Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Comparison of Size 2 LMA-ProSeal™ and LMA-Supreme™ in Spontaneously Breathing Children: a Randomised Clinical Trial

Objective: The aim of this study was to compare size 2 Laryngeal Mask Airway ProSeal and size 2 Laryngeal Mask Airway Supreme in spontaneously breathing children undergoing lower abdominal elective surgery of <1 hour duration. Study Design: Randomized clinical trial. Material and Methods: Sixty children aged 1-7 years, weighing 10-20 kg, ASA I physical status were randomly allocated to the Laryngeal Mask Airway ProSeal and Laryngeal Mask Airway Supreme. Results: There were no differences in demographic variables, ease of gastric tube placement, ease of insertion and ventilation, number of insertion attempts, hemodynamic changes on insertion, postoperative complications and bloodstaining between the groups. Gastric insufflation was detected and gastric tube was placed in all patients except one in LMA Supreme. Postoperative cuff volumes were comparable with the preoperative values in group itself. Oropharyngeal leak pressures were higher in Laryngeal Mask Airway ProSeal (24.6±5.5 vs 21.3±4.2, respectively; p<0.01). Conclusion: As a result Laryngeal Mask Airway ProSeal and Laryngeal Mask Airway Supreme can safely be used in spontaneously breathing pediatric population undergoing lower abdominal elective surgery. Turkish Başlık: 1 Saatten Az Sürecek Alt Abdominal Cerrahide 2 Numaralı Lma Proseal İle Lma Supremin Spontan Soluyan Çocuklarda Karşılaştırılması: Klinik Randomize Çalışma Anahtar Kelimeler: Laringeal Maske, Proseal, Supreme, Çocuk, Orofaringeal Kaçak Basıncı Amaç: Bu çalışmanın amacı; 1 saatten az sürecek cerrahi operasyonda 2 numaralı LMA Proseal ile LMA Supremin spontan soluyan çocuklarda karşılaştırılmasıdır. Gereç ve Yöntemler: 1-7 yaş arası, ASA I fiziki duruma sahip, 10-20 kg ağırlığında 60 çocuk hasta randomize olarak LMA Proseal ve LMA Supreme olarak ikiye ayrıldı. Bulgular: Demografik veriler, LMA yerleştirme ve ventilasyon kolaylığı, gastrik tüp yerleşimi, deneme sayıları, yerleştirme sırasındaki hemodinamik veriler, postoperatif komplikasyonlar ve mukozal hasar açısından gruplar arasında fark saptanmadı. LMA Supreme grubundaki 1 hasta dışında tüm hastalarda gastrik insüflasyon tespit edildi. Preoperatif ve postoperatif kaf volümleri grup içi karşılatırıldığında benzer bulundu. Orofaringeal kaçak basınçları ise; LMA Proseal grubunda yüksek bulunmuştur ( 24.6±5.5 vs 21.3±4.2, p<0.01). Sonuç: Sonuçta, alt abdominal cerrahiye alınan spontan soluyan çocuklarda LMA Proseal ve LMA Supreme güvenle kullanılabilir.

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  • Jagannathan N, Sohn LE, Sawardekar A, Chang E, Langen KE, Anderson K. A randomised trial comparing the laryngeal mask airway Supreme with the laryngeal mask airway Unique in children. Anaesthesia 2012;67:139-44. [CrossRef]
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
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