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http://dx.doi.org/10.1007/BF03017862DOI Listing

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Study Objective: The study objective is to determine whether extraglottic airway devices (EADs) with or without mask aperture bars (MABs) result in similar anatomical positions in patients undergoing surgery.

Design: Prospective, randomized, crossover comparison of four extraglottic airway devices.

Setting: Operating theatre at a large teaching hospital.

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The anatomical position of three extraglottic airway devices in patients with clear airways.

Anaesthesia

September 2006

Deparmtent of Anaesthesiology, Intensive Care and Pain Therapy, Catharina, Hospital--Brabant Medical School, Eindhoven, The Netherlands.

We tested the hypothesis that, in patients with clear airways, the anatomical position of three single-use extraglottic airway devices is similar. The airways studied were: the laryngeal mask airway unique (LMA-U), the Softseal laryngeal mask airway (SS-LM) and the Cobra perilaryngeal airway (Cobra-PLA). Three hundred spontaneously breathing patients were randomly allocated to have their airway managed using one of these three supraglottic airway devices.

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The COBRA perilaryngeal airway (PLA) is a new supraglottic airway device available for use in children. We studied the orientation of the larynx as viewed through the PLA using video obtained with a fiberoptic bronchoscope in 45 infants and children. Laryngeal view was scored, and position of the grill bars of the PLA and the epiglottis was assessed.

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