A randomized comparison of the i-gel and the ProSeal laryngeal mask airway in pediatric patients: performance and fiberoptic findings.

Abstract:

PURPOSE:We compared the insertion performance of the pediatric size 1.5-3 i-gel airway device with that of the ProSeal laryngeal mask airway (PLMA) in anesthetized children in a prospective, randomized, controlled manner. METHODS:We included 134 children, aged 3 months to 15 years, scheduled for elective surgery under general anesthesia. They were randomly divided into the i-gel and the PLMA groups according to the airway device used. The primary outcome variable was oropharyngeal leak pressure. Other outcome variables were ease of insertion, required time for insertion, fiberoptic view, and first-attempt and overall success rates. RESULTS:There were no differences in the ease of insertion, insertion time, or leak pressure between the devices. Fiberoptic view was significantly better with the i-gel than with the PLMA (P = 0.002). The view was significantly better with the sizes 2, 2.5, and 3 i-gel than with the size 1.5 i-gel (P = 0.02, 0.004 and 0.002, respectively), and the view was significantly better with the sizes 2.5 and 3 PLMA than with the size 1.5 PLMA (P = 0.02 and 0.005, respectively). The first-attempt success rates were 94 and 97 % in the i-gel and the PLMA groups, respectively; the success rates including the second attempt were 100 % in both groups. No children developed side effects requiring treatment with either device. CONCLUSION:Both the pediatric i-gel and the PLMA were successfully inserted in children. The fiberoptic view was better with the i-gel than with the PLMA.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Fukuhara A,Okutani R,Oda Y

doi

10.1007/s00540-012-1477-4

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

1-6

issue

1

eissn

0913-8668

issn

1438-8359

journal_volume

27

pub_type

杂志文章,随机对照试验
  • Does cuff pressure monitoring reduce postoperative pharyngolaryngeal adverse events after LMA-ProSeal insertion? A parallel group randomised trial.

    abstract:PURPOSE:The incidence of postoperative pharyngolaryngeal complications after laryngeal mask airway (LMA) insertion can be as high as 50%. Over-inflation of the LMA cuff may be a causal factor. We conducted a single-centre parallel group randomised trial to determine whether maintaining LMA-ProSeal intra-cuff pressures ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-014-1811-0

    authors: Vasanth Karthik R,Ranganathan P,Kulkarni AP,Sharma KS

    更新日期:2014-10-01 00:00:00

  • Thoracoscopic sympathectomy: endobronchial anesthesia vs endotracheal anesthesia with intrathoracic CO2 insufflation.

    abstract:PURPOSE:To compare clinical advantages and hemodynamic and respiratory changes during one lung-collapsed ventilation (OLCV) using a double-lumen tube (DLT) or a single-lumen tube (SLT) with intrathoracic CO(2) insufflation, in patients undergoing thoracic sympathectomy (TS) under general anesthesia. METHODS:One hundre...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s540-002-8088-z

    authors: El-Dawlatly A,Al-Dohayan A,Riyad W,Thalaj A,Delvi B,Al-Saud S

    更新日期:2002-01-01 00:00:00

  • Propofol use for sedation or sedation for propofol use?

    abstract::A large amount of pharmacological and clinical evidence supports the abuse potential of propofol. Although previous case reports have indicated that recreational use of propofol is primarily by medical professionals, its spread among the general public has recently been highlighted. This is the first case report to sh...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1275-4

    authors: Kim DK

    更新日期:2012-04-01 00:00:00

  • Prostaglandin E1 reduces blood loss during and after resection of lumbar herniated disc.

    abstract::Controlled hypotension was employed during resection of lumbar herniated disc on 10 patients. Prostaglandin E(1) (PG) was used as a hypotensive agent. The systolic blood pressure was lowered less than 100 mmHg in the hypotensive group. The average blood loss during surgery was 95 +/- 41 ml for the hypotensive group co...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054020060294

    authors: Kashimoto S,Nakamura T,Yamaguchi T

    更新日期:1992-07-01 00:00:00

  • Early postoperative renal function following renal transplantation surgery: effect of anesthetic technique.

    abstract:PURPOSE:The use of continuous epidural anesthesia in patients with chronic renal failure is rare and controversial. In this study, we compared the effects of epidural versus general anesthesia on early postoperative renal function in patients who underwent renal transplantation surgery. METHODS:Sixty-eight adult patie...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s005400200004

    authors: Akpek EA,Kayhan Z,Dönmez A,Moray G,Arslan G

    更新日期:2002-01-01 00:00:00

  • Comparison between propofol and dexmedetomidine in postoperative sedation after extensive cervical spine surgery.

    abstract:PURPOSE:Patients undergoing extensive cervical spine surgery (ECSS) occasionally require emergency reintubation due to postoperative airway complications. To avoid it, an endotracheal tube is retained in patients maintained under sedation overnight. This study was conducted to determine whether dexmedetomidine would be...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-011-1300-7

    authors: Terao Y,Ichinomiya T,Higashijima U,Tanise T,Miura K,Fukusaki M,Sumikawa K

    更新日期:2012-04-01 00:00:00

  • Mean operating room times differ by 50% among hospitals in different countries for laparoscopic cholecystectomy and lung lobectomy.

    abstract::We explored whether there were large differences in operating room (OR) times for two common procedures performed by multiple surgeons at each of several hospitals thousands of miles apart. Mean OR time, "wheels in" to "wheels out," for ten consecutive cases of each of laparoscopic cholecystectomy and lung lobectomy w...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00540-006-0419-4

    authors: Dexter F,Davis M,Egger Halbeis CB,Marjamaa R,Marty J,McIntosh C,Nakata Y,Thenuwara KN,Sawa T,Vigoda M

    更新日期:2006-01-01 00:00:00

  • Simulation-based airway management training: application and looking forward.

    abstract::Within the airway management field, simulation has been used as a tool of training for over 40 years. Simulation training offers a chance of active involvement for the trainees. It can effectively enhance and upgrade the knowledge and skills of the trainees in airway management, and subsequently decrease medical error...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-015-2116-7

    authors: Yang D,Wei YK,Xue FS,Deng XM,Zhi J

    更新日期:2016-04-01 00:00:00

  • Severe hyperglycemic shock associated with hepatic portal venous gas.

    abstract::We report a case of hyperglycemic shock associated with hepatic portal venous gas. A 79-year-old woman with post-stroke depression developed severe tachycardiac atrial fibrillation and hypotension due to hypovolemia caused by severe hyperglycemia, as well as showing disseminated intravascular coagulation (DIC). Contin...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-007-0586-y

    authors: Nishikawa K,Higuchi M,Kimura S,Shimodate Y,Namiki A

    更新日期:2008-01-01 00:00:00

  • Sedative effects of oral pregabalin premedication on intravenous sedation using propofol target-controlled infusion.

    abstract:PURPOSE:The sedative effects of pregabalin during perioperative period have not been sufficiently characterized. The aim of this study was to verify the sedative effects of premedication with pregabalin on intravenous sedation (IVS) using propofol and also to assess the influences of this agent on circulation, respirat...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00540-017-2366-7

    authors: Karube N,Ito S,Sako S,Hirokawa J,Yokoyama T

    更新日期:2017-08-01 00:00:00

  • Comparison of postoperative liver dysfunction following halothane and sevoflurane anesthesia in women undergoing mastectomy for cancer.

    abstract::The incidence of an abnormal increase in the serum levels of glutamic oxaloacetic transaminase (GOT) and glutamic pyruvic transaminase (GPT) following anesthesia with halothane and 65% nitrous oxide in oxygen (halothane group) or with sevoflurane and 65% nitrous oxide in oxygen (sevoflurane group) was compared in wome...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/BF02479843

    authors: Tsujimoto S,Kato H,Minamoto Y,Miki H,Kitamura R

    更新日期:1995-06-01 00:00:00

  • Cervical spinal cord compression after thyroidectomy under general anesthesia.

    abstract::Cervical spinal cord injury is a rare but serious complication after general anesthesia. The risk factors include traumatic cervical injury, cervical spine instability, and difficult airway management. It has also occurred in the absence of cervical instability. Here we report a patient who had a history of intermitte...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1667-8

    authors: Yao W,Qiu J,Zhou Z,Zhang L,Zhang C

    更新日期:2014-02-01 00:00:00

  • Combined effects of succinylcholine and calcium on membrane-bound acetylcholinesterase activity.

    abstract::The effects of succinylcholine and calcium (Ca2+), alone and together, on membrane-bound acetylcholinesterase ("true-type" cholinesterase) were examined using human erythrocyte ghosts to elucidate the combined pharmacological activity of succinylcholine and calcium in in vivo system. Succinylcholine inhibited the acet...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054070010015

    authors: Wakamatsu M,Shimonaka H,Yamamoto M,Kawai K,Nozawa Y

    更新日期:1987-03-01 00:00:00

  • Increased membrane fluidity of erythrocytes in a case with malignant hyperthermia.

    abstract::In a case with malignant hyperthermia (MH), membrane fluidity of erythrocytes was studied by electron spin resonance (ESR)-spin labeling technique. The measurement was made with samples obtained during and after pyrexic crisis until full recovery. The results indicated that membrane fluidity increased during pyrexic c...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054070010088

    authors: Kawamoto M,Fujii K,Kikuchi H,Morio M

    更新日期:1987-03-01 00:00:00

  • Sevoflurane induces cardioprotection through reactive oxygen species-mediated upregulation of autophagy in isolated guinea pig hearts.

    abstract:PURPOSE:Sevoflurane increases reactive oxygen species (ROS), which mediate cardioprotection against myocardial ischemia-reperfusion injury. Emerging evidence suggests that autophagy is involved in cardioprotection. We examined whether reactive oxygen species mediate sevoflurane preconditioning through autophagy. METHO...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1755-9

    authors: Shiomi M,Miyamae M,Takemura G,Kaneda K,Inamura Y,Onishi A,Koshinuma S,Momota Y,Minami T,Figueredo VM

    更新日期:2014-08-01 00:00:00

  • The effects of butorphanol on baroreflex control of heart rate in man.

    abstract::The effects of butorphanol injection on baroreflex control of heart rate were investigated using both pressor and depressor tests in eighteen adult patients. Baroreflex sensitivity was attenuated after butorphanol injection in the pressor test using phenylephrine, whereas it was unchanged in the depressor test using n...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054030070411

    authors: Wajima Z,Inoue T,Ogawa R

    更新日期:1993-10-01 00:00:00

  • Chronic hyperglycemia with elevated glycated hemoglobin level and its association with postoperative acute kidney injury after a major laparoscopic abdominal surgery in diabetes patients.

    abstract:BACKGROUND:The relationship between preoperative hyperglycemia and postoperative acute kidney injury (AKI) occurrence in non-cardiac surgery including laparoscopic surgery remains unclear. This study aimed to assess the relationship between preoperative chronic hyperglycemia and postoperative AKI occurrence after a maj...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-018-2551-3

    authors: Oh TK,Han S,Oh AY,Kim S,Ryu JH

    更新日期:2018-10-01 00:00:00

  • The distance from the skin to the epidural space.

    abstract::To determine whether there is any systemic relationship between the distance from the skin to the epidural space and physical constitution, the distance from the skin to the epidural space was measured in 1007 epidural punctures. The distance from the skin to the epidural space in male was greater than that in female ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054080020198

    authors: Hirabayashi Y,Matsuda I,Inoue S,Shimizu R

    更新日期:1988-09-01 00:00:00

  • Lipid peroxide and leukotriene B3 production in patients undergoing cardiopulmonary bypass.

    abstract::Cardiac surgery with cardiopulmonary bypass (CPB) is frequently associated with a complex array of post-operative clinical abnormalities, including low-output syndrome and pulmonary dysfunction. It has been reported that oxygen free radicals are one of the important factors causing reperfusion injury. To determine whe...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/BF02483345

    authors: Kawamura T,Sakurada H,Okada K,Wakusawa R,Ito H

    更新日期:1996-06-01 00:00:00

  • History of the development of antagonists for neuromuscular blocking agents.

    abstract::Muscle relaxation induced by neuromuscular blocking agents (NMBAs) is necessary for tracheal intubation and immobilization during surgery. Although acetylcholinesterase inhibitors have been successfully used as antagonists for NMBAs, they have their limitations; their effects are transient and ineffective against prof...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02836-1

    authors: Suzuki K,Takazawa T,Saito S

    更新日期:2020-10-01 00:00:00

  • Survey of patients whose lungs could not be ventilated and whose trachea could not be intubated in university hospitals in Japan.

    abstract:PURPOSE:We conducted a survey to clarify the actual circumstances in which the lungs could not be ventilated and the trachea could not be intubated (CVCI). METHODS:A questionnaire was mailed to all the university hospitals in Japan, asking about CVCI they had experienced during induction of anesthesia in 1998, and bef...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-003-0187-3

    authors: Nagaro T,Yorozuya T,Sotani M,Adachi N,Tabo E,Arai T,Dote K

    更新日期:2003-01-01 00:00:00

  • Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial.

    abstract:PURPOSE:In many countries, patients are generally allowed to have clear fluids until 2-3 h before surgery. In Japan, long preoperative fasting is still common practice. To shorten the preoperative fasting period in Japan, we tested the safety and efficacy of oral rehydration therapy until 2 h before surgery. METHODS:T...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00540-011-1261-x

    authors: Itou K,Fukuyama T,Sasabuchi Y,Yasuda H,Suzuki N,Hinenoya H,Kim C,Sanui M,Taniguchi H,Miyao H,Seo N,Takeuchi M,Iwao Y,Sakamoto A,Fujita Y,Suzuki T

    更新日期:2012-02-01 00:00:00

  • The efficiency of beta 2-agonist delivery through tracheal tubes with the metered-dose inhaler: an in vitro study.

    abstract:PURPOSE:To study the delivery efficiency of procaterol aerosols administered through the tracheal tube (ETT) with a metered-dose inhaler (MDI) during apnea. METHODS:First, in a normal room air environment (at ambient temperatures of 24 degrees to 26 degrees C), we measured the amount of aerosol delivered through the E...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s005400200044

    authors: Takaya T,Takeyama K,Takiguchi M

    更新日期:2002-01-01 00:00:00

  • Bispectral index during epidural puncture predicts anterograde amnesia in patients given midazolam premedication.

    abstract:PURPOSE:We hypothesized anterograde amnesia could be predicted by the bispectral index (BIS) during epidural puncture in patients premedicated with intramuscular midazolam. METHODS:We investigated 64 consecutive patients undergoing gynecological laparotomy under general anesthesia combined with epidural anesthesia. Mi...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-009-0748-1

    authors: Nakasuji M,Nakamura M,Imanaka N,Tanaka M,Nomura M,Wada M,Kawashima H

    更新日期:2009-01-01 00:00:00

  • Hyperinsulinemic normoglycemia decreases glucose variability during cardiac surgery.

    abstract:PURPOSE:Increased glucose variability may be associated with worse outcomes in critically ill patients. Hyperinsulinemic normoglycemia provides intensive glucose control during surgery and may reduce glucose variability. Our objective was to compare glycemic variability between two methods of glucose control in cardiac...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-016-2295-x

    authors: Abd-Elsayed A,Mascha EJ,Yang D,Sessler DI,Duncan A

    更新日期:2017-04-01 00:00:00

  • Antinociceptive effect of intracerebroventricular administration of D-serine on formalin-induced pain.

    abstract:PURPOSE:In a previous study using the tail-flick test, we found that intracerebroventricular administration of D-serine, an endogenous co-agonist at the glycine sites of N-methyl-D-aspartate (NMDA) receptors, elicited an antinociceptive effect on thermal nociception. The purpose of the present study was to evaluate the...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1708-3

    authors: Ito M,Yoshikawa M,Ito K,Matsuda M,Jin XL,Takahashi S,Kobayashi H,Suzuki T

    更新日期:2014-04-01 00:00:00

  • Effects of ultrasound-guided erector spinae plane block on postoperative analgesia and plasma cytokine levels after uniportal VATS: a prospective randomized controlled trial.

    abstract:PURPOSE:Although uniportal video-assisted thoracoscopic surgery (VATS) has been widely used, the associated postoperative pain is still severe. Currently, a variety of regional anesthesia methods have been used to relieve postoperative pain. In our study, we wanted to evaluate the effectiveness of ultrasound-guided ere...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02848-x

    authors: Liu L,Ni XX,Zhang LW,Zhao K,Xie H,Zhu J

    更新日期:2021-02-01 00:00:00

  • Effect-compartment equilibrium rate constant (keo) for propofol during induction of anesthesia with a target-controlled infusion device.

    abstract::The effect-compartment concentration (C(e)) of a drug at a specific pharmacodynamic endpoint should be independent of the rate of drug injection. We used this assumption to derive an effect-compartment equilibrium rate constant (k(eo)) for propofol during induction of anesthesia, using a target controlled infusion dev...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-005-0378-1

    authors: Lim TA,Wong WH,Lim KY

    更新日期:2006-01-01 00:00:00

  • Successful treatment of ropivacaine-induced central nervous system toxicity by use of lipid emulsion: effect on total and unbound plasma fractions.

    abstract::A 24-year-old man underwent surgery for a fractured left clavicle and received an interscalene brachial plexus block for intraoperative and postoperative analgesia. After injection of 40 ml 0.5% ropivacaine and confirmation of analgesia, general anesthesia was induced and maintained with propofol. Although the operati...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1125-4

    authors: Mizutani K,Oda Y,Sato H

    更新日期:2011-06-01 00:00:00

  • Implementing enhanced recovery after bariatric surgery protocol: a retrospective study.

    abstract::While the demand for bariatric surgery is increasing, hospital capacity remains limited. The ERABS (Enhanced Recovery After Bariatric Surgery) protocol has been implemented in a number of bariatric centers. We retrospectively compared the operating room logistics and postoperative complications between pre-ERABS and E...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-015-2089-6

    authors: Proczko M,Kaska L,Twardowski P,Stepaniak P

    更新日期:2016-02-01 00:00:00