Key result
Spontaneous breathing through a laryngeal mask airway reduced total operation time compared to NMB with tracheal intubation, though pneumoperitoneum adequacy was better with NMB.
Why the study?
Does spontaneous breathing through a laryngeal mask airway improve surgical conditions compared to NMB and tracheal intubation in female patients undergoing day-case gynaecological laparoscopy?
Population
40 female patients undergoing day-case, gynaecological laparoscopic procedures
Comparison
Spontaneous breathing through a laryngeal mask… vs Neuromuscular-blocking agent and lungs…
Design
RCT, allocated randomly to two groups
Authors
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LMA with spontaneous breathing shortens operation time but yields inferior pneumoperitoneum versus NMB intubation; extends RCT data on airway choice in gynaecological laparoscopy.
RCT (n=40)
Does spontaneous breathing through a laryngeal mask airway improve surgical conditions compared to NMB and tracheal intubation in female patients undergoing day-case gynaecological laparoscopy?
Spontaneous breathing through a laryngeal mask airway reduces total operation time but produces different abdominal pressure patterns compared to NMB and tracheal intubation during gynaecological laparoscopy.
Williams et al. (2003) conducted an RCT in Gynaecological laparoscopy (n=40). Spontaneous breathing through a laryngeal mask airway vs. Neuromuscular-blocking agent (NMB) and ventilation via a tracheal tube was evaluated on Surgical conditions including initial intra-abdominal pressure, operation time, and adequacy of pneumoperitoneum. Spontaneous breathing through a laryngeal mask airway reduced total operation time compared to NMB with tracheal intubation, though pneumoperitoneum adequacy was better with NMB.
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