Airway management

To compare the influence of blind insertion and up-down optimized glottic exposure manoeuvre on oropharyngeal leak pressure using SaCoVLM™ video laryngeal mask among patients undergoing general anesthesia

J Clin Monit ComputPublished Randomised self-controlled study

Authors' conclusion

In using SaCoVLM™, higher OPLP and better glottic exposure grading were achieved through up-down optimized glottic exposure manoeuvre, protecting the airway while real-time monitoring of conditions around the glottis, which significantly improves airway safety.

Study context

Population
Adults 18–78 years, BMI 18.0–30.0 kg m-2, ASA I–II, undergoing selective surgery under GAeach patient both techniques
Participants
60 adults
Comparison
Up-down optimized glottic exposure manoeuvre vs Blind insertion
Primary endpoint
Oropharyngeal leak pressure (OPLP)
Methodological detailsself-control
  • Self-control

Primary result

As reported in the abstract

OPLP

P < 0.001

Further findings

OutcomeP value
Glottic exposure gradingP < 0.001

Glottic exposure grading

Glottic exposure grading better with up-down optimized manoeuvre (V2) than blind insertion (V1)

Original publication

To compare the influence of blind insertion and up-down optimized glottic exposure manoeuvre on oropharyngeal leak pressure using SaCoVLM™ video laryngeal mask among patients undergoing general anesthesia. J Clin Monit Comput. Published 29 October 2022. doi:10.1007/s10877-022-00930-1

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