CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ezri, T.
Right arrow Articles by Geva, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ezri, T.
Right arrow Articles by Geva, D.

Canadian Journal of Anesthesia, Vol 46, 363-367, Copyright © 1999 by Canadian Anesthesiologists' Society

ARTICLES

Use of cuffed oropharyngeal vs laryngeal mask airway in elderly patients

T Ezri, N Ady, P Szmuk, L Glanz, B Shklar, J Katz and D Geva
Department of Anesthesiology, Kaplan Hospital, Rehovot, Israel.

PURPOSE: This study was designed to compare the new cuffed oropharyngeal airway (COPA) to the laryngeal mask airway (LMA) in elderly patients. METHODS: In a randomized, controlled study, 80 patients, age > or = 65, ASA I-III, undergoing urology procedures, were managed with either COPA or LMA. Propofol requirements for insertion of the devices, ease of insertion and removal, airway manipulations, mean arterial pressure, heart rate, P(ET)CO2, SpO2, peak inspiratory pressure, selection of the appropriate size of the device and leaks, fibreoptic visualization of larynx and complications were studied. RESULTS: There were more airway manipulations in the COPA group than in the LMA group (40% and 5% respectively) whereas P(ET)CO2 was higher in the LMA group (P < 0.05). In 60% of COPA patients the vocal cords could not be visualized but ventilation was adequate in all but two cases. Postoperative sore throat occurred in 20% of patients with LMA vs 10% with COPA). Bloody secretions on the device were present in two patients managed with LMA. CONCLUSION: In elderly patients COPA required more airway manipulations than the LMA. Laryngeal mask airway caused more sore throats, but was better for fibreoptic visualisation of the larynx. Both are excellent options when intubation is not indicated/desired.


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
D. M. Miller
A Proposed Classification and Scoring System for Supraglottic Sealing Airways: A Brief Review
Anesth. Analg., November 1, 2004; 99(5): 1553 - 1559.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
B. Gustorff, N. Lorenzl, L. Aram, C. G. Krenn, B. P. Jobst, and K. H. Hoerauf
Environmental Monitoring of Sevoflurane and Nitrous Oxide Using the Cuffed Oropharyngeal Airway
Anesth. Analg., May 1, 2002; 94(5): 1244 - 1248.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1999 by the Canadian Anesthesiologists' Society.