A COMPARATIVE STUDY BETWEEN PROSEAL LARYNGEAL MASK AIRWAY AND ENDOTRACHEAL TUBE IN PATIENTS UNDERGOING LAPAROSCOPIC SURGERY
*Dr. Uday Pratap, Dr. Sushil Kumar, DR. Veena Gupta, DR. Navab Singh, DR. Ruchi Gupta
Background: Tracheal intubation and controlled ventilation is the gold standard for the anaesthetic management of a patient undergoing laparoscopic surgery. The ProSeal laryngeal mask airway (PLMA) is being considered as an alternative airway device for laparoscopic surgical procedures. Aim of the study is to evaluate its use during general anaesthesia with positive pressure ventilation in patients undergoing laparoscopic surgery. Method: A prospective randomized study of 100 ASA І &ІІ between the age of 18-65 years was done. Insertion characteristics of the PLMA or ETT and of the nasogastric tube (NGT), Haemodynamic responses, oxygen saturation and EtCO2 measurements at various intervals and intraoprative and postoperative complication were analysed. Results: showed that time required for insertion was shorter for PLMA as compared to ETT (p <0.0001). Nasogastric tube insertion was also faster in the PLMA group. There was statistical significant difference in the pulse rate values before and after pneumoperitoneum was created and in MAP. There were no statistically significant differences in oxygen saturation (SpO2) or end-tidal carbon dioxide (EtCO2) between the two groups before or during peritoneal insufflation. Incidence of complication was lower in PLMA group. No significant difference in laryngopharyngeal morbidity was noted. So, to conclude that PLMA is suitable and a safe alternative to cuffed ETT for airway management in elective non obese patients undergoing laparoscopic surgeries under general anaesthesia.
Keywords: Endotracheal tube, Proseal larengeal mask, Laparoscopic surgery, Nesogastric tube.
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