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Abstract
Background: Laryngeal Mask Airway Supreme™ (LMA Supreme™) is a new single-use polyvinyl chloride supraglottic device that offers gastric access. To date, studies that have tested the LMA Supreme™ for use in laparoscopic surgery have been reported.
Objectives: Evaluation on the use of Laryngeal Mask Airway Supreme™ for anaesthesia in laparoscopic cholecystectomy.
Method: Hospital ethics board approval was obtained, and 40 fasted patients undergoing elective laparoscopic cholecystectomy were prospectively studied. We evaluated the ease of insertion of the device and the drain tube, the oropharyngeal leak pressure (OLP), incidence of postoperative sore throat, and other adverse events.
Results: Insertion of the LMA Supreme™ was successful in all patients (first attempt, n = 39; second attempt, n = 1). Gastric tube insertion was successful in all patients (easy, n = 35; difficult, n = 5). Initial mechanical ventilation was adequate in almost all cases. Mean OLP at the level of 60 cmH₂O cuff pressure was 28.2 ± 5.1 cmH₂O. Mean peak airway pressure before pneumoperitoneum was 17 ± 3.5 cmH₂O, and 22.1 ± 4 cmH₂O, after pneumoperitoneum. Four patients (10%) complained of a mild sore throat postoperatively. Coughing occurred in 2 patients (5.0%), and blood was noted after removal of the LMA Supreme™ in 1 case (2.5%). No other complications were reported.
Conclusion: LMA Supreme™ is an easy to insert, and effective ventilatory device, for laparoscopic cholecystectomy. It provides a functional airway seal with minimum adverse events.
References
Belena JM, Gracia JL et al (2011), The laryngeal mask airway Supreme for positive pressure ventilation during laparoscopic cholecystectomy, J Clin Anesth, 23(6), pp. 456-60.
Eschertzhuberr S, Brimacombe J et al (2009), The laryngeal mask airway Supreme—a single-use laryngeal mask airway with an oesophageal vent. A randomised, cross-over study with the laryngeal mask airway Proseal in paralysed, anesthetised patients, Anaesthesia, 64(1), pp. 79-83.
Jose Belena, Monica Nunez et al (2012), The laryngeal mask airway Supreme safety and efficacy during gynaecological laparoscopic surgery, SAJAA: Southern African Journal of Anesthesia and Analgesia, 18(3), pp. 43-49.
Narashimhan Jagannathan, Lisa E. Sohn et al (2012), A cohort evaluation of the Laryngeal mask airway Supreme in children, Article first published online: 15 MAR 2012.
Seet E, Rajeev et al (2010), Safety and efficacy of laryngeal mask airway Supreme versus laryngeal mask airway ProSeal: a randomized control trial, Department of Anesthesia, University Health Network, University of Toronto, Ontario, Canada, Eur J Anaesthesiol, 27(7), pp. 602-7.
Timmermann A, Cremer S et al (2008), Laryngeal mask Supreme. Application by medical personnel inexperienced in airway management, Article in Germany, Anaesthesist, 57(10), pp. 970-5.
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