Proseal LMA vs. Endotracheal Intubation in General Anaesthesia for Abdominal Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 10
Abstract
Varients of supraglottic airway devices are generally used in difficult airways or in daycare surgeries to bypass the consequences of endotracheal intubation or to replace tracheal intubation. In this study, the aim was to evaluate the advantages of proseal LMA over endotracheal tubes in the prospects of ease of insertion and efficacy for positive pressure ventilation without the risk of regurgitation and aspiration and without any detrimental variations in hemodynamics. A randomized clinical study was carried out on 80 patients of either sex belonging to ASA Grade I and II, proposed for abdominal surgeries under general anaesthesia and were randomly allocated in two groups (Group I Proseal LMA and Group II Endotracheal intubation). Parameters observed were ease of insertion (number of attempts), insertion or intubation time of device and nasogastric tube and effects on hemodynamics. 40 patients were included in each group. Success rate for insertion of device in first attempt was 93% in group I and 99% in group II. Mean insertion time in group I was 15.57 seconds and 22.24 seconds in group II, which was statistically insignificant (p<0.1). Mean nasogastric tube (Ryle’s tube) insertion time in group I was 9.96 seconds in compare to group II, where the mean time was 12.55 seconds, which was statistically significant. The conditions for proper and adequate ventilation to maintain 100% oxygen saturation in both groups were satisfactory without any air leak. According to this study, it can be concluded that Proseal LMA is a safer and effective alternative for endotracheal tubes in general anaesthesia.
Authors and Affiliations
Ajai Vikram Singh
To Compare The Haemodynamic Resopnses and Adequacy of Ventilation Between Laryngoscopic Endotracheal Intubation and Laryngeal Mask Airway Classic Insertion in Short Surgical Procedures Under General Anaesthesia with Muscle Relaxation
The haemodynamic response associated with laryngoscopy and tracheal intubation may be harmful to certain patients. The laryngeal mask airway (LMA) avoids the need for laryngoscopy and allows positive pressure ventilation...
Incidence and Risk Factors for Infections in Post-Operative Cases of Cardiac Surgery
Cardiac surgery creates a high risk for the development of post operative infections. Aims: The objective of this study was to evaluate the incidence, characteristics and risk factors for nosocomial infections after card...
Comparison of Oral Pregabalin Versus Bolus Dose of Intravenous Dexmedetomidine in Attenuating the Hemodynamic responses During Laparoscopic Cholecystectomy: A Prospective Randomized double Blind Study
Background and Aims: Laparoscopic cholecystectomy is being preferred surgery for gall bladder diseases under general anesthesia in the present era. This study was designed to compare oral pregabalin versus intravenous de...
A Comparative Study of Dexmedetomidine and Clonidine as Adjuvant to Propofol for Insertion of Laryngeal Mask Airway
Objective:To evaluate theease of insertion ofLaryngeal Mask Airway (LMA) and hemodynamic response during insertion of LMA with two adjuvants, dexmedetomidine & clonidine along with induction agent propofol. Methods: Hund...
Effect of Inj. Dexmedetomidine and Inj. Clonidine on Haemodynamic Changes during Laryngoscopy &Tracheal Intubation: A Comparative Study
Aim and Objectives: 1. To evaluate the effects of dexmedetomidine and clonidine on haemodynamic changes during Laryngoscopy and tracheal intubation. 2. To compare the effect of dexmedetomidine and clonidine on haemodyna...