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Influence of Head and Neck Position on Oropharyngeal Leak Pressure and Cuff Position with the ProSeal Laryngeal Mask Airway and the I-Gel: A Randomized Clinical Trial
المؤلفون المشاركون
Nawaz, Mohammad
Satyapraksh, M. V. S.
Parida, Satyen
Bidkar, Prasanna Udupi
Hemavathy, Balachander
Kundra, Pankaj
Mishra, Sandeep Kumar
المصدر
Anesthesiology Research and Practice
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-01-11
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
This study was designed to assess and compare the effect of head and neck position on the oropharyngeal leak pressures and cuff position (employing fibreoptic view of the glottis) and ventilation scores between ProSeal LMA and the I-gel.
Material and Methods.
After induction of anesthesia, the supraglottic device was inserted and ventilation confirmed.
The position of the head was randomly changed from neutral to flexion, extension, and lateral rotation (left).
The oropharyngeal leak pressures, fibreoptic view of glottis, ventilation scores, and delivered tidal volumes and end tidal CO2 were noted in all positions.
Results.
In both groups compared with neutral position, oropharyngeal leak pressures were significantly higher with flexion and lower with extension but similar with rotation of head and neck.
However the oropharyngeal leak pressure was significantly higher for ProSeal LMA compared with the I-gel in all positions.
Peak airway pressures were significantly higher with flexion in both groups (however this did not affect ventilation), lower with extension in ProSeal group, and comparable in I-gel group but did not change significantly with rotation of head and neck in both groups.
Conclusion.
Effective ventilation can be done with both ProSeal LMA and I-gel with head in all the above positions.
ProSeal LMA has a better margin of safety than I-gel due to better sealing pressures except in flexion where the increase in airway pressure is more with the former.
Extreme precaution should be taken in flexion position in ProSeal LMA.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mishra, Sandeep Kumar& Nawaz, Mohammad& Satyapraksh, M. V. S.& Parida, Satyen& Bidkar, Prasanna Udupi& Hemavathy, Balachander…[et al.]. 2015. Influence of Head and Neck Position on Oropharyngeal Leak Pressure and Cuff Position with the ProSeal Laryngeal Mask Airway and the I-Gel: A Randomized Clinical Trial. Anesthesiology Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1053951
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mishra, Sandeep Kumar…[et al.]. Influence of Head and Neck Position on Oropharyngeal Leak Pressure and Cuff Position with the ProSeal Laryngeal Mask Airway and the I-Gel: A Randomized Clinical Trial. Anesthesiology Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1053951
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mishra, Sandeep Kumar& Nawaz, Mohammad& Satyapraksh, M. V. S.& Parida, Satyen& Bidkar, Prasanna Udupi& Hemavathy, Balachander…[et al.]. Influence of Head and Neck Position on Oropharyngeal Leak Pressure and Cuff Position with the ProSeal Laryngeal Mask Airway and the I-Gel: A Randomized Clinical Trial. Anesthesiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1053951
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1053951
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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