PROSEAL LARYNGEAL MASK AIRWAY INSERTION IN CHILDREN ; ACOMPARATIVE STUDY OF 'DIGITAL TECHNIQUE' WITH 'BOUGIE GUIDED TECHNIQUE' OF INSERTION.

IJAR - Indian Journal of Applied Research

View Publication Info
 
 
Field Value
 
Title PROSEAL LARYNGEAL MASK AIRWAY INSERTION IN CHILDREN ; ACOMPARATIVE STUDY OF 'DIGITAL TECHNIQUE' WITH 'BOUGIE GUIDED TECHNIQUE' OF INSERTION.
 
Creator Arunsundar, Dr.A.; Senior Asst Professor of Anesthesiology, GVMCH.
Mahendran, Dr.M.; Senior Asst Professor of Anesthesiology, GVMCH. *Correspondence Author
Sudhakaran, Dr.D.; Associate Professor of Anesthesiology, GVMCH.
 
Subject
 
Description Background :  Proseal Laryngeal mask airway (ProSeal™ LMA) is an advanced supraglottic airway device which has an additional port for gastric suctioning. We conducted a Comparative study of two techniques of insertion of ProSeal™ LMA in children. Digital technique of insertion comparedwith Bougie Guided Technique of insertion. Method  Eighty children (ASA I–II, aged 1–16 yr) were randomly allocated for ProSeal™ LMA insertion using the digital or bougie-guided technique. The digital technique was performed according to the manufacturer's instructions. The bougie-guided technique involved priming the drain tube with a bougie, placing the bougie in the oesophagus under direct vision and railroading the ProSeal™ LMA into position. Data were collected about the ease of insertion (number of attempts and time taken to provide an effective airway), ease of gastric tube placement, haemodynamic responses, blood staining and post operative airway morbidity.Results : In bougie guided insertion technique changes in heart rate was more ( 12 vs 5 ,  P<0.0001), changes in blood pressure was more ( 11 mg vs 6 mmHg P<0.0001) and effective airway time was longer ( 48vs 32 s , P<0.0001) . There were no differences between groupsregarding success rate of insertion, ease of gastric tube placement,bloodstaining,and postoperative airway morbidity.CONCLUSION:To conclude, the digital technique of  ProSeal™ LMA insertion has similar characteristics compared with the bougie guided insertion in children, but the digital technique has more stable hemodynamics compared with the bougie guided technique. The effective airway time is more in bougie guided technique compared with digital technique.The success rate of LMA insertion, success rate of gastric tube placement, incidence of trauma and postoperative airway morbidity are similar in both digital technique group and bougie guided group.
 
Publisher World Wide Journals
 
Contributor
 
Date 2017-10-28
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://worldwidejournals.in/ojs/index.php/ijar/article/view/6
 
Source IJAR - Indian Journal of Applied Research; Vol 7, No 10 (2017): October
2249 - 555X
 
Language eng
 
Relation http://worldwidejournals.in/ojs/index.php/ijar/article/view/6/6
http://worldwidejournals.in/ojs/index.php/ijar/article/downloadSuppFile/6/7
 
Rights Copyright (c) 2017 Dr.A. Arunsundar, Dr.M. Mahendran, Dr.D. Sudhakaran
http://creativecommons.org/licenses/by/4.0
 

Contact Us

The PKP Index is an initiative of the Public Knowledge Project.

For PKP Publishing Services please use the PKP|PS contact form.

For support with PKP software we encourage users to consult our wiki for documentation and search our support forums.

For any other correspondence feel free to contact us using the PKP contact form.

Find Us

Twitter

Copyright © 2015-2018 Simon Fraser University Library