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Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Anesth+Essays+Res 2018 ; 12 (1): 119-23 Nephropedia Template TP
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Comparison of the Laryngeal Mask Airways: Laryngeal Mask Airway-classic and Laryngeal Mask Airway-proseal in Children #MMPMID29628566
Bhat CB; Honnannavar KA; Patil MBP; Mudakanagoudar MS
Anesth Essays Res 2018[Jan]; 12 (1): 119-23 PMID29628566show ga
Introduction:: In the past 25 years with the development of various supraglottic airway devices, the armamentarium for airway management has increased. In our study, the laryngeal mask airway (LMA)-ProSeal is compared with the LMA-Classic with respect to as follows: (a) Ease of insertion and number of insertion attempts, (b) Device positional stability and possible oropharyngeal leak, (c) Airway trauma, and (d) Hemodynamic changes; in children aged 3?15 years undergoing elective surgery under general anesthesia, hypothesizing that these would be different. Materials and Methods:: Sixty consecutive American Society of Anesthesiologists Physical Status Classes I and II children aged 3?15 years and weighing 5?45 kg undergoing elective surgery in the supine position were randomized for airway management with the LMA-Classic or LMA-ProSeal. Results:: Size of the LMA used in both LMA-Classic and LMA-ProSeal was 1.5, 2, and 2.5 and was statistically nonsignificant. There was no difference between LMA-Classic and LMA-ProSeal with regard to ease of insertion, number of attempts for insertion, device positional stability, airway trauma and hemodynamic changes. Conclusions:: The complications of usage of the LMA are minimal and similar in both the devices. The LMA-ProSeal has advantages over LMA-classic such as the placement of gastric tube, adequate ventilation, and oxygenation without any gastric distension.