A randomized comparative study of three supraglottic airway devices for controlled ventilation in anesthetized patients.
J Anaesthesiol Clin Pharmacol
; 38(2): 221-227, 2022.
Article
in En
| MEDLINE
| ID: mdl-36171925
ABSTRACT
Background and Aims:
The LMA® ProSeal™, LMA® Supreme™ and Ambu® AuraGain™ are second-generation supraglottic airway devices (SADs) with integrated gastric access. In this study, we compared the clinical performance of these three devices in adults for controlled ventilation in anesthetized paralysed patients. Material andMethods:
Two hundred and seventy adults, American Society of Anesthesiologists (ASA) Physical Status I-III, undergoing elective surgical procedures, were randomized into three groups with 90 patients in each Group 1 LMA® ProSeal™, Group 2 LMA® Supreme™ and Group 3 Ambu® AuraGain™. All the three devices were evaluated for oropharyngeal seal pressure (OSP) and other parameters ease and the number of attempts at device placement, fibreoptic laryngeal view and intraoperative and postoperative complications.Results:
In the present study, the mean OSP was 38.9 ± 3.050 cm H2O in the LMA ProSeal™ group, 37.41 ± 4.097 cm H2O in LMA® Supreme™ group and 37.32 ± 3.740 cm H2O in Ambu® AuraGain™ group. The difference was found to be statistically significant (P = 0.006). The three groups were comparable for the ease of device insertion, number of attempts at device placement, fibreoptic laryngeal view, intraoperative and postoperative complications.Conclusion:
In this study, we found that the LMA® ProSeal™ provided the highest OSP in comparison to the other two devices, even though this difference is not clinically relevant. The use of Ambu® AuraGain™ was associated with difficult and lowest first-time insertion success rate (P < 0.001) along with an increased incidence of airway trauma as compared to the other two SADs.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Clinical_trials
Language:
En
Journal:
J Anaesthesiol Clin Pharmacol
Year:
2022
Document type:
Article
Affiliation country: