Comparison of the ProsealTM Laryngeal Mask with or without a 90 Degree Bent by an Intubating Stylet for Airway Management during Cardiopulmonary Resuscitation Simulation
- *Corresponding Author:
- Nobuyasu Komasawa
Department of Anesthesiology, Osaka Medical College
Daigaku-machi 2-7, Takatsuki,Osaka 569-8686, Japan
E-mail: [email protected]
Received date: June 28, 2013; Accepted date: July 26, 2013; Published date: July 29, 2013
Citation: Komasawa N, Ueki R, Kohama H, Nishi Si, Tashiro C, et al. (2013) Comparison of the Proseal™ Laryngeal Mask with or without a 90 Degree Bent by an Intubating Stylet for Airway Management during Cardiopulmonary Resuscitation Simulation. J Anesthe Clinic Res 4:336. doi: 10.4172/2155-6148.1000336
Copyright: © 2013 Komasawa N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Purpose: The 2010 American Heart Association (AHA) guidelines propose the use of a Laryngeal Mask (LMA) as an alternative to tracheal intubation for Cardiopulmonary Resuscitation (CPR). Use of a ProSealTM laryngeal mask, bent 90 degrees by an intubating stylet, has been reported to yield definite insertion. We compared speed and success of insertion between the styleted LMA (ProSeal-90D) and the conventional LMA (ProSeal-N).
Methods: A total of 20 novice doctors in our Department of Anesthesia performed insertion of both the ProSeal-N and ProSeal-90D on a manikin, with and without chest compression. Insertion times and successful insertion rate with first attempt were recorded.
Results: Chest compression decreased the ventilation success rate significantly for the ProSeal-N, but did not affect the results for the ProSeal-90D. Moreover, when chest compression was performed, ventilation success rate was significantly higher for ProSeal-90D than the ProSeal-N. Insertion time was lengthened by chest compression for ProSeal-N, but not for ProSeal-90D.
Conclusions: In simulated resuscitation, rapid successful placement was more frequent with the ProSeal-90D than the ProSeal-N during chest compressions.