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British Journal of Anaesthesia, Vol 80, Issue 5 675-676, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia

SHORT COMMUNICATIONS

Gastro-oesophageal reflux with the laryngeal mask during day-case gynaecological laparoscopy

H. J. Skinner, BYM. Ho and R. P. Mahajan
Department of Anaesthesia, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY; Department of Anaesthesia, Nottingham City Hospital NHS Trust, Hucknall Road, Nottingham NG5 1PB

We have evaluated if breathing spontaneously via a laryngeal mask airway is associated with a higher risk of gastro-oesophageal reflux compared with positive pressure ventilation via a laryngeal mask airway in 40 patients undergoing day-case gynaecological laparoscopy. Patients were allocated randomly to receive either positive pressure ventilation or breathe spontaneously via a laryngeal mask airway. Using continuous oesophageal pH monitoring, three patients in the ventilated group and one in the spontaneous breathing group had gastrooesophageal reflux (P = 0.29). We found no evidence to suggest that breathing spontaneously via a laryngeal mask airway increased the risk of gastro-oesophageal reflux compared with positive pressure ventilation in this group of patients.
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 Anesth. Analg.Home page
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