STUDY OBJECTIVE To investigate the frequency of gastroesophageal regurgitation and respiratory mechanics during positive pressure ventilation using 5 supraglottic devices or an endotracheal tube (ETT). DESIGN Prospective, randomized study. SETTING Operating rooms in a university-affiliated hospital. PATIENTS 180 ASA physical status I and II patients, aged 18 to 65 years old, who underwent...

OBJECTIVE This study compared the safety and efficacy of the Supreme Laryngeal Mask Airway (S-LMA) with that of the ProSeal-LMA (P-LMA) in laparoscopic cholecystectomy. MATERIAL AND METHODS Sixty adults were randomly allocated. Following anaesthesia induction, experienced LMA users inserted the airway devices. RESULTS Oropharyngeal leak pressure was similar in groups (S-LMA, 27.8±2.9 cmH2O;...

Editor—We report the anaesthetic management of a patient with severe pulmonary fibrosis for laparoscopic cholecystectomy using a Supreme laryngeal mask airway (SLMA). A 50-yr-old, 70 kg male was undergoing elective laparoscopic cholecystectomy for acute cholecystitis. The patient had severe pulmonary fibrosis due to occupational (stone and dust) exposure requiring oxygen therapy at home (Fig. 1...

The “i-gel” is a newer, non-inflatable supraglottic airway device for clinical use and also for resuscitation purposes. It has also been found to be a useful ventilation and intubation device in anticipated/simulated difficult airway situations. However, its use in unanticipated difficult airway situations in emergency set up has not been explored. We describe a case of 24-year-old male posted ...

BACKGROUND Many tools have been developed to facilitate the insertion of the ProSeal laryngeal mask airway (LMA) insertion, which can be impeded by folding of its soft cuff. The aim of this study was to compare the efficiency of ProSeal LMA insertion guided by a soft, direct optical Foley Airway Stylet Tool (FAST) with the standard introducer tool (IT). METHODS One hundred sixty patients unde...