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Supreme™ laryngeal mask airway use in general Anesthesia for category 2 and 3 Cesarean delivery: a prospective cohort study
- Source :
- BMC Anesthesiology, Vol 17, Iss 1, Pp 1-7 (2017), BMC Anesthesiology
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- Background The Supreme™ laryngeal mask airway (SLMA) is a single-use LMA with double lumen design that allows separation of the respiratory and the alimentary tract, hence potentially reducing the gastric volume and risk of aspiration. The purpose of this prospective cohort study is to evaluate the the role of the SLMA as an airway technique for women undergoing category 2 and 3 Cesarean delivery under general anesthesia. Methods We recruited 584 parturients who underwent category 2 or 3 Cesarean delivery under general anesthesia, in which 193 parturients underwent category 2 and 391 parturients underwent category 3 Cesarean delivery. The primary outcome was insertion success rate at 1st attempt in SLMA insertion. The secondary outcomes included anaesthetic, obstetric outcomes and maternal side effects associated with airway device. Results The 1st attempt insertion success rate was 98.3%, while the overall insertion success rate was 100%. The mean (Standard deviation) time to effective ventilation was 15.6 (4.4) seconds. Orogastric tube insertion was successful at the 1st attempt in all parturients. There was no clinical evidence of aspiration or regurgitation. No episodes of hypoxemia, laryngospasm or bronchospasm were observed intra-operatively. The incidence of complications was low and with good maternal satisfaction reported. Conclusions The SLMA could be an alternative effective airway in category 2 and 3 parturients emergency Cesarean Delivery under general anesthesia in a carefully-selected obstetric population. Trial registration Clinical Trials Registration: Clinicaltrials.gov Registration NCT02026882 . Registered on December 31, 2013.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Population
Emergency Cesarean section
General anesthesia
Airway management
Anesthesia, General
Laryngeal Masks
Hypoxemia
Cohort Studies
lcsh:RD78.3-87.3
03 medical and health sciences
0302 clinical medicine
Laryngeal mask airway
Supreme™ laryngeal mask
Pregnancy
030202 anesthesiology
Anesthesiology
medicine
Humans
Prospective Studies
Laryngospasm
Prospective cohort study
education
education.field_of_study
Cesarean Section
business.industry
030208 emergency & critical care medicine
Anesthesiology and Pain Medicine
lcsh:Anesthesiology
Anesthesia
Female
medicine.symptom
Airway
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14712253
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Anesthesiology
- Accession number :
- edsair.doi.dedup.....e776b014fea75012e2d9ac9b94e93b18