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The effect of nitrous oxide on intracuff pressure of the size 2 ProSeal Laryngeal Mask Airway.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chen, Ben-Zhen Luo, Li-Hui Jiang, Lu Wang, Ru-Rong Li, Jingxia Tan, Ling
Description	Country affiliation: China Author Affiliation: Chen BZ ( Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.)
Abstract	STUDY OBJECTIVE: To investigate intracuff pressure changes in the ProSeal Laryngeal Mask Airway (PLMA) during 50% nitrous oxide (N2O) anesthesia. DESIGN: Prospective, randomized study. SETTING: Operating room of a university-affiliated hospital. PATIENTS: 40 ASA 1 and 2 children, aged 2 to 6 years, weighing 10-20 kg, undergoing elective inguinal herniorrhaphy with general anesthesia. INTERVENTIONS AND MEASUREMENTS: Patients were assigned to two groups (n = 20). Patients in Group A were anesthetized with 50% N(2)O in oxygen and sevoflurane, while patients in Group B were anesthetized with 50% air in oxygen and sevoflurane. PLMA cuffs were inflated with air. PLMA intracuff pressures starting from a baseline pressure of 30 mmHg were recorded using a pressure transducer for 30 minutes. The occurrence of postoperative throat discomfort was recorded. MAIN RESULTS: In Group A, who inhaled 50% N2O for 30 minutes, intracuff pressures reached 86.7 ± 10.4 mmHg, while in Group B, who inhaled 50% air for 30 minutes, intracuff pressures were 29.7 ± 1.0 mmHg. The postoperative throat complication rate in Group A was 45%, which was significantly higher than in Group B (5%). CONCLUSION: PLMA intracuff pressure increased significantly during 50% N2O anesthesia. The children's postoperative throat complication rate also was increased.
File Format	HTM / HTML
ISSN	09528180
Issue Number	3
Volume Number	23
e-ISSN	18734529
Journal	Journal of Clinical Anesthesia
Language	English
Publisher	Elsevier
Publisher Date	2011-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Anesthetics, Inhalation Adverse Effects Laryngeal Masks Nitrous Oxide Child Child, Preschool Humans Pharyngitis Epidemiology Postoperative Complications Pressure Prospective Studies Journal Article Randomized Controlled Trial
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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