Objective To investigate the comparative effect of proseal laryngeal mask airway and flexible laryngeal airway mask during otitis media surgery. Methods 200 patients of ASA I or II classification, 18-65 years old, BMI\<30 kg/m2 undergoing otitis media surgery are randomly divided into two groups (Group P with proseal laryngeal mask airway and Group F with flexible laryngeal airway mask, respectively). After induction, selecting a appropriate size of LMA to patient,s weight, using the standard index finger-guided technique inserting the LMA, and then the patients were ventilated mechanically. The success rate of inserting laryngeal mask, the intubation time, surgery time and wake time were also recorded. Tidal volume and leakage pressure in patients with supine and lateral positioning were assessed respectively. The scale of fiberoptic bronchoscopy was also recorded to show airway exposure. Related complications such as sore throat, hoarseness, cough, laryngospasm, bloating, nausea and vomiting, soft tissue injury, blood residue after pulling out the LMA were analyzed.Postoperative voice and laryngopharyngeal symptom are also recorded.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
200
Ventilation with flexible laryngeal mask airway
Ventilation with proseal laryngeal mask airway
successful insert rate
success rate of inserting laryngeal mask
Time frame: 0 minute after insertion
tidal volume
tidal volume at 15cmH2O in patients with supine and lateral positioning
Time frame: 5 minute afer successful insertion
leakage pressure
leakage pressure in patients with supine and lateral positioning
Time frame: 5 minute afer successful insertion
The scale of fiberoptic bronchoscopy
1 = only vocal cords visible; 2 = vocal cords plus posterior epiglottis visible; 3 = vocal cords plus anterior epiglottis visible; and 4 = vocal cords invisible
Time frame: 0 minute afer successful insertion
Number of Participants with cranial nerve injury
Number of Participants with cranial nerve injury
Time frame: 1hours after the surgery
Number of Participants with sore throat
Number of Participants with sore throat
Time frame: 1hours after the surgery
Number of Participants with hoarseness
Number of Participants with hoarseness
Time frame: 1hours after the surgery
Number of Participants with cough
Number of Participants with cough
Time frame: 1hours after the surgery
Number of Participants with laryngospasm
Number of Participants with laryngospasm
Time frame: 1hours after the surgery
Number of Participants with soft tissue injury
Number of Participants with soft tissue injury
Time frame: 1hours after the surgery
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