Airway management

Efficacy and safety of three inflation methods of the laryngeal mask airway Ambu® Auraonce™: a randomized controlled study

J Clin Monit ComputPublished Randomised controlled trial

Authors' conclusion

When a cuff manometer is not available, a partial inflation of AuraOnce™ LMA cuff using MV method allows to control intracuff pressure, with no significant changes of OLP and LV compared to RV and NV insufflation method.

Study context

Population
Patients scheduled for EBUS under GA using AuraOnce™ laryngeal mask airway (LMA)201 (95.7%) completed
Participants
210 patients
Comparison
Residual volume (RV) vs maximum volume (MV) vs NV
  • RVn = 69
  • MVn = 65
  • NVn = 67
Methodological detailsdouble-blind
  • Double-blind

Primary result

As reported in the abstract

Intracuff pressure (IP)

MV

59.4

mean · SD 32.4 · cm H2O

RV

75.1

mean · SD 21.1 · cm H2O

NV

83.1

mean · SD 25.5 · cmH20

P < 0.01

Further findings

Incidence of IP > 60 cmH2O — MV vs RV and NV · lower in the MV group

P < 0.01

OutcomeP value
Insertion success at first attemptMV vs RV and NV · no difference between groupsP = 0.38
Airway leak pressure (OLP)MV vs RV and NV · no difference between groupsP = 0.53
Leakage volume (LV)MV vs RV and NV · no difference between groupsP = 0.26

Safety

Postoperative complications (PC)

No difference between groups (p = 0.16)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Efficacy and safety of three inflation methods of the laryngeal mask airway Ambu® Auraonce™: a randomized controlled study. J Clin Monit Comput. Published 4 August 2023. doi:10.1007/s10877-023-01061-x

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