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
Abstract
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
Keywords
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