Comparison of the trapezius squeezing test and jaw thrust as indicators for laryngeal mask airway insertion in adults / 대한마취과학회지
Korean Journal of Anesthesiology
; : 201-204, 2011.
Article
em En
| WPRIM
| ID: wpr-229282
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
The purpose of this study was to compare the effectiveness of the trapezius squeezing test with that of the jaw thrust maneuver as clinical indicators of adequate conditions for laryngeal mask airway (LMA) insertion in adults under sevoflurane anesthesia.METHODS:
One hundred adult patients of ASA physical status 1 or 2 undergoing minor surgical procedures were randomly allocated to the T (trapezius squeezing, n = 50) group or the J (jaw thrust, n = 50) group. The LMA was inserted immediately after the loss of response to trapezius squeezing or jaw thrust. Successful and unsuccessful attempts were recorded. An unsuccessful attempt was defined as the occurrence of coughing, gagging, gross purposeful movements, breath-holding, laryngospasm, or an SpO2 < 90% during LMA insertion. Insertion time, end-tidal sevoflurane concentration, mean arterial pressure, and heart rate were recorded.RESULTS:
The incidence of successful attempts was significantly higher in the T than in the J group (48/50 vs. 36/50, respectively).CONCLUSIONS:
The trapezius squeezing test is a superior indicator of an adequate condition for LMA insertion compared to the jaw thrust maneuver in adults under sevoflurane anesthesia.Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Procedimentos Cirúrgicos Menores
/
Laringismo
/
Incidência
/
Máscaras Laríngeas
/
Tosse
/
Pressão Arterial
/
Engasgo
/
Frequência Cardíaca
/
Anestesia
/
Arcada Osseodentária
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2011
Tipo de documento:
Article