Oba Sibel, Turk Hacer Sebnem, Isil Canan Tulay, Erdogan Huseyin, Sayin Pinar, Dokucu Ali Ihsan
Department of Anaesthesiology and Reanimation, Sisli Hamidiye Etfal Education and Research Hospital, Halaskargazi Cad., Etfal Sok, 34377, Istanbul, Turkey.
Department of Paediatric Surgery, Sisli Hamidiye Etfal Education and Research Hospital, Halaskargazi Cad., Etfal Sok, 34377, Istanbul, Turkey.
BMC Anesthesiol. 2017 Sep 5;17(1):125. doi: 10.1186/s12871-017-0418-z.
The Supreme™ and ProSeal™ laryngeal mask airways (LMAs) are widely used in paediatric anaesthesia; however, LMA use in infants is limited because many anaesthesiologists prefer to use tracheal intubation in infants. In this study, we compared the Supreme and ProSeal LMAs in infants by measuring their performance characteristics, including insertion features, ventilation parameters, induced changes in haemodynamics and rates of postoperative complications.
Infants of ASA physical status I scheduled for elective, minor, lower abdominal surgery were divided into two groups: the Supreme LMA group and the ProSeal LMA group. Times and ease of LMA insertion were noted. The percentages of tidal volume leakage as well as peak, mean and leakage pressures for all infants were measured. Heart rate (HR), oxygen saturation (SpO2) and end tidal carbon dioxide (EtCO2) values were recorded before and after LMA insertion and before and after extubation. After extubation, complications and adverse effects were noted.
Demographic and surgical data were similar between the two groups. LMA insertion times were shorter for the ProSeal group than for the Supreme group (P < 0.002). The mean HR value for the ProSeal group was lower than for the Supreme group (P < 0.011). Both the peak pressure and the leakage percentage for the ProSeal group were statistically lower than for the Supreme group. The leakage pressure for the ProSeal group was statistically higher than for the Supreme group (P < 0.001).
The ProSeal LMA is superior to the Supreme LMA for use in infants due to the ease of insertion, high oropharyngeal leakage pressure and fewer induced changes in haemodynamics.
ClinicalTrial.gov, NCT03251105 , retrospectively registered on 15 Aug 2017.
Supreme™喉罩气道和ProSeal™喉罩气道（LMA）在小儿麻醉中广泛应用；然而，LMA在婴儿中的使用受到限制，因为许多麻醉医生更倾向于对婴儿进行气管插管。在本研究中，我们通过测量Supreme和ProSeal喉罩气道在婴儿中的性能特征，包括插入特点、通气参数、诱导的血流动力学变化和术后并发症发生率，对二者进行了比较。
将计划进行择期、小型下腹部手术的美国麻醉医师协会（ASA）身体状况I级的婴儿分为两组：Supreme喉罩气道组和ProSeal喉罩气道组。记录LMA插入的时间和难易程度。测量所有婴儿的潮气量泄漏百分比以及峰值、平均和泄漏压力。记录LMA插入前后和拔管前后的心率（HR）、血氧饱和度（SpO2）和呼气末二氧化碳（EtCO2）值。拔管后，记录并发症和不良反应。
两组的人口统计学和手术数据相似。ProSeal组的LMA插入时间比Supreme组短（P < 0.002）。ProSeal组的平均HR值低于Supreme组（P < 0.011）。ProSeal组的峰值压力和泄漏百分比均在统计学上低于Supreme组。ProSeal组的泄漏压力在统计学上高于Supreme组（P < 0.001）。
由于插入容易、口咽泄漏压力高且诱导的血流动力学变化较少，ProSeal喉罩气道在婴儿中的使用优于Supreme喉罩气道。
ClinicalTrial.gov，NCT03251105，于2017年8月15日进行回顾性注册。
