Comparison of Laryngeal Mask Airway SupremeTM Versus UniqueTM in Edentulous Geriatric Patients
Identifieur interne : 000604 ( Pmc/Curation ); précédent : 000603; suivant : 000605Comparison of Laryngeal Mask Airway SupremeTM Versus UniqueTM in Edentulous Geriatric Patients
Auteurs : Tangül Beyde [Turquie] ; Semih Küçükgüçlü [Turquie] ; Ule Özbilgin [Turquie] ; Bahar Kuvaki [Turquie] ; Meltem Ademo Lu [Turquie] ; Melek Sar [Turquie]Source :
- Turkish Journal of Anaesthesiology and Reanimation [ 2149-0937 ] ; 2016.
Abstract
It is more difficult to perform bag-mask ventilation in edentulous patients than in patients with intact dentition. The laryngeal mask airway (LMA) provides a better alternative to the standard face mask if the facial contours of the patient are not suited for the standard face mask. We aimed to compare these two different LMAs in edentulous geriatric patients.
Edentulous patients aged ≥65 years of American Society of Anesthesiologists physical status I–III were included in the study. They were randomly assigned to Supreme group (n=30) and Unique group (n=30). Success of first insertion attempt, ease and time of insertion and oropharyngeal leak pressure were recorded.
The success rate of the first insertion attempt was higher in the Supreme group than in the Unique group (86.6 and 73.3%, respectively; p=0.04). Time of insertion was similar (10.04 s and 11.87 s, respectively) and insertion was easy in 90% and 100% of patients, respectively. Oropharyngeal leak pressures were measured as 20.56-cm H2O and 17.10-cm H2O for LMA Supreme™ and LMA Unique™, respectively.
The efficacy and safety in both groups were comparable in edentulous geriatric patients during short surgical procedures. Even the success rate of insertion with both was lower than that mentioned in the literature; the success of insertion at the first attempt was superior with the LMA Supreme™ in our edentulous study group.
Url:
DOI: 10.5152/TJAR.2016.22129
PubMed: 27366552
PubMed Central: 4894115
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Versus Unique<sup>TM</sup>
in Edentulous Geriatric Patients</title>
<author><name sortKey="Beyde, Tangul" sort="Beyde, Tangul" uniqKey="Beyde T" first="Tangül" last="Beyde">Tangül Beyde</name>
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<author><name sortKey="Kucukguclu, Semih" sort="Kucukguclu, Semih" uniqKey="Kucukguclu S" first="Semih" last="Küçükgüçlü">Semih Küçükgüçlü</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comparison of Laryngeal Mask Airway Supreme<sup>TM</sup>
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in Edentulous Geriatric Patients</title>
<author><name sortKey="Beyde, Tangul" sort="Beyde, Tangul" uniqKey="Beyde T" first="Tangül" last="Beyde">Tangül Beyde</name>
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<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Anaesthesiology and Reanimation, Medical Park Hospital, Ordu</wicri:regionArea>
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<author><name sortKey="Kucukguclu, Semih" sort="Kucukguclu, Semih" uniqKey="Kucukguclu S" first="Semih" last="Küçükgüçlü">Semih Küçükgüçlü</name>
<affiliation wicri:level="1"><nlm:aff id="af2-tard-44-1-32">Department of Anaesthesiology and Reanimation, Dokuz Eylül University School of Medicine, İzmir, Turkey</nlm:aff>
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<wicri:regionArea>Department of Anaesthesiology and Reanimation, Dokuz Eylül University School of Medicine, İzmir</wicri:regionArea>
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<author><name sortKey="Ozbilgin, Ule" sort="Ozbilgin, Ule" uniqKey="Ozbilgin " first=" Ule" last="Özbilgin"> Ule Özbilgin</name>
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<wicri:regionArea>Department of Anaesthesiology and Reanimation, Dokuz Eylül University School of Medicine, İzmir</wicri:regionArea>
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<author><name sortKey="Kuvaki, Bahar" sort="Kuvaki, Bahar" uniqKey="Kuvaki B" first="Bahar" last="Kuvaki">Bahar Kuvaki</name>
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<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Anaesthesiology and Reanimation, Dokuz Eylül University School of Medicine, İzmir</wicri:regionArea>
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<author><name sortKey="Ademo Lu, Meltem" sort="Ademo Lu, Meltem" uniqKey="Ademo Lu M" first="Meltem" last="Ademo Lu">Meltem Ademo Lu</name>
<affiliation wicri:level="1"><nlm:aff id="af3-tard-44-1-32">Department of Anaesthesiology and Reanimation, Marmaris State Hospital, Marmaris, Turkey</nlm:aff>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Anaesthesiology and Reanimation, Marmaris State Hospital, Marmaris</wicri:regionArea>
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<author><name sortKey="Sar, Melek" sort="Sar, Melek" uniqKey="Sar M" first="Melek" last="Sar">Melek Sar</name>
<affiliation wicri:level="1"><nlm:aff id="af4-tard-44-1-32">Department of Anaesthesiology and Reanimation, Ardahan State Hospital, Ardahan, Turkey</nlm:aff>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Anaesthesiology and Reanimation, Ardahan State Hospital, Ardahan</wicri:regionArea>
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<series><title level="j">Turkish Journal of Anaesthesiology and Reanimation</title>
<idno type="ISSN">2149-0937</idno>
<idno type="eISSN">2149-276X</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>It is more difficult to perform bag-mask ventilation in edentulous patients than in patients with intact dentition. The laryngeal mask airway (LMA) provides a better alternative to the standard face mask if the facial contours of the patient are not suited for the standard face mask. We aimed to compare these two different LMAs in edentulous geriatric patients.</p>
</sec>
<sec><title>Methods</title>
<p>Edentulous patients aged ≥65 years of American Society of Anesthesiologists physical status I–III were included in the study. They were randomly assigned to Supreme group (n=30) and Unique group (n=30). Success of first insertion attempt, ease and time of insertion and oropharyngeal leak pressure were recorded.</p>
</sec>
<sec><title>Results</title>
<p>The success rate of the first insertion attempt was higher in the Supreme group than in the Unique group (86.6 and 73.3%, respectively; p=0.04). Time of insertion was similar (10.04 s and 11.87 s, respectively) and insertion was easy in 90% and 100% of patients, respectively. Oropharyngeal leak pressures were measured as 20.56-cm H<sub>2</sub>
O and 17.10-cm H<sub>2</sub>
O for LMA Supreme™ and LMA Unique™, respectively.</p>
</sec>
<sec><title>Conclusion</title>
<p>The efficacy and safety in both groups were comparable in edentulous geriatric patients during short surgical procedures. Even the success rate of insertion with both was lower than that mentioned in the literature; the success of insertion at the first attempt was superior with the LMA Supreme™ in our edentulous study group.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Turk J Anaesthesiol Reanim</journal-id>
<journal-id journal-id-type="iso-abbrev">Turk J Anaesthesiol Reanim</journal-id>
<journal-title-group><journal-title>Turkish Journal of Anaesthesiology and Reanimation</journal-title>
</journal-title-group>
<issn pub-type="ppub">2149-0937</issn>
<issn pub-type="epub">2149-276X</issn>
<publisher><publisher-name>Turkish Anaesthesiology and Intensive Care Society</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27366552</article-id>
<article-id pub-id-type="pmc">4894115</article-id>
<article-id pub-id-type="doi">10.5152/TJAR.2016.22129</article-id>
<article-id pub-id-type="publisher-id">tard-44-1-32</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Comparison of Laryngeal Mask Airway Supreme<sup>TM</sup>
Versus Unique<sup>TM</sup>
in Edentulous Geriatric Patients</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Beydeş</surname>
<given-names>Tangül</given-names>
</name>
<xref ref-type="aff" rid="af1-tard-44-1-32">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Küçükgüçlü</surname>
<given-names>Semih</given-names>
</name>
<xref ref-type="aff" rid="af2-tard-44-1-32">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Özbilgin</surname>
<given-names>Şule</given-names>
</name>
<xref ref-type="aff" rid="af2-tard-44-1-32">2</xref>
<xref ref-type="corresp" rid="c1-tard-44-1-32"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kuvaki</surname>
<given-names>Bahar</given-names>
</name>
<xref ref-type="aff" rid="af2-tard-44-1-32">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ademoğlu</surname>
<given-names>Meltem</given-names>
</name>
<xref ref-type="aff" rid="af3-tard-44-1-32">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sarı</surname>
<given-names>Melek</given-names>
</name>
<xref ref-type="aff" rid="af4-tard-44-1-32">4</xref>
</contrib>
</contrib-group>
<aff id="af1-tard-44-1-32"><label>1</label>
Department of Anaesthesiology and Reanimation, Medical Park Hospital, Ordu, Turkey</aff>
<aff id="af2-tard-44-1-32"><label>2</label>
Department of Anaesthesiology and Reanimation, Dokuz Eylül University School of Medicine, İzmir, Turkey</aff>
<aff id="af3-tard-44-1-32"><label>3</label>
Department of Anaesthesiology and Reanimation, Marmaris State Hospital, Marmaris, Turkey</aff>
<aff id="af4-tard-44-1-32"><label>4</label>
Department of Anaesthesiology and Reanimation, Ardahan State Hospital, Ardahan, Turkey</aff>
<author-notes><corresp id="c1-tard-44-1-32">Address for Correspondence: Dr. Şule Özbilgin, Dokuz Eylül Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İzmir, Türkiye E-mail: <email>ozbilginsule@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>2</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>01</day>
<month>2</month>
<year>2016</year>
</pub-date>
<volume>44</volume>
<issue>1</issue>
<fpage>32</fpage>
<lpage>36</lpage>
<history><date date-type="received"><day>17</day>
<month>6</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>07</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Copyright 2016 by Turkish Anaesthesiology and Intensive Care Society</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><sec><title>Objective</title>
<p>It is more difficult to perform bag-mask ventilation in edentulous patients than in patients with intact dentition. The laryngeal mask airway (LMA) provides a better alternative to the standard face mask if the facial contours of the patient are not suited for the standard face mask. We aimed to compare these two different LMAs in edentulous geriatric patients.</p>
</sec>
<sec><title>Methods</title>
<p>Edentulous patients aged ≥65 years of American Society of Anesthesiologists physical status I–III were included in the study. They were randomly assigned to Supreme group (n=30) and Unique group (n=30). Success of first insertion attempt, ease and time of insertion and oropharyngeal leak pressure were recorded.</p>
</sec>
<sec><title>Results</title>
<p>The success rate of the first insertion attempt was higher in the Supreme group than in the Unique group (86.6 and 73.3%, respectively; p=0.04). Time of insertion was similar (10.04 s and 11.87 s, respectively) and insertion was easy in 90% and 100% of patients, respectively. Oropharyngeal leak pressures were measured as 20.56-cm H<sub>2</sub>
O and 17.10-cm H<sub>2</sub>
O for LMA Supreme™ and LMA Unique™, respectively.</p>
</sec>
<sec><title>Conclusion</title>
<p>The efficacy and safety in both groups were comparable in edentulous geriatric patients during short surgical procedures. Even the success rate of insertion with both was lower than that mentioned in the literature; the success of insertion at the first attempt was superior with the LMA Supreme™ in our edentulous study group.</p>
</sec>
</abstract>
<kwd-group><kwd>Laryngeal mask</kwd>
<kwd>edentulous</kwd>
<kwd>geriatrics</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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