Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2015, Vol. 37 ›› Issue (3): 339-342.doi: 10.3881/j.issn.1000-503X.2015.03.018

• Orginal Article • Previous Articles     Next Articles

Effectiveness of Two Training Methods for Avoiding Excessive Inflation of Laryngeal Mask Airway Supreme

Ya-hong GONG, Si CHEN, Zhi-yong ZHANG, Yu-guang HUANG()   

  1. Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2014-11-04 Online:2015-05-23 Published:2015-06-30

Abstract: Objective

To evaluate the effectiveness of two training methods for avoiding excessive inflation of laryngeal mask airway(LMA)Supreme.

Methods

Totally 41 anesthesiologists were randomly divided into hand touch group(H group,n=20)and short-term pressure gauge training group(G group,n=21). Before training,subjects were asked to inflate the cuff of LMA Supreme to two target pressures,30 cmH2O and 60 cmH2O,according to their own experiences. The actual cuff pressures were recorded as baseline pressures. Subjects in H group then received the training of hand touch:touch the vermilion of the lip and apex nasi with the left ring finger and feel the hardness. A cuff pressure with hardness similar to the vermilion of the lip was defined as 30 cmH2O,and similar to the apex nasi as 60 cmH2O. Subjects in G group were asked to inflate the cuff with a pressure gauge and feel the hardness of the cuff when the pressure reached 30 cmH2O and 60 cmH2O. After one-week training,two groups of subjects repeated the cuff inflation test. Actual cuff pressures after training were also recorded and compared with the baseline pressures.

Results

Actual cuff pressures after training[Group H:(39.7±15.7) cmH2O(P=0.00);Group G:(26.2±13.2) cmH2O(P=0.03)]were significantly lower than baseline pressures in both groups when the target cuff pressure was 30 cmH2O,and the differences were not statistically significant between these two groups(P=0.06). When the target pressure was 60 cmH2O,the actual cuff pressure of H group [(91.1±24.3)cmH2O] was significantly higher than that of G group [(58.1±15.4) cmH2O (P=0.01)]. However,the actual cuff pressure of G group was similar to the target pressure.

Conclusion

The two training methods are equally effective when the target pressure is 30 cmH2O,while short-term pressure gauge training method is superior when the target pressure is 60 cmH2O.

Key words: laryngeal mask airway, Supreme, cuff, pressure, training

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