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
Keywords
Related Articles
- EP ID EP541105
- DOI 10.21088/ijaa.2349.8471.51018.2
- Views 106
- Downloads 0
Rapid Sequence Intubation: Ease of Intubation and Haemodynamic Effects of Succinyl Choline Chloride Vs Rocuronium Bromide in Adult Patients
Objectives: To compare the intubating conditions, clinical duration of action, cardiovascular responses, side effects associated with administration of rocuronium bromide 0.9mg/kg and succinylcholine chloride 1mg/kg for...
Crystalloid Preload Versus Crystalloid Co-load During Elective Caesarean Section Under Spinal Anesthesia
Background and Aim: Spinal anesthesia is a preferred technique of anesthesia for pregnant women undergoing caesarean section. The major disadvantage with this technique is maternal hypotension which carries the greatest...
Role of the Effect of Systemic Ondansetron on Intrathecal Spinal Anaesthesia Produced by Bupivacaine
Background: Subarachnoid block is commonly used technique for anaesthesia in different surgical specialties. Ondansetron is a selective 5-HT 3 antagonist. It is an effective drug for prevention and treatment of nausea an...
To Study and Compare Efficacy of Ropivacaine and Bupivacaine for Caudal Analgesia in Paediatric Patients
Aims and objectives: The aim of the study was to compare quality and duration of intra and post operative analgesia and need of rescue analgesia of 0.5 ml/kg of 0.25% Bupivacaine. and 0.5 ml/kg of 0.2% Ropivacaine. Metho...
Selective Left Endobronchial Intubation in Paediatric Cases: Lesson Learnt Using Single Lumen Tube
Background: Selective left endobronchial intubation in right thoracoscopy is technically demanding. We are presenting our mid term experience of selective left bronchus intubation using the previously published maneuver...