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Anesth Analg 2008; 107:345-
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e3181784c1b
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LETTER TO THE EDITOR

Section Editor:
: Lawrence Saidman

Esophageal Seal Is Not the Only Consideration in Supraglottic Airway Devices

Sven Bercker, MD, Willi Schmidbauer, MD, and Thoralf Kerner, MD

Klinik für Anästhesiologie und Intensivtherapie Universitätsklinikum Leipzig; Leipzig, Germany; sven.bercker{at}medizin.uni-leipzig.de

In Response:

We agree with Genzwuerker and Hinkelbein1 that the evaluation of supraglottic airway devices should not solely focus on seal or the avoidance of aspiration. As highlighted in our discussion, our results cannot lead to general recommendations for the use of supraglottic airway devices in clinical situations.2 In contrast, our study was designed to evaluate a defined problem under controlled laboratory conditions. We are fully aware of the fact that this cannot replace further evaluation in clinical studies.

REFERENCES

  1. Genzwuerker HV, Hinkelbein J. Esophageal seal is not the only consideration in supraglottic airway devices. Anesth Analg 2008;107:344–5[Free Full Text]
  2. Bercker S, Schmidbauer W, Volk T, Bogusch G, Bubser HP, Hensel M, Kerner T. A comparison of seal in seven supraglottic airway devices using a cadaver model of elevated esophageal pressure. Anesth Analg 2008;106:445–8[Abstract/Free Full Text]




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2008 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press