Comparison of videolaryngoscope-guided versus standard digital insertion techniques of the ProSeal™ laryngeal mask airway: a prospective randomized study

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dc.authoridDurmus, Mahmut/0000-0001-9594-9064
dc.authoridErdil, Feray Akgül/0000-0002-7544-3717
dc.authoridYücel, Aytaç/0000-0003-0270-8339
dc.authoridOZGUL, Ulku/0000-0003-3738-1751
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridbegeç, zekine/0000-0002-9506-1871
dc.authorwosidDurmus, Mahmut/ABH-3006-2020
dc.authorwosidErdil, Feray Akgül/ABI-2474-2020
dc.authorwosidYücel, Aytaç/ABI-6137-2020
dc.authorwosidOZGUL, Ulku/ABI-6823-2020
dc.authorwosidErdogan, Mehmet Ali/ABI-7224-2020
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.authorwosidbegeç, zekine/ABI-5491-2020
dc.contributor.authorOzgul, Ulku
dc.contributor.authorErdil, Feray Akgul
dc.contributor.authorErdogan, Mehmet Ali
dc.contributor.authorBegec, Zekine
dc.contributor.authorColak, Cemil
dc.contributor.authorYucel, Aytac
dc.contributor.authorDurmus, Mahmut
dc.date.accessioned2024-08-04T20:47:03Z
dc.date.available2024-08-04T20:47:03Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: This study were designed to investigate the usefulness of the videolaryngoscope-guided insertion technique compared with the standard digital technique for the insertion success rate and insertion conditions of the Proseal (TM) laryngeal mask airway (PLMA). Methods: Prospective, one hundred and nineteen patients (ASA I-II, aged 18-65 yr) were randomly divided for PLMA insertion using the videolaryngoscope-guided technique or the standard digital technique. The PLMA was inserted according to the manufacturer's instructions in the standard digital technique group. The videolaryngoscope-guided technique was performed a C-MAC (R) videolaryngoscope with D-Blade, under gentle videolaryngoscope guidance, the epiglottis was lifted, and the PLMA was advanced until the tip of the distal cuff reached the oesophagus inlet. The number of insertion attempts, insertion time, oropharyngeal leak pressure, leak volume, fiberoptic bronchoscopic view, peak inspiratory pressure, ease of gastric tube placement, hemodynamic changes, visible blood on PLMA and postoperative airway morbidity were recorded. Results: The first-attempt success rate (the primary outcome) was higher in the videolaryngoscope-guided technique than in the standard digital technique (p = 0.029). The effect size values with 95% confidence interval were 0.19 (0.01-0.36) for the first and second attempts, 0.09 (- 0.08-0.27) for the first and third attempts, and not computed for the second and third attempts by the groups, respectively. Conclusion: Videolaryngoscope-guided insertion technique can be a help in case of difficult positioning of a PLMA and can improve the PLMA performance in some conditions. We suggest that the videolaryngoscope-guided technique may be a useful technique if the digital technique fails. Trial registration: ClinicalTrials.gov NCT03852589 date of registration: February 22th 2019.en_US
dc.identifier.doi10.1186/s12871-019-0915-3
dc.identifier.issn1471-2253
dc.identifier.issue1en_US
dc.identifier.pmid31888511en_US
dc.identifier.scopus2-s2.0-85077322945en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1186/s12871-019-0915-3
dc.identifier.urihttps://hdl.handle.net/11616/99124
dc.identifier.volume19en_US
dc.identifier.wosWOS:000510512800002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofBmc Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEquipmenten_US
dc.subjectProseal laryngeal mask airwayen_US
dc.subjectInsertion techniqueen_US
dc.subjectVideo-laryngoscopyen_US
dc.titleComparison of videolaryngoscope-guided versus standard digital insertion techniques of the ProSeal™ laryngeal mask airway: a prospective randomized studyen_US
dc.typeArticleen_US

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