Anaesthesia for gynaecological laparoscopy--a comparison between the laryngeal mask airway and tracheal intubation.
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.
Swann
D G
DG
Anaesthetic Department, St John's Hospital, Howden, Livingston, West Lothian.
Spens
H
H
Edwards
S A
SA
Chestnut
R J
RJ
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000601:surgery; D007442:Intubation, Intratracheal; D010535:Laparoscopy; D017214:Laryngeal Masks; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D016037:Single-Blind Method; D013245:Sterilization, Reproductive; D014839:Vomiting / Q000209:etiology