Management of laryngeal mask airway ProSeal by diplomantes of the Specialty of Anesthesia

Authors

  • Ada Nersys Consuegra Carvajal Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba
  • Juan Miguel Rodríguez Rueda Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba
  • Noemí Quintero Sarduy Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba
  • Isade de la Caridad Mora Guane Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba
  • Dinorah Pérez Socorro Hospital Ginecoobstétrico “Mariana Grajales”, Santa Clara, Villa Clara, Cuba

Keywords:

laryngeal masks

Abstract

Introduction: the simplicity of the technique of insertion and the facility of learning make laryngeal mask an attachment of great value for managing of the airway by personnel without prior experience or with minimal knowledge. Objective: to describe the management of the insertion of the laryngeal mask ProSeal in a group of graduate nurses of the Specialty of Anesthesia. Method: twelve nurses of Anesthesia diploma were observed when inserting the laryngeal mask to 240 patients electively programmed in “Manuel Fajardo Rivero” Hospital. Related variables were studied successfully, specific times related to the device and the problems associated with insertion. Results: time of installations were recorded (250 ± 61.53 seconds) and specific (16.14 ± 4.53 seconds) of the maneuver. It was informed an average percent of success of replacement in the first attempt (55.4%). Conclusions: laryngeal mask was placed successfully in less than twenty seconds, the successes was not related to the classification of Mallampati and positively with the number of cases of the operator and the most frequent problems were the fault by pressing against the palate, the suboptimal position of head and neck and the mask rotated on its axis.

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Author Biographies

Ada Nersys Consuegra Carvajal, Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Anestesiología y Reanimación. Máster en Urgencias Médicas. Profesora Asistente de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Juan Miguel Rodríguez Rueda, Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Medicina Interna. Especialista de II Grado en Medicina Intensiva y Emergencias. Máster en Urgencias Médicas. Profesor Auxiliar de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Noemí Quintero Sarduy, Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Anestesiología y Reanimación. Máster en Medicina Natural y Tradicional. Profesora Asistente de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Isade de la Caridad Mora Guane, Hospital Militar Clínico Quirúrgico “Comandante Manuel Fajardo Rivero”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Anestesiología y Reanimación. Máster en Urgencias Médicas.

Dinorah Pérez Socorro, Hospital Ginecoobstétrico “Mariana Grajales”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Anestesiología y Reanimación

References

1. Cordero Escobar I. Estado actual del arte de la máscara laríngea. Rev Cubana Anestesiol. 2004;3(3):43-46.

2. Kohama H, Komasawa N, Ueki R, Samma A, Nakagawa M, Nishi S, et al. Comparison of Supreme(®) and Soft Seal(®) laryngeal masks for airway management during cardiopulmonary resuscitation in novice doctors: a manikin study. J Anesth [Internet]. 2011 [citado 12 Abr 2015];25(1):98-103. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21120542

3. Trevisanuto D, Parotto M, Doglioni N, Ori C, Zanardo V, Micaglio M. The Supreme Laryngeal Mask Airway™ (LMA): a new neonatal supraglottic device: comparison with Classic and ProSeal LMA in a manikin. Resuscitation [Internet]. 2012 [citado 2 Nov 2014];83(1):97-100. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21839703

4. Ruetzler K, Roessler B, Potura L, Priemayr A, Robak O, Schuster E, et al. Performance and skill retention of intubation by paramedics using seven different airway devices-a manikin study. Resuscitation [Internet]. 2011 [citado 12 Agos 2015];2011;82(5): 593-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21353364

5. Jeon YT, Na HS, Park SH, Oh AY, Park HP, Yun MJ, et al. Insertion of the ProSeal laryngeal mask airway is more successful with the 90 degrees rotation technique. Can J Anaesth [Internet]. 2010 [citado 22 May 2014];57(3):211-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20077171

6. Yun MJ, Hwang JW, Park SH, Han SH, Park HP, Kim JH, et al. The 90° rotation technique improves the ease of insertion of the ProSeal™ laryngeal mask airway in children. Can J Anaesth [Internet]. 2011 [citado 12 Abr 2015];58(4):379-83. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21203877

7. Kuppusamy A, Azhar N. Comparison of bougie-guided insertion of Proseal laryngeal mask airway with digital technique in adults. Indian J Anaesth [Internet]. 2010 [citado 25 Feb 2015];54(1):35-9. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20532069

8. Chen HS, Liu PH, Chung KC, Hung KC. Use of the Rusch Flexi-Slip stylet for patients with difficult insertion of the ProSeal laryngeal mask airway. Acta Anaesthesiol Taiwan [Internet]. 2010 [citado 28 Abr 2015];48(1):37-40. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20434112

9. Panwar M, Bharadwaj A, Chauhan G, Kalita D. Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral. Korean J Anesthesiol [Internet]. 2013 [citado 30 Oct 2014];65;(4):306-311. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822021/

10. Brimacombe J, Keller C, Brimacombe L. A Comparison of the laryngeal mask airway ProSeal and the laryngeal tube airway in paralyzed anesthetized adult patients undergoing pressure-controlled ventilation. Anesth Analg [Internet]. 2002 [citado 12 Oct 2014];95(3):770-76. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/12198070

11. Taxak S, Kaur K, Kaushik S, Singh R. A randomized study to compare ProSeal laryngeal mask airway with classic laryngeal mask airway in anesthetized patients. Egyptian J Anaesth [Internet]. 2013 [citado 29 Oct 2015]; 29(4):285-290. Disponible en: http://www.sciencedirect.com/science/article/pii/S1110184913000627

12. Zamudio I. La máscara laríngea en el manejo de la vía aérea. Rev Anestesiol. 2005; 3(6):1-7.

13. López-Gil M, Brimacombe J, Cebrian J, Arranz J. Laryngeal mask airway in pediatric Practice: A prospective study of skill acquisition by Anesthesia residents. Anesthesiol. 1996;(84):807-11.

14. Eschertzhuber S, Brimacombe J, Kaufmann M, Keller C, Tiefenthaler W. Directly measured mucosal pressures produced by the i-gel™ and Laryngeal Mask Airway Supreme™ in paralysed anaesthetised patients. Anaesthesia [Internet]. 2012 [citado 19 Nov 2015];67(4):407-10. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22324968

15. Jagannathan N, Kozlowski RJ, Sohn LE, Langen KE, Roth AG, Mukherji II, et al. A clinical evaluation of the intubating laryngeal airway as a conduit for tracheal intubation in children. Anesth Analg [Internet]. 2011 [citado 12 Feb 2015];112(1):176-82. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21081777

16. Karim YM, Swanson DE. Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA Fastrach™) and the Air-Q™. Anaesthesia. [Internet]. 2011 [citado 19 Agos 2015];66(3):185-90. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21320087

17. Joffe AM, Liew EC, Galgon RE, Viernes D, Treggiari MM. The second-generation air-Q intubating laryngeal mask for airway maintenance during anaesthesia in adults: a report of the first 70 uses. Anaesth Intensive Care [Internet]. 2011 [citado 26 Ene 2015];39(1):40-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21375088

18. Abdellatif AA, Ali MA. Comparison of streamlined liner of the pharynx airway (SLIPA™) with the laryngeal mask airway Proseal™ for lower abdominal laparoscopic surgeries in paralyzed, anesthetized patients. Saudi J Anaesth [Internet]. 2011 [citado 12 Feb 2014];5(3):270-6. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168343/

19. Woo YC, Cha SM, Kang H, Baek CW, Jung YH, Kim JY, et al. Less perilaryngeal gas leakage with SLIPATM than with LMA-ProSealTM in paralyzed patients. Can J Anesth [Internet]. 2011 [citado 12 Feb 2015];58(1):48-54. Disponible en: http://link.springer.com/article/10.1007/s12630-010-9412-3

20. Seet E, Rajeev S, Firoz T, Yousaf F, Wong J, Wong DT, et al. Safety and efficacy of laryngeal mask airway Supreme versus laryngeal mask airway ProSeal: a randomized controlled trial. Eur J Anaesthesiol [Internet]. 2010 [citado 22 Agos 2015];27(7):602-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20540172

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Published

2016-10-03

How to Cite

1.
Consuegra Carvajal AN, Rodríguez Rueda JM, Quintero Sarduy N, Mora Guane I de la C, Pérez Socorro D. Management of laryngeal mask airway ProSeal by diplomantes of the Specialty of Anesthesia. Acta Méd Centro [Internet]. 2016 Oct. 3 [cited 2025 Jul. 3];10(4):18-26. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/759

Issue

Vol. 10 No. 4 (2016): October-December

Section

Original Articles

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