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Anaesthesia for gynaecological laparoscopy—a comparison between the laryngeal mask airway and tracheal intubation
Author(s) -
Swann D. G.,
Spens H.,
Edwards S. A.,
Chestnut R. J.
Publication year - 1993
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1993.tb07021.x
Subject(s) - medicine , laryngeal mask airway , anesthesia , tracheal intubation , laryngeal masks , mascara , airway , laparoscopy , intubation , vomiting , surgery , nausea , ventilation (architecture) , general anaesthesia , airway management , mechanical engineering , engineering
Summary In a single‐blind, randomised, controlled study, we compared two anaesthetic techniques in 60 patients undergoing gynaecological laparoscopy. In the first group, ventilation was controlled, after paralysis and tracheal intubation. In the second group, a laryngeal mask airway was inserted and spontaneous or assisted ventilation allowed. There were no clinically significant differences in the intra‐operative conditions of the two groups, although the procedure was quicker in the second group. The only significant difference in morbidity was a greater incidence of nausea and vomiting in the second group in the first 4 h after operation. We conclude that use of the laryngeal mask airway is an acceptable technique for elective gynaecological laparoscopy, in patients who are at low risk of regurgitation.