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March 21, 2007European Journal of Anaesthesiology

The effects of surgical levels of sevoflurane and propofol anaesthesia on heart rate variability

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Key result

The laryngeal tube achieved a significantly higher first-attempt insertion success rate compared to the laryngeal mask (84.8% vs 56.1%, P=0.001).

Why the study?

Does the laryngeal tube improve ease of insertion and reduce postoperative airway morbidity compared to the laryngeal mask in paralyzed patients?

Population

Paralyzed patients requiring airway management (n=132)

Comparison

Laryngeal tube (new version) vs Laryngeal mask

Design

RCT, Randomized design

Follow-up

Postoperative

Authors

MMMika MäenpääOulu University HospitalJPJani PenttiläDepartment of Social ServicesTLTimo LaitioTurku University Hospital

Discussion

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Overview

Supports laryngeal tube preference over mask for insertion in paralyzed patients; confirms higher first-attempt success in this RCT.

Study Design

Type

RCT (n=132)

Structured PICO

Does the laryngeal tube improve ease of insertion and reduce postoperative airway morbidity compared to the laryngeal mask in paralyzed patients?

P
Population
132 paralysed patients requiring airway management randomized to receive either a laryngeal tube or a laryngeal mask.
I
Intervention
Laryngeal tube (new version)
C
Comparator
Laryngeal mask
O
Outcome
Ease of insertion, oxygenation and ventilation, spirometry data and postoperative airway morbidity

Main Result

Absolute Event Rate: 84.8% vs 56.1%

p-value: p=0.001

The laryngeal tube provides a safe and effective airway with higher first-attempt insertion success and lower airway morbidity compared to the laryngeal mask.

Cite This Study

Mäenpää et al. (2007) conducted an RCT in Airway management in paralysed patients (n=132). Laryngeal tube vs. Laryngeal mask was evaluated on Insertion success rate after the first attempt (p=0.001). The laryngeal tube achieved a significantly higher first-attempt insertion success rate compared to the laryngeal mask (84.8% vs 56.1%, P=0.001).

synapsesocial.com/papers/6a84734974ee596ff2c5261fhttps://doi.org/10.1017/s0265021507000129
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Recovery Profile of Baroreflex Control of Heart Rate After Isoflurane or Sevoflurane Anesthesia in Humans2001 · 58 citations
  2. 2The effect of carbon dioxide, respiratory rate and tidal volume on human heart rate variability2003 · 145 citations
  3. 3Evidence for a Central Origin of the Low-Frequency Oscillation in RR-Interval Variability1998 · 172 citations
  4. 4Heart Rate Variability During Specific Sleep Stages1995 · 362 citations
  5. 5Comparison of the laryngeal mask (LMA™) and laryngeal tube (LT®) with the new perilaryngeal airway (CobraPLA®) in short surgical procedures2006 · 46 citations