A RANDOMIZED TRIAL COMPARING THE LARYNGEAL MASK AIRWAY SUPREME™ WITH THE LARYNGEAL MASK AIRWAY UNIQUE™ IN ANAESTHETISED AND PARALYSED CHILDREN
Maj Vipin Sukumaran, Lt Col Amit Dua
Abstract
Maj Vipin Sukumaran, Lt Col Amit Dua
Abstract
Objectives: To compare the laryngeal mask airway Supreme with the laryngeal mask airway Unique in anaesthetised and paralysed children. Methods: Fourty two children presenting for elective surgery were randomly assigned to receive either the laryngeal mask airway Supreme or laryngeal mask airway Unique.The outcomes measured were airway leak pressure,ease and time for insertion,insertion success rate,quality of airway during anaesthetic maintenance and complications. Results: The mean airway leak pressure was higher in the LMASupreme group (18.10 ± 0.83 cm of H2O) compared to that in LMAUnique group (15.48 ± 0.75 cm of H2O),p-value <.001.The mean insertion time was less in the LMA Supreme group (16.67 ± 3.15 secs) compared to that in LMAUnique group (19.10 ± 2.34 secs),p-value =.007. Conclusion: Laryngeal mask airway Supreme performed better than the laryngeal mask airway Unique and is a better alternative for airway maintenance in children who require positive pressure ventilation during anaesthesia.
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Objectives: To compare the laryngeal mask airway Supreme with the laryngeal mask airway Unique in anaesthetised and paralysed children. Methods: Fourty two children presenting for elective surgery were randomly assigned to receive either the laryngeal mask airway Supreme or laryngeal mask airway Unique.The outcomes measured were airway leak pressure,ease and time for insertion,insertion success rate,quality of airway during anaesthetic maintenance and complications. Results: The mean airway leak pressure was higher in the LMASupreme group (18.10 ± 0.83 cm of H2O) compared to that in LMAUnique group (15.48 ± 0.75 cm of H2O),p-value <.001.The mean insertion time was less in the LMA Supreme group (16.67 ± 3.15 secs) compared to that in LMAUnique group (19.10 ± 2.34 secs),p-value =.007. Conclusion: Laryngeal mask airway Supreme performed better than the laryngeal mask airway Unique and is a better alternative for airway maintenance in children who require positive pressure ventilation during anaesthesia.
Key concepts: Laryngeal mask airway, Airway, Medicine, Anesthesia, Insertion time, Laryngeal Masks, Larynx, Leak