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Comparison of Proseal Laryngeal Mask Airway Versus Endotracheal Tube in Anaesthetized Adult Patients

Dr. Sapna Bansal, Associate Professor, Department of Anesthesiology and Critical Care, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana 133207, India. , Saranjit Singh1 , Sapna Bansal2 , Rahul Midda3 , Dhanwant Kaur4 , Preet5 , Kanav Sharma6 , Neetika Sarwal7

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Indian Journal of Anesthesia and Analgesia 5(3):p 415-418, March 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5318.10

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Abstract

Endotracheal tube (ETT) is always considered as a standard device to keep an airway patent during surgery. Airway management of patients has also progressed form endotracheal tube to lesser invasive laryngeal mask airway. The proseal laryngeal mask airway (PLMA) is a recently introduced supraglottic airway device. It provides higher seal pressure and offer a better protection against regurgitation and gastric insufflation. Aims and Objective: To compare the efficacy of PLMA and ETT in terms of pulmonary ventilation, ease and no of attempts of placement and hemodynamic parameters. Material and Method: A prospective, simple randomized and comparative study was carried out after ethical committee approval in 60 patients, aged 20-50 years, with ASA grade I and II of either gender undergoing elective surgery under general anaesthesia at tertiary care centre in india during 2015 and 2016 to compare the efficacy of PLMA and ETT in terms of pulmonary ventilation, ease and no of attempts of placement and hemodynamic parameters. Result: Both the groups were comparable regarding age, gender, height and baseline vitals. Patients intubated with PLMA showed no or minimal change in heart rate and mean arterial pressure as compared to ETT. The intubation time was comparable in both groups. The two groups were comparable with respect to number of attempts required for insertion of both the devices, (P> 0.05). Conculsion: The comparative study showed PLMA has a good hemodynamic stability. It is concluded from our study that placement of PLMA is relatively easy and simple. The performance of PLMA is as good as the conventional ETT in providing general anaesthesia.

 

 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5318.10

Keywords

Proseal Laryngeal Mask Airway; Regurgitation; Insufflation and Hemodynamic. 

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