Anaesthesia for gynaecological laparoscopy—a comparison between the laryngeal mask airway and tracheal intubation
- 1 May 1993
- journal article
- clinical trial
- Published by Wiley in Anaesthesia
- Vol. 48 (5), 431-434
- https://doi.org/10.1111/j.1365-2044.1993.tb07021.x
Abstract
In a single-blind, randomised, controlled study, we compared two anaesthetic techniques in 60 patients undergoing gynaecological laparoscopy. In the first group, ventilation was controlled, after paralysis and tracheal intubation. In the second group, a laryngeal mask airway was inserted and spontaneous or assisted ventilation allowed. There were no clinically significant differences in the intra-operative conditions of the two groups, although the procedure was quicker in the second group. The only significant difference in morbidity was a greater incidence of nausea and vomiting in the second group in the first 4 h after operation. We conclude that use of the laryngeal mask airway is an acceptable technique for elective gynaecological laparoscopy, in patients who are at low risk of regurgitation.Keywords
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