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Flexible LMA (Laryngeal mask airway) is very useful for variable situation but it is hard to insert in correct position because of it's flexible structure. Especially in classical way of manual LMA insertion, when the index finger could not guide the flexible LMA to the optimal position, we could not guarantee the correct position of the LMA. Therefore several studies have been investigated to improve this.
The light wand is a kind of stylet which have a light on the tip. Recently some studies demonstrated the usefulness of the light wand which could be used for indicating correct position of the LMA. We hypothesised there will be two advantages if the light wand is used as a stylet of the flexible LMA. First the stylet could support the mildness of the flexible LMA, and second the lightness could confirm the correct position of the flexible LMA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | No Intervention | The flexible LMA is inserted using "index finger technique" | |
| Light wand group | Active Comparator | The flexible LMA is inserted using light wand as a stylet |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| light wand | Device | The light wand is used as a stylet of the flexible LMA. When the investigator inserts the flexible LMA in "light wand group", the correct position of the LMA is confirmed by the light. |
| Measure | Description | Time Frame |
|---|---|---|
| Oropharyngeal leak pressure | The oropharyngeal leak pressure is measured by the pressure which the investigator could detect the audible sound by stethoscope on patient's cheek during the exhaust valve is closed and the fresh gas is allowed to flow into the lungs at 3 liters per minute. | 5 minutes after LMA is inserted |
| Measure | Description | Time Frame |
|---|---|---|
| The grade of oropharyngeal view through the fiberoptic assessment | The position of the LMA was assessed by fiberoptic examination through an attachment between the LMA and the anesthetic circuit. | 5 minutes after LMA is inserted |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ji Young Yoo | Clinical assistant professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ajou University Hospital | Suwon | Gyeonggido | South Korea |
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