title: Cuffed oropharyngeal airway as a suitable alternative to the laryngeal mask airway for minor outpatient surgery.
abstract: OBJECTIVE
  To compare the application of the cuffed oropharyngeal airway and the laryngeal mask airway on anaesthetized adult patients undergoing minor outpatient surgery.
  
  
  METHODS
  One hundred patients received intravenous fentanyl, propofol and N20 for the induction and maintenance of anaesthesia. The patients were randomly divided into two groups: a cuffed oropharyngeal airway group (n = 50) and a laryngeal mask airway group (n = 50). After insertion of the device, fibreoptic laryngoscopy was attempted and the degree of success scored. We then compared the first application success rate of both procedures while judging airway intervention requirement, fibreoptic scores, adverse airway events and haemodynamic tolerance.
  
  
  RESULTS
  Both devices had an almost similar first-time placement rate (cuffed oropharyngeal airway 84% versus laryngeal mask airway 96%). The cuffed oropharyngeal airway required a higher number of airway interventions (P < 0.001). The laryngeal mask airway had a significantly better fibreoptic view compared with the cuffed oropharyngeal airway (P < 0.001). However, the number of adverse airway events was lower in the cuffed oropharyngeal airway group; there were no significant differences in adverse events and haemodynamic variables between the said two groups.
  
  
  CONCLUSIONS
  The results suggest that the cuffed oropharyngeal airway was an effective alternative airway in spontaneously breathing patients during short procedures.
authors.affiliation: Uludağ University Medical School, Department of Anaesthesiology, Bursa, Turkey. ici@uludag.edu.tr
authors.forename: B
authors.initials: B
authors.lastname: Yavaşcaoğlu
authors.forename: H V
authors.initials: HV
authors.lastname: Acar
authors.forename: S F
authors.initials: SF
authors.lastname: Kahveci
authors.forename: F N
authors.initials: FN
authors.lastname: Kaya
authors.forename: B
authors.initials: B
authors.lastname: Ozcan
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000769:Anesthesia, Inhalation / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005336:Fiber Optic Technology; D005931:Glottis / Q000502:physiology; D013509:Gynecologic Surgical Procedures; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D017214:Laryngeal Masks / Q000009:adverse effects; D007828:Laryngoscopy; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012121:Respiration, Artificial; D015656:Respiratory Mechanics; D014827:Vocal Cords / Q000033:anatomy & histology