Different Techniques for Insertion of the ProSeal Laryngeal Mask Airway in Patients With Difficult Airway
Study Details
Study Description
Brief Summary
The ProSeal laryngeal mask airway (PLMA) is a new laryngeal mask device with a modified cuff to improve the seal and a drain tube to prevent aspiration and gastric insufflation. The manufacturer recommends inserting the PLMA using digital manipulation, like the Classic LMA, or with an introducer tool (IT), like the Intubating LMA. The mean (range) frequency of insertion success at the first attempt for these techniques is 84% (81-100) and 95% (90-100) respectively, with the main causes of insertion difficulty being impaction at the back of the mouth and failure of the distal cuff to reach the hypopharynx. Howarth et al described an insertion technique which overcomes these difficulties by using a gum elastic bougie (GEB) placed in the esophagus to guide the PLMA around the back of the mouth and into its correct position in the hypopharynx. Howarth et al reported no failed uses from 100 consecutive insertions. In the following study, we test the hypothesis that GEB-guided insertion is more frequently successful than the digital and IT techniques in patients with difficult airway.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Outcome Measures
Primary Outcome Measures
- Insertion success rate [5 min]
Secondary Outcome Measures
- Time to successful insertion [5 min]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Female patient
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19-70 yr
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Body mass index <35 kg/m2
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Difficult airway
Exclusion Criteria:
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< 19 yr
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Body mass index >35 kg/m2
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Risk of aspiration
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Anesthesia and Intensive Care | Innsbruck | Austria | 6020 |
Sponsors and Collaborators
- Medical University Innsbruck
Investigators
- Principal Investigator: Christian Keller, MD, M.Sc., Dept of Anesthesia and Intensive Care
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- UN2532