JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (15)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Goldmann, K.
Right arrow Articles by Jakob, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Goldmann, K.
Right arrow Articles by Jakob, C.
Related Collections
Right arrow Airway
Right arrow Equipment
Right arrow Pediatrics

Anesth Analg 2005;100:1605-1610
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000152640.25078.90


PEDIATRIC ANESTHESIA

A Randomized Crossover Comparison of the Size 21/2 Laryngeal Mask Airway ProSealTM Versus Laryngeal Mask Airway-ClassicTM in Pediatric Patients

Kai Goldmann, MD, DEAA, and Christian Jakob

Department of Anaesthesia and Intensive Care Therapy, Philipps University Marburg, Germany

Address correspondence and reprint requests to Kai Goldmann, MD, DEAA, Department of Anesthesia and Intensive Care Therapy, Philipps University Marburg, 35033 Marburg, Germany. Address e-mail to Kaigoldmann1{at}aol.com.

The laryngeal mask airway (LMA)-ProSealTM (P-LMA) forms a more effective seal than the LMA-ClassicTM (C-LMA) and facilitates gastric tube (g-tube) placement in adults. The first pediatric sizes of P-LMA recently became available. In 30 anesthetized, nonparalyzed children, aged 7.7 ± 2 yr and weighing 27 (20–35) kg, we inserted the size 1/2 P-LMA and C-LMA in random order. Ease of insertion, quality of initial airway, fiberoptic position, airway leak pressure, and maximum tidal volume were determined. G-tube placement was assessed for the P-LMA. Ease of insertion was similar for both devices. The quality of the initial airway was better for the P-LMA (P = 0.01). Airway leak pressure in neutral head position (22.6 versus 18.5 mbar; P = 0.003), maximum flexion (37 versus 26.3 mbar; P < 0.001), maximum extension (15.2 versus 13 mbar; P = 0.045), and maximum tidal volume (1088 versus 949 mL; P = 0.002) were significantly better for the P-LMA. Air entry into the stomach occurred with the C-LMA but not with the P-LMA (P = 0.014). G-tube placement was possible in all patients. The reliability of g-tube placement and the significantly increased airway leak pressure found in this investigation might have important implications for use of the size 1/2 P-LMA for positive pressure ventilation in children.




This article has been cited by other articles:


Home page
Br J AnaesthHome page
M. Micaglio, R. Bonato, M. De Nardin, M. Parotto, D. Trevisanuto, V. Zanardo, N. Doglioni, and C. Ori
Prospective, randomized comparison of ProSealTM and ClassicTM laryngeal mask airways in anaesthetized neonates and infants
Br. J. Anaesth., August 1, 2009; 103(2): 263 - 267.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
M. Micaglio, M. Parotto, D. Trevisanuto, and V. Zanardo
Size 1 ProSealTM Laryngeal Mask Airway in Neonates
Anesth. Analg., October 1, 2006; 103(4): 1044 - 1045.
[Full Text] [PDF]


Home page
Anesth. Analg.Home page
K. Goldmann, C. Roettger, and H. Wulf
The Size 11/2 ProSealTM Laryngeal Mask Airway in Infants: A Randomized, Crossover Investigation with the ClassicTM Laryngeal Mask Airway
Anesth. Analg., February 1, 2006; 102(2): 405 - 410.
[Abstract] [Full Text] [PDF]


Home page
Br J AnaesthHome page
K. Goldmann, C. Roettger, and H. Wulf
Use of the ProSealTM laryngeal mask airway for pressure-controlled ventilation with and without positive end-expiratory pressure in paediatric patients: a randomized, controlled study
Br. J. Anaesth., December 1, 2005; 95(6): 831 - 834.
[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.