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The Soft Seal disposable laryngeal mask airway in adults: comparison of two insertion techniques without intra‐oral manipulation
Author(s) -
Kuvaki B.,
Küçükgüçlü S.,
İyilikçi L.,
Tuncali B. E.,
Çinar Ö.
Publication year - 2008
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.1365-2044.2008.05566.x
Subject(s) - medicine , insertion time , airway , laryngeal masks , laryngeal mask airway , anesthesia , surgery , airway management , seal (emblem) , art , visual arts
Summary We investigated whether insertion of the disposable Soft Seal laryngeal mask airway (SSLM) was successful without intra‐oral digital manipulation. One hundred patients undergoing anaesthesia using the SSLM were randomly assigned into two groups. Insertion was performed by either a direct or a rotational technique, both without intra‐oral digital manipulation. The primary outcome measure was successful insertion at first attempt. Other outcomes included insertion time, fibreoptic assessment of the airway view and airway morbidity. The first attempt success rate was higher (98%) with the direct technique than with the rotational technique (75%; p = 0.002) but insertion time was faster with the latter method (mean [range] 15 [8–50] s) than with the direct method (20 [8–56] s; p = 0.035). Fibreoptic assessment and airway morbidity were similar in both groups. We conclude that the SSLM can be successfully inserted without intra‐oral digital manipulation.