Evaluation of Insertion Characteristics of LMA ProSeal and AmbuAuraGain in Adult Patients under Controlled Ventilation: A Clinical Study

成人患者在控制通气下LMA ProSeal和AmbuAuraGain置入特性的评估:一项临床研究

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Abstract

BACKGROUND: In clinical practice, supraglottic airway devices such as the Laryngeal Mask Airway (LMA) ProSeal and AmbuAuraGain are often used for airway management under controlled ventilation. MATERIALS AND METHODS: One hundred adult patients having elective procedures under general anesthesia with regulated ventilation participated in this clinical research. Patients were divided into two groups at random: Group B (AmbuAuraGain, n = 50) and Group A (LMA ProSeal, n = 50). Oropharyngeal leak pressure (OLP), insertion time, ease of placement, number of tries, and problems like blood-stained device or sore throat after surgery were all recorded. All insertions were made by anesthesiologists with at least three years of experience, and standard anesthetic procedures were followed. RESULTS: Group A (LMA ProSeal) had a mean insertion time of 18.5 ± 2.5 seconds, whereas Group B (AmbuAuraGain) had a considerably lower mean time of 14.2 ± 2.1 seconds (P < 0.01). Group B had a greater first try success rate (96%) than Group A (88%). Although Group A's OLP was somewhat higher (26.3 ± 3.5 cmH(2)O) than Group B's (24.7 ± 3.2 cmH(2)O), the difference was not statistically significant (P > 0.05). Sore throat was one of the similar post-operative problems, occurring in 10% of Group B and 12% of Group A (P > 0.05). CONCLUSION: In comparison to LMA ProSeal, AmbuAuraGain showed a quicker insertion time and a higher first try success rate, suggesting enhanced usability. On the other hand, post-operative problems and oropharyngeal leak pressure were similar for both devices.

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