British Journal of Anaesthesia, Vol 81, Issue 2 186-187, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia
C. Keller, F. Puhringer and J. R. Brimacombe
We studied the size 4 laryngeal mask airway (LMA) to test the hypothesis
that oropharyngeal leak pressure and fibreoptic position improves with
increasing cuff volume. After LMA insertion, 50 anaesthetized adult
patients had the cuff inflated in 5-ml increments to 40 ml. Oropharyngeal
leak pressure was optimal at 15 ml and decreased at higher volumes. The
fibreoptic position was optimal at 0- 20 ml and deteriorated at higher
volumes. Gastric insufflation was detected more frequently when the cuff
volume exceeded 20 ml. We conclude that inflation of the size 4 LMA to the
maximum recommended volume provides suboptimal conditions and that this
value should be reduced from 30 to 20 ml.
CLINICAL INVESTIGATIONS
Influence of cuff volume on oropharyngeal leak pressure and fibreoptic position with the laryngeal mask airway
Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens University, Innsbruck, Austria; Department of Anaesthesia and Intensive Care, University of Queensland, Cairns Base Hospital, Cairns 4870, Australia
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