Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway
BackgroundThe sniffing position is recommended for conventional laryngeal mask airway (LMA) insertion. However, there has been a high success rate of LMA insertion with the head in the neutral position. The effect of a difficult airway on the ease of LMA insertion is not clear. In this study, we com...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2011-04-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-60-244.pdf |
| _version_ | 1818935058998755328 |
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| author | Joo Hyun Jun Hee Jung Baik Jong Hak Kim Youn Jin Kim Ri-Na Chang |
| author_facet | Joo Hyun Jun Hee Jung Baik Jong Hak Kim Youn Jin Kim Ri-Na Chang |
| author_sort | Joo Hyun Jun |
| collection | DOAJ |
| description | BackgroundThe sniffing position is recommended for conventional laryngeal mask airway (LMA) insertion. However, there has been a high success rate of LMA insertion with the head in the neutral position. The effect of a difficult airway on the ease of LMA insertion is not clear. In this study, we compared the ease of LMA ProSeal™ (PLMA) insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway.MethodsAfter obtaining informed consent from the subjects, we enrolled 144 adult patients (age range: 18-65) with an ASA physical status 1 or 2. After evaluation of the airway, all the patients were grouped into the EA (easy airway) group (n = 68) and the DA (difficult airway) group (n = 76). According to the head position, each group was divided into the EA-SE (extension) group (n = 35), the EA-SN (sniffing) group (n = 33), the DA-SE group (n = 39) and the DA-SN group (n = 37). The success rate and insertion time at the first attempt were evaluated. The position of the PLMA was fiberoptically scored from the mask aperture of the airway tube in the original head position. After the head position was changed to the sniffing and neutral positions in the SE and SN group, respectively, the position of PLMA was re-evaluated fiberoptically.ResultsThe success rate and insertion time at the first attempt and the fiberoptic score showed no significant difference among the groups. After head position was changed, there were no significant changes in the fiberopitc scores.ConclusionsA difficult airway and the head position had no influence on the ease of PLMA insertion and the fiberopic score. Therefore, the head position can be selected according to the individual patient's situation. |
| first_indexed | 2024-12-20T05:14:08Z |
| format | Article |
| id | doaj.art-364b2767d5d843abb36cd5c6e481541f |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-20T05:14:08Z |
| publishDate | 2011-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-364b2767d5d843abb36cd5c6e481541f2022-12-21T19:52:12ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632011-04-0160424424910.4097/kjae.2011.60.4.2447099Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airwayJoo Hyun Jun0Hee Jung Baik1Jong Hak Kim2Youn Jin Kim3Ri-Na Chang4Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.BackgroundThe sniffing position is recommended for conventional laryngeal mask airway (LMA) insertion. However, there has been a high success rate of LMA insertion with the head in the neutral position. The effect of a difficult airway on the ease of LMA insertion is not clear. In this study, we compared the ease of LMA ProSeal™ (PLMA) insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway.MethodsAfter obtaining informed consent from the subjects, we enrolled 144 adult patients (age range: 18-65) with an ASA physical status 1 or 2. After evaluation of the airway, all the patients were grouped into the EA (easy airway) group (n = 68) and the DA (difficult airway) group (n = 76). According to the head position, each group was divided into the EA-SE (extension) group (n = 35), the EA-SN (sniffing) group (n = 33), the DA-SE group (n = 39) and the DA-SN group (n = 37). The success rate and insertion time at the first attempt were evaluated. The position of the PLMA was fiberoptically scored from the mask aperture of the airway tube in the original head position. After the head position was changed to the sniffing and neutral positions in the SE and SN group, respectively, the position of PLMA was re-evaluated fiberoptically.ResultsThe success rate and insertion time at the first attempt and the fiberoptic score showed no significant difference among the groups. After head position was changed, there were no significant changes in the fiberopitc scores.ConclusionsA difficult airway and the head position had no influence on the ease of PLMA insertion and the fiberopic score. Therefore, the head position can be selected according to the individual patient's situation.http://ekja.org/upload/pdf/kjae-60-244.pdfdiffcult airwaylaryngeal mask airwayneutral positionsniffing position |
| spellingShingle | Joo Hyun Jun Hee Jung Baik Jong Hak Kim Youn Jin Kim Ri-Na Chang Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway Korean Journal of Anesthesiology diffcult airway laryngeal mask airway neutral position sniffing position |
| title | Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway |
| title_full | Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway |
| title_fullStr | Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway |
| title_full_unstemmed | Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway |
| title_short | Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway |
| title_sort | comparison of the ease of laryngeal mask airway proseal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway |
| topic | diffcult airway laryngeal mask airway neutral position sniffing position |
| url | http://ekja.org/upload/pdf/kjae-60-244.pdf |
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