IngentaConnect A study of airway management using the ProSeal LMA laryngeal mask...

Authors: Hohlrieder, M.¹; Brimacombe, J.²; Eschertzhuber, S.³; Ulmer, H.⁴; Keller, C.⁵

Source: Anaesthesia, Volume 62, Number 9, September 2007 , pp. 913-918(6)

Abstract:

Summary

In a randomised double blind prospective study, we tested the hypothesis that postoperative pain is lower in patients who receive an ProSeal LMA^™ laryngeal mask airway compared with a tracheal tube. One hundred consecutive female patients (ASA I-II, 18-75 years) undergoing laparoscopic gynaecological surgery were divided into two equal-sized groups for airway management with the ProSeal LMA or tracheal tube. Anaesthesia management was identical for both groups and included induction of anaesthesia using propofol/fentanyl, and maintenance with propofol/remifentanil, muscle relaxation with rocuronium, positive pressure ventilation, gastric tube insertion, dexamethasone/tropisetron for anti-emetic prophylaxis, and diclofenac for pain prophylaxis. All types of postoperative pain were treated using intravenous patient-controlled analgesia (PCA) morphine. Patients and postoperative staff were unaware of the airway device used. Data were collected by a single blinded observer. We found that pain scores were lower for the ProSeal LMA at 2 h and 6 h but not at 24 h. Morphine requirements were lower for the ProSeal LMA by 30.4%, 30.6% and 23.3% at 2, 6 and 24 h, respectively. Nausea was less common with the ProSeal LMA than with the tracheal tube at 2 h and 6 h but not at 24 h. There were no differences in the frequency of vomiting, sore throat, dysphonia or dysphagia. We conclude that postoperative pain is lower for the ProSeal LMA than the tracheal tube in females undergoing gynaecological laparoscopic surgery.

Document Type: Research article

DOI: 10.1111/j.1365-2044.2007.05142.x

Affiliations: 1: Resident 2: Professor, James Cook University, Cairns Base Hospital, Australia 3: Resident 4: PhD, Department for Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Austria 5: Associate Professor, Department of Anaesthesia and Intensive Care Medicine, Medical University Innsbruck

The full text electronic article is available for purchase. You will be able to download the full text electronic article after payment.

$50.16 plus tax Refund Policy

A study of airway management using the ProSeal LMA® laryngeal mask airway compared with the tracheal tube on postoperative analgesia requirements following gynaecological laparoscopic surgery

A study of airway management using the ProSeal LMA^® laryngeal mask airway compared with the tracheal tube on postoperative analgesia requirements following gynaecological laparoscopic surgery