Adverse Anesthesia Outcome Clinical Trial
Official title:
A Comparison Between the Supreme Laryngeal Mask Airway and the Laryngeal Tube Suction During Spontaneous Ventilation: A Randomized Prospective Study
The study compared the Laryngeal Tube Suction (LTS-D) Disposable with the Supreme Laryngeal Mask Airway (SLMA) during spontaneous ventilation. The investigators hypothesized that the LTS-D and the SLMA perform similarly during spontaneous ventilation despite differences in their structural design.
The Supreme Laryngeal Mask Airway (SLMA), (Intavent Orthofix, Maidenhead, UK), and Laryngeal
Tube Suction -Disposable (LTS-D, (VBM Medizintechnik GmbH, Sulz, Germany), are second
generation single-use supraglottic airway devices (SADs) with gastric access, for airway
management in spontaneously and mechanically ventilated patients undergoing general
anesthesia.
The SLMA has been compared to the Proseal Laryngeal Mask Airway (PLMA) during mechanical and
spontaneous ventilation the LTS II (multiple use version of the LTS-D) with the PLMA.
Recently, the LTS-D and SLMA have been compared when used during pressure controlled
mechanical ventilation.
To date, there is no published data comparing the SLMA to the LTS-D during spontaneous
ventilation. The investigators hypothesized that the SLMA and LTS-D perform similarly during
spontaneous ventilation despite differences in their structural design.
The chief aim of this prospective randomized study was to compare the SLMA and the LTS-D
with respect to 1) Oxygen saturation and End Tidal carbone dioxide during spontaneous
ventilation, 2) time to achieve an effective airway, 3) ease of insertion, 4) need for
interventions to achieve an effective airway, 5) cuff seal (leak) pressure at an intracuff
pressure of 60 cm H2O, 6) ventilatory variables during spontaneous ventilation, 7)
fiberoptic score, 8) adverse perioperative events.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Investigator), Primary Purpose: Supportive Care
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