Key result
Laryngeal mask airway provided similar intra-operative conditions to tracheal intubation but resulted in quicker procedures and a greater incidence of nausea and vomiting in the first 4 hours.
Why the study?
Does laryngeal mask airway insertion with spontaneous or assisted ventilation improve intra-operative conditions or morbidity compared to tracheal intubation in patients undergoing gynaecological laparoscopy?
Population
60 patients undergoing gynaecological laparoscopy
Comparison
Laryngeal mask airway insertion with spontaneous… vs Tracheal intubation with controlled ventilation…
Design
RCT, randomised, single-blind
Follow-up
4 hours
Authors
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LMA is an acceptable alternative to tracheal intubation for elective gynaecological laparoscopy; extends RCT evidence on airway selection in low-risk patients.
RCT (n=60)
Single-blind
randomised
Does laryngeal mask airway insertion with spontaneous or assisted ventilation improve intra-operative conditions or morbidity compared to tracheal intubation in patients undergoing gynaecological laparoscopy?
The laryngeal mask airway is an acceptable technique for elective gynaecological laparoscopy in patients at low risk of regurgitation, offering a quicker procedure despite a higher rate of early postoperative nausea and vomiting.
Swann et al. (1993) conducted an RCT in gynaecological laparoscopy (n=60). Laryngeal mask airway vs. Tracheal intubation was evaluated on Intra-operative conditions and morbidity. Laryngeal mask airway provided similar intra-operative conditions to tracheal intubation but resulted in quicker procedures and a greater incidence of nausea and vomiting in the first 4 hours.
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