration with a tertiary care level hospital. study was conducted on 100 ASA I-II class patients posted for laparoscopic surgery under general anaesthesia Methods and Material: A total of 100 patients posted for various laparoscopic surgeries were allocated into 2 groups of 50 each. After preoxygenation and induction, Proseal LMA was inserted in group A patients and patients in group B were intubated with ETT. Attempts for successful insertion, time taken for successful insertion, hemodynamic variations at various events and protection provided against both intra operative and postoperative complications were studied Statistical analysis used: Qualitative data was analysed using chi-square test or Fischer analysis and quantitative data analysed using paired or unpaired t test. Results: First attempt insertion success rate was 84% for PLMA insertion as compared to 76% for endotracheal intubation, Time for successful insertion was 15.54 sec in PLMA group and 20.20 sec in ETT group. Mean heart rate changes during PLMA insertion and removal were 5.52 and 7.10 respectively, and 9.56 and 11.46 at the same events with ETT. Mean systolic blood pressure changes during PLMA insertion and removal were 3.76 and 3.92 respectively and 13.92 and 23.20 at same events with ETT. No events of gastric regurgitation or pulmonary aspiration observed in both groups. PLMA provided better protection against postoperative complications like cough (6%) and sore throat (6%) as compared to ETT with 44% and 24% incidence respectively. Conclusions: Proseal LMA can be considered as a safe and effective alternative to endotracheal intubation in patients undergoing various laparoscopic procedures under general anesthesia.
Authors and Affiliations
Maya Jamkar
Keywords
Related Articles
- EP ID EP528996
- DOI -
- Views 97
- Downloads 0
Interscalene Brachial Plexus Block with Continues Catheter Insertion System and a Disposable Infusion Pump in Patients Undergoing Surgery for Fracture Head of Humerus by open Reduction and Internal Fixation
Introduction: Interscalene brachial plexus block with continues catheter insertion system and a disposable infusion pump is a commonly employed technique for upper limb surgeries. Postoperatively these patients may be ma...
A Rare Case of Primary Retroperitoneal Schwannoma: A Case Report
Schwannomas are tumors which arise from Schwann sheath of nerves and are very rare in the retroperitoneal region. They are commonly seen in the head and neck location. We report a case of retroperitoneal schwannomain a 5...
A Study of Causes of Donor Deferral at Tertiary Care Hospital- Bhavnagar, Gujarat
Donors are deferred for several reasons which are related to the safety of the donor as well as the potential threat to the recipient. The present study enlightens various causes of donor deferral which ultimately result...
Burden of HCV infection among pregnant women with assessment of risk factors and pregnancy outcome in HCV infected: A hospital based study from Uttarakhand
Introduction: Hepatitis-C is a global health problem. Risk factors for HCV infection include intravenous drug use, transfusion of infected blood or blood products, unsafe therapeutic injections and surgical, dental proce...
Herbal Treatment of Osteoarthritis: A Hospital Based Clinical Study
Objective: To study the treatment of Cissu squadrangularis Linn and Zingiber officinalis Rosc on osteoarthritis patients in south India Methods: 60 osteoarthritis patients were selected and divided into group A, B and C...