Ismail J. Namazi 1 , Nikunj Garia 2 , Ravi Bhaskar Kumar 3 , Medha Mozumder 4 , Ahmed Mubariz Uddin 5 , Amruta Pingale 6
ABSTRACT: CONTEXT: In spite of tremendous advances in contemporary anaesthetic practice till date, the cuffed tracheal tube was considered as the gold standard for providing a safe glottic seal, especially for laproscopic procedures under general anaesthesia. This study has been under taken to study the role and possible future of proseal laryngeal mask airway (PLMA) in anaesthesia for laproscopic surgeries. AIM: Aim was to compare the efficacy of PLMA and endotracheal tube (ETT) in patients undergoing laproscopic surgeries under general anaesthesia. SETTING AND DESIGN, METHODS AND MATERIAL: This prospective randomized study was conducted on 60 ASA I-II adult patients of age group 20-65 years of either sex, 30 in each group. In group P, PLMA and in group E, ETT was inserted nasogastric tube (NGT) was passed in all patients. The ease of insertion of device and NGT, haemodynamic changes, ventilation and perioperative laryngopharyngeal morbidity (LPM) were noted. RESULT: Statistically group P was observed with better ease of insertion, hemodynamic stability, and reduced perioperative LPM as compared to group E respectively. There was no significant difference in oxygen saturation (SPO2) or end-tidal carbon dioxide (ETCO2) between the two groups. CONCLUSION: A properly positioned PLMA proved to be a suitable and safe alternative to ETT for airway management in elective laproscopic surgeries
