Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial

Abstract The second-generation laryngeal mask airway (LMA) provides a higher sealing pressure than classical LMA and can insert the gastric drainage tube. We investigated the difference in respiratory variables according to the use of second-generation LMA and endotracheal tube (ETT) in laparoscopic...

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Autores principales:	Doyeon Kim, Sukhee Park, Jong Man Kim, Gyu Seong Choi, Gaab Soo Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/401f5b1805e0421f87dd3856d28e68cb
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spelling	oai:doaj.org-article:401f5b1805e0421f87dd3856d28e68cb2021-12-02T13:30:17ZSecond generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial10.1038/s41598-021-83173-52045-2322https://doaj.org/article/401f5b1805e0421f87dd3856d28e68cb2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83173-5https://doaj.org/toc/2045-2322Abstract The second-generation laryngeal mask airway (LMA) provides a higher sealing pressure than classical LMA and can insert the gastric drainage tube. We investigated the difference in respiratory variables according to the use of second-generation LMA and endotracheal tube (ETT) in laparoscopic living liver donor hepatectomy (LLDH). In this single-blind randomized controlled trial, intraoperative arterial carbon dioxide partial pressure at 2 h after the airway devices insertion (PaCO2_2h) was compared as a primary outcome. Participants were randomly assigned to the following groups: Group LMA (n = 45, used Protector LMA), or Group ETT (n = 43, used cuffed ETT). Intraoperative hemodynamic and respiratory variables including mean blood pressure (MBP), heart rate (HR), and peak inspiratory pressure (PIP) were compared. Postoperative sore throat, hoarseness, postoperative nausea and vomiting (PONV), and pulmonary aspiration were recorded. The PaCO2_2h were equally effective between two groups (mean difference: 0.99 mmHg, P = 0.003; 90% confidence limits: − 0.22, 2.19). The intraoperative change in MBP, HR, and PIP were differed over time between two groups (P < 0.001, P = 0.015, and P = 0.039, respectively). There were no differences of the incidence of postoperative complications at 24 h following LLDH (sore throat and hoarseness: P > 0.99, PONV: P > 0.99, and P = 0.65, respectively). No case showed pulmonary aspiration in both groups. Compared with endotracheal tube, second-generation LMA is equally efficient during LLDH. The second-generation LMA can be considered as the effective airway devices for securing airway in patients undergoing prolonged laparoscopic surgery. Trial Registration This study was registered at the Clinical Trial Registry of Korea ( https://cris.nih.go.kr . CRiS No. KCT0003711).Doyeon KimSukhee ParkJong Man KimGyu Seong ChoiGaab Soo KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Doyeon Kim Sukhee Park Jong Man Kim Gyu Seong Choi Gaab Soo Kim Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial
description	Abstract The second-generation laryngeal mask airway (LMA) provides a higher sealing pressure than classical LMA and can insert the gastric drainage tube. We investigated the difference in respiratory variables according to the use of second-generation LMA and endotracheal tube (ETT) in laparoscopic living liver donor hepatectomy (LLDH). In this single-blind randomized controlled trial, intraoperative arterial carbon dioxide partial pressure at 2 h after the airway devices insertion (PaCO2_2h) was compared as a primary outcome. Participants were randomly assigned to the following groups: Group LMA (n = 45, used Protector LMA), or Group ETT (n = 43, used cuffed ETT). Intraoperative hemodynamic and respiratory variables including mean blood pressure (MBP), heart rate (HR), and peak inspiratory pressure (PIP) were compared. Postoperative sore throat, hoarseness, postoperative nausea and vomiting (PONV), and pulmonary aspiration were recorded. The PaCO2_2h were equally effective between two groups (mean difference: 0.99 mmHg, P = 0.003; 90% confidence limits: − 0.22, 2.19). The intraoperative change in MBP, HR, and PIP were differed over time between two groups (P < 0.001, P = 0.015, and P = 0.039, respectively). There were no differences of the incidence of postoperative complications at 24 h following LLDH (sore throat and hoarseness: P > 0.99, PONV: P > 0.99, and P = 0.65, respectively). No case showed pulmonary aspiration in both groups. Compared with endotracheal tube, second-generation LMA is equally efficient during LLDH. The second-generation LMA can be considered as the effective airway devices for securing airway in patients undergoing prolonged laparoscopic surgery. Trial Registration This study was registered at the Clinical Trial Registry of Korea ( https://cris.nih.go.kr . CRiS No. KCT0003711).
format	article
author	Doyeon Kim Sukhee Park Jong Man Kim Gyu Seong Choi Gaab Soo Kim
author_facet	Doyeon Kim Sukhee Park Jong Man Kim Gyu Seong Choi Gaab Soo Kim
author_sort	Doyeon Kim
title	Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial
title_short	Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial
title_full	Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial
title_fullStr	Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial
title_full_unstemmed	Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial
title_sort	second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/401f5b1805e0421f87dd3856d28e68cb
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Second generation laryngeal mask airway during laparoscopic living liver donor hepatectomy: a randomized controlled trial

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