Journal article
Comparison of 2 cuff inflation methods before insertion of laryngeal mask airway for safe use without cuff manometer in children
The American journal of emergency medicine, Vol.31(2), pp.346-352
02/01/2013
DOI: 10.1016/j.ajem.2012.08.037
PMID: 23158592
Abstract
Purpose: This prospective, randomized trial was conducted to establish whether the pediatric laryngeal mask airway (LMA) could be used without any concerns for abnormally high intra-cuff pressure when a cuff of the LMA was inflated with half the maximum recommended inflation volume or the resting volume before insertion.
Basic procedures: Eighty children 0 to 9 years of age and weighing of 5 to 30 kg scheduled for general anesthesia were included. Before insertion, the cuff of the LMA was filled with half the maximum recommended inflation volume in the Half volume group, or the resting volume by opening the pilot balloon valve to atmospheric pressure in the Resting volume group. After insertion of the LMA, intra-cuff pressure, oropharyngeal leak pressure, and leakage volume were investigated.
Major findings: The Half volume group showed lower mean intra-cuff pressure than the Resting volume group (49.6 + 12.1 cm H2O vs 58.1 + 13.8 cm H2O, P = .005). There was no difference in oropharyngeal leak pressure (22.1 +/- 5.8 vs 21.7 +/- 5.1 cm H2O, P = .757) or leakage volume between the Half volume group and the Resting volume group (0.13 +/- 0.13 ml/kg vs 0.11 +/- 0.12 ml/kg, P = .494) under spontaneous respiration.
Conclusions: Both methods of the LMA cuff inflation before insertion provided an acceptable range of intra-cuff pressure with adequate pharyngeal sealing without any intervention after insertion. (C) 2013 Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Comparison of 2 cuff inflation methods before insertion of laryngeal mask airway for safe use without cuff manometer in children
- Creators
- Min-Soo Kim - Yonsei UniversitySun-Joon Bai - Yonsei UniversityJung-Tak Oh - Yonsei UniversitySeung-Mok Youm - Yonsei UniversityJeong-Rim Lee - Yonsei University
- Resource Type
- Journal article
- Publication Details
- The American journal of emergency medicine, Vol.31(2), pp.346-352
- DOI
- 10.1016/j.ajem.2012.08.037
- PMID
- 23158592
- NLM abbreviation
- Am J Emerg Med
- ISSN
- 0735-6757
- eISSN
- 1532-8171
- Publisher
- Elsevier
- Number of pages
- 7
- Language
- English
- Date published
- 02/01/2013
- Academic Unit
- Anesthesia
- Record Identifier
- 9984806605102771
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