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Effects of Peak Inspiratory Pressure-Guided Setting of Intracuff Pressure for Laryngeal Mask Airway Supremeā¢ Use during Laparoscopic Cholecystectomy: A Randomized Controlled Trial
- Source :
- Journal of Investigative Surgery, Vol 34, Iss 10, Pp 1137-1144 (2021)
- Publication Year :
- 2021
- Publisher :
- Taylor & Francis Group, 2021.
-
Abstract
- Purpose To determine the effects of peak inspiratory pressure (PIP)-guided intracuff pressure (ICP) modulation of laryngeal mask airway (LMA) Supremeā¢ during laparoscopic cholecystectomy. Methods Totally 120 patients were randomly divided using computer-generated numbers into a control group (n = 60; ICP, 60 cmH2O) and a PIP group (n = 60), in which ICP was increased with 5 cmH2O each time from PIP level until no air leaks from the oropharynx. PIP, ICP, cuff volume (CV), oropharyngeal leak pressure (OLP) and leak fraction (LF) were recorded before and after pneumoperitoneum establishment. Postoperative pharyngolaryngeal complications (sore throat, dysphagia, pharyngeal hematoma, and dysphonia) were also recorded. Results Demographic data were similar in the two groups. The CV and ICP before and after pneumoperitoneum were significantly lower in the PIP group (CV: 15.6 ± 2.3 mL and 21.0 ± 2.6 mL; ICP: 14.3 ± 2.9 cmH2O and 20.5 ± 3.4 cmH2O) than in the control group (CV: 33.0 ± 2.8 mL and 32.8 ± 1.9 mL; ICP: 60.0 ± 0.1 cmH2O and 60.0 ± 0.1 cmH2O) (P 0.05). There were fewer postoperative pharyngolaryngeal complications in the PIP group (P
- Subjects :
- clinicaltrials.gov (nct03365557)
Surgery
RD1-811
Subjects
Details
- Language :
- English
- ISSN :
- 08941939 and 15210553
- Volume :
- 34
- Issue :
- 10
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Investigative Surgery
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.5c8bc03814604b8a9757554cc33fc634
- Document Type :
- article
- Full Text :
- https://doi.org/10.1080/08941939.2020.1761487