Adverse Anesthesia Outcome
Conditions
Keywords
Laryngeal Tube Supreme Laryngeal Mask Airway Leak Pressure
Brief summary
The investigators study compared the Laryngeal Tube Suction-Disposable with the Supreme Laryngeal Mask Airway, hypothesizing that the two devices would provide adequate oropharyngeal seal pressure in different head and neck positions and perform similarly during pressure controlled ventilation in neutral position, despite differences in their structural design.
Detailed description
Laryngeal Tube Suction Disposable, LTS-D (VBM Medizintechnik GmbH , Sulz, Germany) and Supreme Laryngeal Mask Airway, SLMA (Intavent Orthofix, Maidenhead, UK) are second generation, single-use, supraglottic airway devices( SADs), with added gastric access, for use in spontaneously and mechanically ventilated patients undergoing general anesthesia. The effectiveness of the LTS-D and the SLMA has been well established; however, the oropharyngeal seal pressure of both devices in different head/neck positions and the performance of these devices using positive pressure ventilation have not been evaluated. Changing the head/neck position can alter the sealing capabilities of the SAD. To the investigators best knowledge there are no studies comparing the oropharyngeal seal pressure in different head and neck position when using these devices.
Interventions
Laryngeal Tube Suction Disposable
Supreme Laryngeal Mask Airway
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients ASA I and II with normal airways, for minor elective surgical
Exclusion criteria
* Age \<18 yr, weight \<50 kg, or \> 100 kg , a known difficult airway, active gastro esophageal reflux disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary outcome oropharyngeal seal pressures, in cm H2O | 5 min | Oropharyngeal leak pressure was determined by closing the expiratory valve of the anesthesia breathing system and a fixed gas flow of the 3 liters minute. The airway pressure at which an equilibrium was reached was noted( maximun allowed 40 cm H2O) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fiberoptic position | 5 min | Scoring system of the fiberoptic view: ranged from grade 4 (full view of arytenoids and glottis), 3 (arytenoids and glottis partly visible), 2 (view of arytenoids, glottis or epiglottis), and 1 (no part of larynx identifiable). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Sore throat | 30 minutes after admission in Post Anesthetic Operative Unit ( PACU) and 24 hours postoperatively | Sore throat was assessed subjetively by the patient using the 0-10 Numeric Pain Rating Scale |