British Journal of Anaesthesia, Vol 82, Issue 1 132-134, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia
M. Lopez-Gil, J. Brimacombe and AIJ. Brain
We have assessed a prototype laryngeal mask airway (pLMA) in 50
anaesthetized children for ease of insertion, oropharyngeal leak pressures,
gastric insufflation and fibreoptic position. The pLMA has a second smaller
mask, which rests against the upper oesophageal sphincter, and a second
cuff to increase the seal pressure of the glottic mask. All insertions were
graded as easy and an effective airway was achieved in all patients.
Oropharyngeal leak pressure was > 40 cm H2O in 49 of 50 patients.
Gastric insufflation was not detected by epigastric auscultation. In 46 of
50 patients, the vocal cords were seen via a fibreoptic laryngoscope. One
patient regurgitated clear fluid, but aspiration did not occur. On removal,
blood staining was detected in three of 50 children. We conclude that the
pLMA was easy to insert, facilitated high airway pressure ventilation and
may provide some protection against gastric insufflation.
SHORT COMMUNICATIONS
Preliminary evaluation of a new prototype laryngeal mask in children
Maranon University Hospital, Department of Anaesthesia and Reanimation, Maranon University Hospital, Madrid, Spain; University of Queensland, Department of Anaesthesia and Intensive Care, Cairns Base Hospital, Cairns 4870, Australia; Royal Berkshire Hospital, Institute of Laryngology, University of London, London, UK
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