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• W2894881259 abstract "INTRODUCTION: Supraglottic airway device is a bridge between non-invasive facemask and more invasive endotracheal tube. Laryngeal mask airway has the risk of aspiration, gastric insufflationand inadequate ventilation. Proseal laryngeal mask airway is a specialized form of laryngeal mask airway which due to its large ventral cuff and presence of dorsal cuff enables adequate ventilation and prevents aspiration. Due to the presence of drain tube, it reduces the risk ofgastric insufflation.But Proseal laryngeal mask airway when inserted by classical digital technique poses problems during insertion leading to inadequate ventilation and misplacement. To overcome theseproblems, new methods of insertion like bougie guided technique and introducer tool technique have been introduced.AIM OF THE STUDY: We compared the classical digital technique with gum elastic bougie guided technique for insertion of Proseal laryngeal mask airway with respect to number of attempts to successfulplacement, effective airway time, hemodynamic response to insertion, airway trauma during insertion, presence of visible blood staining and post-operative airway morbidity.MATERIALS AND METHODS: After obtaining written informed consent from the patients and clearance from the Institutional Ethics Committee, the study was conducted in minor gynaecological operation theatre, Institute of Obstetrics and Gynaecology, Egmore. The study was carried out in sixty anaesthetized spontaneously breathing female patients in the age group of 21-60 years belonging to American Society of Anaesthesiologists Physical Status 1&2 posted for electiveminor gynaecological surgeries at the Institute of Obstetrics and Gynaecology, Egmore. Proseal laryngeal mask airway was inserted by index finger technique in the digital group. Gum elastic bougie guided technique involved priming the drain tube of Proseal laryngeal mask airway withgum elastic bougie and inserting the bougie into the esophagus with the help of a laryngoscope followed by railroading the Proseal laryngeal mask airway over the bougie.RESULTS: Number of attempts to successful insertion, airway trauma during insertion, presence of visible blood staining and hemodynamic response to insertion were comparable among the two study groups. Effective airway time and oropharyngeal leak pressure were significantly higher for gum elastic bougie guided technique when compared to digital technique. Sore throat was the most common post-operative airway morbidity in digital technique group while dysphagia wasmore common in patients belonging to gum elastic bougie guided group.CONCLUSION: The gum elastic bougie guided insertion of Proseal laryngeal mask airway is an excellent alternative to classical digital technique in adults with regard to number of attempts tosuccessful placement, hemodynamic response to insertion, airway trauma during insertion and presence of visible blood staining. High oropharyngeal leak pressure associated with gum elastic bougie guided insertion makes it a more effective alternative to classical digital technique." @default.
• W2894881259 created "2018-10-12" @default.
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• W2894881259 date "2016-04-01" @default.
• W2894881259 modified "2023-09-27" @default.
• W2894881259 title "A comparative study of gum elastic bougie guided insertion of Proseal laryngeal mask airway with digital technique in anaesthetized spontaneously breathing patients undergoing elective minor gynaecological surgeries" @default.
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