Clinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study
Mohammed Hakim,1 Jason Bryant,1,2 Renata Miketic,1,2 Kent Williams,3 Steven H Erdman,3 Shabana Z Shafy,1 Stephani S Kim,1 Joseph D Tobias1,2 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Anesthesiology & Pai...
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Dove Medical Press
2020
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oai:doaj.org-article:f9e56ac694cd4e7faa3c29fdc100da042021-12-02T08:46:04ZClinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study1179-1470https://doaj.org/article/f9e56ac694cd4e7faa3c29fdc100da042020-09-01T00:00:00Zhttps://www.dovepress.com/clinical-outcomes-of-a-modified-laryngeal-mask-airway-lmareg-gastrotra-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Mohammed Hakim,1 Jason Bryant,1,2 Renata Miketic,1,2 Kent Williams,3 Steven H Erdman,3 Shabana Z Shafy,1 Stephani S Kim,1 Joseph D Tobias1,2 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Anesthesiology & Pain Medicine, The Ohio State University, Columbus, OH, USA; 3Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Nationwide Children’s Hospital and the Ohio State University, Columbus, OH, USACorrespondence: Jason BryantDepartment of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USATel +614 722-4200Fax +614 722-0487Email Jason.Bryant@nationwidechildrens.orgIntroduction: During esophagogastroduodenoscopy (EGD), general anesthesia (GA) may be provided using a laryngeal mask airway (LMA) with the endoscope inserted behind the cuff of the LMA into the esophagus. Passage of the endoscope may increase the intracuff of the LMA. We evaluated a newly designed LMA (LMA® Gastro™ Airway) which has an internal channel exiting from its distal end to facilitate EGD. The current study compared the change of LMA cuff pressure between this new LMA and a standard clinical LMA (Ambu® AuraOnce™) during EGD.Methods: Patients less than 21 years of age and weighing more than 30 kg were randomized to receive airway management with one of the two LMAs during EGD. After anesthetic induction and successful LMA placement, the intracuff pressure of the LMAs was continuously monitored during the procedure. The primary outcome was the change of intracuff pressure of the LMAs.Results: The study cohort included 200 patients (mean age 13.6 years and weight 56.6 kg) who were randomized to the LMA® Gastro™ Airway (n=100) or the Ambu® AuraOnce™ LMA (n=100). Average intracuff pressures during the study period (before and after endoscope insertion) were not different between the two LMAs. Ease of the procedure was slightly improved with the LMA® Gastro™ Airway (p< 0.001).Discussion: The LMA® Gastro™ Airway blunted, but did not prevent an increase in intracuff pressure during EGD when compared to the Ambu® AuraOnce™ LMA. Throat soreness was generally low, and complications were infrequent in both groups. The ease of the procedure was slightly improved with the LMA® Gastro™ Airway compared to the Ambu® AuraOnce™ LMA.Keywords: intracuff pressure, endoscope, pediatric anesthesia, general anesthesia, laryngeal mask airway, LMA® Gastro™ AirwayHakim MBryant JMiketic RWilliams KErdman SHShafy SZKim SSTobias JDDove Medical Pressarticleintracuff pressureendoscopepediatric anesthesiageneral anesthesialaryngeal mask airwaylma® gastro™ airwayMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 13, Pp 277-282 (2020) |
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EN |
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intracuff pressure endoscope pediatric anesthesia general anesthesia laryngeal mask airway lma® gastro™ airway Medical technology R855-855.5 |
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intracuff pressure endoscope pediatric anesthesia general anesthesia laryngeal mask airway lma® gastro™ airway Medical technology R855-855.5 Hakim M Bryant J Miketic R Williams K Erdman SH Shafy SZ Kim SS Tobias JD Clinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study |
| description |
Mohammed Hakim,1 Jason Bryant,1,2 Renata Miketic,1,2 Kent Williams,3 Steven H Erdman,3 Shabana Z Shafy,1 Stephani S Kim,1 Joseph D Tobias1,2 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Anesthesiology & Pain Medicine, The Ohio State University, Columbus, OH, USA; 3Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Nationwide Children’s Hospital and the Ohio State University, Columbus, OH, USACorrespondence: Jason BryantDepartment of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USATel +614 722-4200Fax +614 722-0487Email Jason.Bryant@nationwidechildrens.orgIntroduction: During esophagogastroduodenoscopy (EGD), general anesthesia (GA) may be provided using a laryngeal mask airway (LMA) with the endoscope inserted behind the cuff of the LMA into the esophagus. Passage of the endoscope may increase the intracuff of the LMA. We evaluated a newly designed LMA (LMA® Gastro™ Airway) which has an internal channel exiting from its distal end to facilitate EGD. The current study compared the change of LMA cuff pressure between this new LMA and a standard clinical LMA (Ambu® AuraOnce™) during EGD.Methods: Patients less than 21 years of age and weighing more than 30 kg were randomized to receive airway management with one of the two LMAs during EGD. After anesthetic induction and successful LMA placement, the intracuff pressure of the LMAs was continuously monitored during the procedure. The primary outcome was the change of intracuff pressure of the LMAs.Results: The study cohort included 200 patients (mean age 13.6 years and weight 56.6 kg) who were randomized to the LMA® Gastro™ Airway (n=100) or the Ambu® AuraOnce™ LMA (n=100). Average intracuff pressures during the study period (before and after endoscope insertion) were not different between the two LMAs. Ease of the procedure was slightly improved with the LMA® Gastro™ Airway (p< 0.001).Discussion: The LMA® Gastro™ Airway blunted, but did not prevent an increase in intracuff pressure during EGD when compared to the Ambu® AuraOnce™ LMA. Throat soreness was generally low, and complications were infrequent in both groups. The ease of the procedure was slightly improved with the LMA® Gastro™ Airway compared to the Ambu® AuraOnce™ LMA.Keywords: intracuff pressure, endoscope, pediatric anesthesia, general anesthesia, laryngeal mask airway, LMA® Gastro™ Airway |
| format |
article |
| author |
Hakim M Bryant J Miketic R Williams K Erdman SH Shafy SZ Kim SS Tobias JD |
| author_facet |
Hakim M Bryant J Miketic R Williams K Erdman SH Shafy SZ Kim SS Tobias JD |
| author_sort |
Hakim M |
| title |
Clinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study |
| title_short |
Clinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study |
| title_full |
Clinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study |
| title_fullStr |
Clinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study |
| title_full_unstemmed |
Clinical Outcomes of a Modified Laryngeal Mask Airway (LMA® Gastro™ Airway) During Esophagogastroduodenoscopy in Children and Adolescents: A Randomized Study |
| title_sort |
clinical outcomes of a modified laryngeal mask airway (lma® gastro™ airway) during esophagogastroduodenoscopy in children and adolescents: a randomized study |
| publisher |
Dove Medical Press |
| publishDate |
2020 |
| url |
https://doaj.org/article/f9e56ac694cd4e7faa3c29fdc100da04 |
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