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Laryngeal Mask Airway Insertion in Adults: Comparison between Fully Deflated and Partially Inflated Technique

Authors
 Jiwon An  ;  Seo Kyung Shin  ;  Ki Jun Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.54(3) : 747-751, 2013 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2013
MeSH
Adult ; Airway Management/adverse effects ; Airway Management/instrumentation ; Airway Management/methods* ; Female ; Humans ; Laryngeal Masks/adverse effects* ; Middle Aged
Keywords
Complication ; laryngeal mask airway
Abstract
PURPOSE: The laryngeal mask airway (LMA) is a supraglottic airway device designed to seal around the laryngeal inlet. A controlled study was designed to compare the effectiveness and complications in inserting the LMA when the cuff is fully deflated and partially inflated. MATERIALS AND METHODS: American Society of Anesthesiologists physical status I or II 172 female patients scheduled for gynecologic procedures were included in this study. Patients were randomly allocated into one of the two groups; fully deflated (n=86) and partially inflated group (n=86). A size #4 LMA was inserted. The number of attempts, time taken for successful insertion, grade of leak, grade of fiberoptic view, and complications were evaluated. RESULTS: All 172 patients completed the study protocol. The number of attempts, time taken for successful insertion, and grade of leak were not significantly different between the two groups. The grade of fiberoptic view and complications were lower in the fully deflated group. CONCLUSION: The fully deflated method is more accurate and safe because of better fiberoptic view and lesser complications than the partially inflated group.
Files in This Item:
T201302457.pdf Download
DOI
10.3349/ymj.2013.54.3.747
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Jun(김기준) ORCID logo https://orcid.org/0000-0003-1950-7998
Shin, Seokyung(신서경) ORCID logo https://orcid.org/0000-0002-2641-0070
An, Ji Won(안지원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87386
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