Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Comparative Study of the Proseal Laryngeal Mask Airway (PLMA) Insertion by Three Different Technique I.E. Introducer, Digital and Stylet


Affiliations
1 Postgraduate Student IIIrd Year, Maharishi Markandeshwar Deemed to be University, India
2 Assosciate Professor, Department of Anaesthesiology, Maharishi Markandeshwar Deemed to be University, India
     

   Subscribe/Renew Journal


Background: Supraglottic airway devices have been widely used as an alternative to tracheal intubation during general anesthesia. Proseal Laryngeal Mask Airway (PLMA) is an effective alternative to ETT with inflatable cuff forming pressure seal around laryngeal inlet and permitting ventilation. In view of this, the present study was undertaken to compare the different insertion techniques to insert PLMA in adult patients undergoing elective surgeries. Methodology: Ninety patients scheduled for elective surgical procedures under general anesthesia belonging to ASA grade I and II were included in the study and were randomly divided into three groups with 30 patients in each group. In Group I (n=30), PLMA was inserted using introducer, in Group II (n=30) PLMA was inserted using digit and in group III (n=30) PLMA was inserted using stylet. Groups were compared in relation to number of attempts, insertion time, ease of insertion, orogastric tube insertion and, hemodynamic changes. Results: The success first attempt rate for placement of PLMA was highest with introducer as compared to digit or stylet and the results were statistically significant (p=0.029). The mean time of insertion for PLMA using introducer was 27.03±4.08 seconds which was shortest whereas with digit it was highest 35.27±4.97 (p=0.000) and by using stylet 31.33±3.12 seconds. There was no change in hemodynamic after the insertion of PLMA with either technique. Conclusion: To conclude introducer technique of PLMA insertion was best as compared to digit and stylet technique.

Keywords

Proseal Laryngeal Mask Airway; Supraglottic Airway Device
Subscription Login to verify subscription
User
Notifications
Font Size


Abstract Views: 88

PDF Views: 0




  • A Comparative Study of the Proseal Laryngeal Mask Airway (PLMA) Insertion by Three Different Technique I.E. Introducer, Digital and Stylet

Abstract Views: 88  |  PDF Views: 0

Authors

Divya Vijay
Postgraduate Student IIIrd Year, Maharishi Markandeshwar Deemed to be University, India
Sapna Bansal
Assosciate Professor, Department of Anaesthesiology, Maharishi Markandeshwar Deemed to be University, India
Somika Aggarwal
Postgraduate Student IIIrd Year, Maharishi Markandeshwar Deemed to be University, India
Priyam
Postgraduate Student IIIrd Year, Maharishi Markandeshwar Deemed to be University, India

Abstract


Background: Supraglottic airway devices have been widely used as an alternative to tracheal intubation during general anesthesia. Proseal Laryngeal Mask Airway (PLMA) is an effective alternative to ETT with inflatable cuff forming pressure seal around laryngeal inlet and permitting ventilation. In view of this, the present study was undertaken to compare the different insertion techniques to insert PLMA in adult patients undergoing elective surgeries. Methodology: Ninety patients scheduled for elective surgical procedures under general anesthesia belonging to ASA grade I and II were included in the study and were randomly divided into three groups with 30 patients in each group. In Group I (n=30), PLMA was inserted using introducer, in Group II (n=30) PLMA was inserted using digit and in group III (n=30) PLMA was inserted using stylet. Groups were compared in relation to number of attempts, insertion time, ease of insertion, orogastric tube insertion and, hemodynamic changes. Results: The success first attempt rate for placement of PLMA was highest with introducer as compared to digit or stylet and the results were statistically significant (p=0.029). The mean time of insertion for PLMA using introducer was 27.03±4.08 seconds which was shortest whereas with digit it was highest 35.27±4.97 (p=0.000) and by using stylet 31.33±3.12 seconds. There was no change in hemodynamic after the insertion of PLMA with either technique. Conclusion: To conclude introducer technique of PLMA insertion was best as compared to digit and stylet technique.

Keywords


Proseal Laryngeal Mask Airway; Supraglottic Airway Device



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F194930