ProSeal-Laryngeal Mask Airway Versus Endotracheal Intubation For Maintaining General Anaesthesia In Patients Undergoing Laparoscopic Surgery

Dr Neha Chaudhary; Dr Sanju Sharma; Dr K Hari Kiran; Dr Vineeta Dwivedi

Volume : X, Issue : VI, June - 2020

ProSeal-Laryngeal Mask Airway Versus Endotracheal Intubation For Maintaining General Anaesthesia In Patients Undergoing Laparoscopic Surgery

Dr Neha Chaudhary, Dr Sanju Sharma, Dr K Hari Kiran, Dr Vineeta Dwivedi

Abstract :

INTRODUCTION: Laparoscopic surgery is an evolving subspecialty and is not only limited to minor gynaecological surgeries or cholecystectomy. Endotracheal intubation is the overall accepted “gold standard of securing the airway”. The hemodynamic response induced by laryngoscopy and intubation can be avoided by inserting supraglottic airway devices such as LMA. ProSeal laryngeal mask airway (PLMA), a modification of classic LMA with a modified cuff design, has a gastric drainage tube placed lateral to main airway tube allowing the regurgitated gastric contents to bypass the glottis. METHODS: 60 adult ASA I & II patients of 18–60 years, posted for laparoscopic surgery were divided into group P (PLMA) and group E (Endotracheal tube). The outcome studied were insertion characteristics of the devices hemodynamic responses, oxygenation and ventilation, oropharyngeal seal pressure, incidence of gastric distension and any laryngo–pharyngeal morbidity. RESULTS: The insertion characteristics and ventilation and oxygenation between both the groups were comparable. PLMA caused lesser hemodynamic changes after insertion than ET tube. Data regarding oropharyngeal seal pressure, gastric distension and laryngo–pharyngeal morbidity were comparable in both groups. CONCLUSION: The ProSeal Laryngeal Mask Airway is an effective and safe alternative of Endotracheal Tube during laparoscopic surgery under general anaesthesia.