Which Criterion Is Appropriate for Laryngeal Mask Airway Size in Women: Weight or Height?
Abstract
Background: In this study, we try to determine which of this two criteria (height or weight) is a better for determining the appropriate size of the laryngeal mask airway for Iranian women.
Methods: This randomized controlled trial was performed on 300 females with ASA I-II who were candidate for eye surgery. In the weight group, the size of the laryngeal mask airway was selected according to the classical method and in the height group (height less than 170 cm: size 3, height above 170 cm: size 4) based on researcher’s experience. Number of attempts, leakage and complications were evaluated during surgery, recovery and 24 hours later. Data was analyzed with SPSS v.16 and P<0.05 was meaningful.
Results: There weren't significant difference between 2 groups for demographic parameters. Our study shows significant decrease in the number of laryngeal mask airway insertion attempts, the amount of air leakage, the sore throat at recovery and the day after the surgery, and the bloody laryngeal mask airway cuff, in the height group than weight group.
Conclusion: We concluded that laryngeal mask airway size based on the patients’ height leads to faster and easier application and fewer side effects than choosing the size based on the patients’ weight.
[2]Yu SH, Beirne OR. Laryngeal mask airways have a lower risk of airway complications compared with endotracheal intubation: a systematic review. J Oral Maxillofac Surg. 2010 Oct;68(10):2359-76.
[3]Jakobsson J. The airway in day surgery. Minerva anestesiologica. 2010; 76(1):38-44.
[4]Ahmed A, Abbasi S, Ghafoor HB, Ishaq M. Postoperative sore throat after elective surgical procedures. Journal of Ayub Medical College, Abbottabad: JAMC. 2007; 19(2):12-4.
[5]Eidi M, Kolahdouzan K, Ghorbanian N, Hosseinzadeh H. Effect of intravenous hydrocortisone on postoperative sore throat due to laryngeal mask airway insertion in patients undergoing urogenital surgeries. J North Khorasan Uni Med Sci. 2011; 3(2):55-9.
[6]Huang YH, Cherng CH. Optimal size selection of the classic laryngeal mask airway by tongue width-based method in male adults. Journal of the Chinese Medical Association: JCMA. 2014;77(8):422-5.
[7]Brimacombe J, Holyoake L, Keller C, Brimacombe N, Scully M, Barry J, et al. Pharyngolaryngeal, neck, and jaw discomfort after anesthesia with the face mask and laryngeal mask airway at high and low cuff volumes in males and females. Anesthesiology. 2000; 93(1):26-31.
[8]Busetto L, Calo E, Mazza M, De Stefano F, Costa G, Negrin V, et al. Upper airway size is related to obesity and body fat distribution in women. Eur Arch Otorhinolaryngol. 2009; 266(4):559-63.
[9]Kim MS, Lee JS, Nam SB, Kang HJ, Kim JE. Randomized Comparison of Actual and Ideal Body Weight for Size Selection of the Laryngeal Mask Airway Classic in Overweight Patients. J Korean Med Sci. 2015; 30(8):1197-202.
[10]Voyagis GS, Batzioulis PG, Secha-Doussaitou PN. Selection of the proper size of laryngeal mask airway in adults. Anesth Analg. 1996; 83(3):663-4.
[11]Berry AM, Brimacombe JR, McManus KF, Goldblatt M. An evaluation of the factors influencing selection of the optimal size of laryngeal mask airway in normal adults. Anaesthesia. 1998; 53(6):565-70.
[12]Asai T, Howell TK, Koga K, Morris S. Appropriate size and inflation of the laryngeal mask airway. Br J Anaesth. 1998; 80(4):470-4.
[13]Brimacombe J, Keller C. Laryngeal mask airway size selection in males and females: ease of insertion, oropharyngeal leak pressure, pharyngeal mucosal pressures and anatomical position. Br J Anaesth. 1999; 82(5):703-7.
[14]Asai T, Murao K, Yukawa H, Shingu K. Re-evaluation of appropriate size of the laryngeal mask airway. Br J Anaesth. 1999; 83(3):478-9.
[15]van Zundert AA, Fonck K, Al-Shaikh B, Mortier E. Comparison of the LMA-Classic™ with the new disposable Soft Seal laryngeal mask in spontaneously breathing adult patients. Anesthesiology: Anesthesiology. 2003; 99(5):1066-71.
[16]Ali A, Canturk S, Turkmen A, Turgut N, Altan A. Comparison of the laryngeal mask airway Supreme and laryngeal mask airway Classic in adults. Eur J Anaesthesiol. 2009; 26(12):1010-4.
[17]Rao AS, Yew AE, Inbasegaran K. Optimal size selection of laryngeal mask airway in Malaysian female adult population. Med J Malaysia. 2003; 58(5):717-22.
[18]Asai T, Brimacombe J. Review article: cuff volume and size selection with the laryngeal mask. Anaesthesia. 2000; 55(12):1179-84.
[19]Martin SE, Mathur R, Marshall I, Douglas NJ. The effect of age, sex, obesity and posture on upper airway size. Eur Respir J. 1997; 10(9):2087-10(9):2087-90.
Files | ||
Issue | Vol 8 No Supp. 1 (2022): Supplement 1 | |
Section | Research Article(s) | |
Keywords | ||
Intubation Laryngeal Mask Postoperative Complication |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |