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The randomized crossover comparison of airway sealing with the laryngeal mask airway SupremeTM at three different intracuff pressures in children

DC FieldValueLanguage
dc.contributor.author김동욱-
dc.contributor.author김민수-
dc.contributor.author오정탁-
dc.contributor.author이정림-
dc.contributor.author최관웅-
dc.date.accessioned2015-01-06T17:12:32Z-
dc.date.available2015-01-06T17:12:32Z-
dc.date.issued2014-
dc.identifier.issn1155-5645-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/99539-
dc.description.abstractBACKGROUND: An intracuff pressure of 80 cm H2 O in the adult-sized laryngeal mask airway Supreme has been recommended to obtain a higher oropharyngeal leak pressure (OLP). However, the intracuff pressure for the higher OLP in the pediatric laryngeal mask airway Supreme could be different from that in the adult-sized laryngeal mask airway Supreme. Thus, we measured and compared OLP at three intracuff pressures of 40, 60, and 80 cm H2 O in the pediatric laryngeal mask airway Supreme. METHODS: This study was designed as a randomized crossover study and enrolled 36 children, aged 0-108 months and 5-30 kg in weight. After insertion of the laryngeal mask airway Supreme, oropharyngeal leak pressure (OLP) was measured at intracuff pressures of 40, 60, and 80 cm H2 O according to one of six sequences produced on the basis of 3 × 6 Williams crossover design. During the intraoperative period, the laryngeal mask airway Supreme was maintained using the last intracuff pressure of the allocated sequence. The intraoperative and postoperative complications were compared among three maintenance intracuff pressures. RESULTS: OLP at the intracuff pressure of 60 cm H2 O was significantly higher than that of 40 cm H2 O (17.9 ± 3.9 vs 16.9 ± 4.2 cm H2 O, P = 0.004) and was comparable with that of 80 cm H2 O (17.9 ± 3.9 vs 17.8 ± 4.6 cm H2 O, P = 0.938). There were no significant differences of intraoperative and postoperative complications among the three maintenance intracuff pressures. CONCLUSION: Our results suggest that the use of an intracuff pressure of 60 cm H2 O in pediatric laryngeal mask airway Supreme provides a higher OLP compared with 40 cm H2 O.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1080~1087-
dc.relation.isPartOfPEDIATRIC ANESTHESIA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAir Pressure-
dc.subject.MESHAirway Obstruction/epidemiology-
dc.subject.MESHAirway Obstruction/etiology-
dc.subject.MESHAnesthesia, Inhalation-
dc.subject.MESHAnesthetics, Inhalation-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHCross-Over Studies-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHInfant, Newborn-
dc.subject.MESHLaryngeal Masks*-
dc.subject.MESHMale-
dc.subject.MESHMethyl Ethers-
dc.titleThe randomized crossover comparison of airway sealing with the laryngeal mask airway SupremeTM at three different intracuff pressures in children-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorKwan-Woong Choi-
dc.contributor.googleauthorJeong-Rim Lee-
dc.contributor.googleauthorJung-Tak Oh-
dc.contributor.googleauthorDong Wook Kim-
dc.contributor.googleauthorMin-Soo Kim-
dc.identifier.doi10.1111/pan.12494-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02397-
dc.contributor.localIdA03098-
dc.contributor.localIdA04039-
dc.contributor.localIdA00463-
dc.contributor.localIdA00407-
dc.relation.journalcodeJ02478-
dc.identifier.eissn1460-9592-
dc.identifier.pmid25059727-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/pan.12494/abstract-
dc.subject.keywordairway management-
dc.subject.keywordanesthesia-
dc.subject.keywordclinical trial-
dc.subject.keywordlaryngeal mask airway-
dc.subject.keywordpediatrics-
dc.subject.keywordsore throat-
dc.contributor.alternativeNameKim, Dong Wook-
dc.contributor.alternativeNameKim, Min Soo-
dc.contributor.alternativeNameOh, Jung Tak-
dc.contributor.alternativeNameLee, Jeong Rim-
dc.contributor.alternativeNameChoi, Kwan Woong-
dc.contributor.affiliatedAuthorOh, Jung Tak-
dc.contributor.affiliatedAuthorLee, Jeong Rim-
dc.contributor.affiliatedAuthorChoi, Kwan Woong-
dc.contributor.affiliatedAuthorKim, Min Soo-
dc.contributor.affiliatedAuthorKim, Dong Wook-
dc.contributor.affiliatedAuthor오정탁-
dc.rights.accessRightsfree-
dc.citation.volume24-
dc.citation.number10-
dc.citation.startPage1080-
dc.citation.endPage1087-
dc.identifier.bibliographicCitationPEDIATRIC ANESTHESIA, Vol.24(10) : 1080-1087, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers

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