Comparison of oropharyngeal leak pressure and clinical performance of LMA ProSeal and i-gel® in adults: Meta-analysis and systematic review

被引：24

作者：

Shin, Hye Won ^{[1
]}

Yoo, Hae Na ^{[1
]}

Bae, Go Eun ^{[1
]}

Chang, Jun Chul ^{[1
]}

Park, Min Kyung ^{[1
]}

You, Hae Seun ^{[1
]}

Kim, Hyun Jung ^{[2
]}

Ahn, Hyung Sik ^{[2
]}

机构：

[1] Korea Univ, Anam Hosp, Coll Med, Dept Anesthesiol & Pain Med, 126-1 Anam Dong 5-Ga, Seoul 136705, South Korea

[2] Korea Univ, Coll Med, Dept Prevent Med, Inst Evidence Based Med, Seoul 136705, South Korea

来源：

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2016年 / 44卷 / 03期

关键词：

Airway sealing; equipment; i-gel (R); laryngeal mask airway proseal; leak; meta-analysis; LARYNGEAL MASK AIRWAY; I-GEL; SUPRAGLOTTIC AIRWAY; ASPIRATION; ANESTHESIA;

D O I：

10.1177/0300060515607386

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background A meta-analysis and systematic review of randomized controlled trials to compare the oropharyngeal leak pressure (OLP) and clinical performance of LMA ProSeal (Teleflex (R) Inc., Wayne, PA, USA) and i-gel (R) (Intersurgical Ltd, Wokingham, UK) in adults undergoing general anesthesia. Methods Searches of MEDLINE (R), EMBASE (R), CENTRAL, KoreaMed and Google Scholar (R) were performed. The primary objective was to compare OLP; secondary objectives included comparison of clinical performance and complications. Results Fourteen RCTs were included. OLP was significantly higher with LMA ProSeal than with i-gel (R) (mean difference [MD] -2.95cmH(2)O; 95% confidence interval [CI] -4.30, -1.60). The i-gel (R) had shorter device insertion time (MD -3.01s; 95% CI -5.80, -0.21), and lower incidences of blood on device after removal (risk ratio [RR] 0.32; 95% CI 0.18, 0.56) and sore throat (RR 0.56; 95% CI 0.35, 0.89) than LMA ProSeal. Conclusion LMA ProSeal provides superior airway sealing compared to i-gel (R).

引用

页码：405 / 418

页数：14

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