A PROSPECTIVE, OBSERVATIONAL STUDY OF CLINICAL EFFICACY OF TWO SECOND GENERATION LARYNGEAL MASK AIRWAYS AT TERTIARY CARE CENTRE, IN PATIENTS POSTED FOR ELECTIVE SURGERIES

Dr B Gowri Shankar; Dr Trupti Pethkar; Dr N Keerthana

Volume : IX, Issue : I, January - 2020

A PROSPECTIVE, OBSERVATIONAL STUDY OF CLINICAL EFFICACY OF TWO SECOND GENERATION LARYNGEAL MASK AIRWAYS AT TERTIARY CARE CENTRE, IN PATIENTS POSTED FOR ELECTIVE SURGERIES

Dr B Gowri Shankar, Dr Trupti Pethkar, Dr N Keerthana

Abstract :

Purpose: LMA Ambu AuraGain is a newer second–generation supraglottic airway device (SAD) with very limited number of clinical studies done on it. Further studies are required comp� it with various other SADs like LMA proseal for efficacy and safety. Methodology: One hundred and twenty ASA I&II patients scheduled for elective surgeries under general anaesthesia who received LMA as an airway conduit during the study period were included. Two second generation LMAs – LMA Proseal (Group P, n=60) and LMA Ambu AuraGain (Group A, n=60) were assessed for clinical efficacy in terms of ease and time required for insertion, ease of passing gastric tube and airway sealing pressures (OLP). At the end of surgery patients were evaluated for airway trauma and device related airway morbidity. Results: LMA Proseal was significantly easier to insert compared to Ambu AuraGain however numbers of attempts required to achieve effective airway were similar. Time taken to provide an effective airway was less in Proseal (group P; 16.75 �3.02 and group A; 20.5�3.88) p (<0.05). OLP was significantly less in LMA Proseal at 5min (group P; 23.85�1.94, group A; 25.37�1.37) p (<0.05). There was no significant difference in passing gastric tube and airway trauma between both groups. However, airway morbidity associated with Ambu AuraGain was significantly more than that with Proseal (p=0.0062). Conclusion: The second generation LMAs– Both Ambu AuraGain and Proseal can be used safely and effectively in patients undergoing general anaesthesia. Proseal is easier to insert compared to Ambu AuraGain and later had better OLP. Airway trauma was minimal and similar in both the devices but Airway morbidity was found to be significantly more with the Ambu AuraGain.