A new video laryngoscope combined with flexible laryngeal mask insertion: A prospective randomized study
Authors' conclusion
The new VLS-guided insertion technology has a high success rate, achieves greater OLP, and provides an ideal anatomical position with minimal adjustment, without increasing the risk of hemodynamic stress or adverse events.
Study context
- Population
- Patients undergoing flexible laryngeal mask airway (LMA) (flexible laryngeal mask airway (F-LMA)) insertion under GA
- Participants
- 157 patients
- Comparison
- Video laryngoscope (VLS)-assisted vs standard blind insertion of a flexible LMA
- Primary endpoint
- First-attempt success rate
Methodological detailsprospective
- Prospective
Primary result
As reported in the abstract
P = 0.002
Secondary outcomes
Oropharyngeal leakage pressure (OLP)
P = 0.002
Insertion time · shorter in B
P < 0.001
| Outcome | P value |
|---|---|
| Fiberoptic viewSignificantly better in VL | P < 0.001 |
| Readjustment and reinsertionLess required in VL | P < 0.001 |
Safety
Hemodynamic stress responses and postoperative airway complications
- Did not differ between the two groups
Original publication
A new video laryngoscope combined with flexible laryngeal mask insertion: A prospective randomized study. J Clin Anesth. Published 22 August 2024. doi:10. 1016/ j. jclinane. 2024. 111590
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