Safety and efficacy of supraglottic airway device proseal in mechanically ventilated patients

Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 1


Background: The Proseal Laryngeal Mask Airway (PLMA) is a new innovation of classic LMA. The PLMA has been reported to be an effective rescue airway for failed tracheal intubation. The present study was undertaken to evaluate safety and efficacy of supraglottic airway device proseal in mechanically ventilated patients. Material and Methods: This prospective study involved a total of 40 patients where Proseal for airway management was used for surgery under general anaesthesia and controlled ventilation. The insertion time of the devices, difficulty during insertion, difficulty during gastric tube insertion, coverage of airway pressure, and complications were recorded. Results: Vital parameters remained stable throughout surgeries. 100% success rate of insertion of nasogastric tube was found. Nasogastric tube was passed in 1st attempt. Postoperative complications like sore throat was found in 4 cases, whereas cough occurred in one patient. Discussion: PLMA is efficient with regards to the ease of insertion as evidenced by similar number of attempts required and the manoeuvers required. The time taken for insertion was also considerably less. The nasogastric channel provided a conduit to gastric chamber with similar success rates. The PLMA can be used safely and effectively for airway maintenance during general anaesthesia under mechanical ventilation.

Authors and Affiliations

Kalyani Venkatrao Malshetwar, Sachin R Totawar


Related Articles

Evaluation of the hemodynamic effect of bupivacaine wound instillation in modified radical mastectomy

Background and aim: Breast cancerare a leading cause of cancer death among women. Modified Radical Mastectomy (MRM) is the commonest surgery done for operable breast malignancies. Majority of operated patients will exper...

A comparative study of dexmedetomidine and nalbuphine as an adjuvant to bupivacaine in lower limb surgeries done under epidural anaesthesia

Aims and Objectives: To compare the clinical profile of Nalbuphine and Dexmedetomidine as an adjuvant to Bupivacaine when administered epidurally with respect to sensory and motor blockade, level of sedation and duration...

Single dose intravenous paracetamol versus intravenous tramadol in orthopedic surgeries: A randomized study

Objective: 1) To compare the duration as well as quality of analgesia after a single dose Intravenous Paracetamol and Tramadol. 2) to compare the side effect of two drugs. Method: The present study was carried out on 120...

A randomized, prospective, comparative study to evaluate the motor blockade properties of 3ml of 0.5% isobaric levobupivacaine and 3ml of 0.5% isobaric ropivacaine for spinal anaesthesia in patients undergoing elective lower limb orthopaedic surgeries

Background: Levobupivacaine is S (-) enantiomer of bupivacaine. It is somewhat less cardiotoxic than the racemic bupivacaine. It seems to be an attractive alternative to Bupivacaine. Ropivacaine is a long acting regional...

Effect of oral pregabalin premedication on perioperative haemodynamic response and post operative analgesic requirement for patients undergoing laparoscopic cholecystectomy

Background and Aims: Laparoscopic cholecystectomy was introduced by Phillipe Mouret in 1987. In comparison with open procedures, laparoscopy is characterized by better maintenance ofhomeostasis and reduced postoperative...

Download PDF file
  • EP ID EP260428
  • DOI -
  • Views 169
  • Downloads 0

How To Cite

Kalyani Venkatrao Malshetwar, Sachin R Totawar (2017). Safety and efficacy of supraglottic airway device proseal in mechanically ventilated patients. Medpulse International Journal of Anesthesiology, 3(1), 48-52.