title: Effectiveness of the Streamlined Liner of the Pharynx Airway (SLIPATM) in allowing positive pressure ventilation during gynaecological laparoscopic surgery.
abstract: The aim of this study was to assess whether the Streamlined Liner of the Pharynx Airway (SLIPA) performed as well as an endotracheal tube for positive pressure ventilation in gynaecological laparoscopic surgery in the Trendelenburg position. Forty patients (American Society of Anesthesiologists physical status I to III) were randomly divided into two groups: SLIPA (n = 20) or endotracheal tube group (n = 20). Lung mechanics and severity of postoperative sore throat were assessed in both groups. In the SLIPA group, the oropharyngeal leak pressure was also measured. There were no significant differences between groups in the lung mechanics. In the SLIPA group, oropharyngeal leak pressure and peak inspiratory pressure increased significantly after gas insufflation compared to 10 minutes after patient positioning in the lithotomy position (P < 0.05). The difference between oropharyngeal leak pressure and peak inspiratory pressure (approximately 10 cmH2O throughout the procedure) remained suitable for airway maintenance. The incidence of sore throat was similar in both groups but the severity was less in the SLIPA group 24 hours after surgery (P < 0.05). There were no other complications such as regurgitation noted in either group. In the study population, the SLIPA performed as well as an endotracheal tube in allowing positive pressure ventilation without gas leak during gynaecological laparoscopy. The way in which the SLIPA increases its resistance to gas leak as the inspiratory pressure rises may account for this.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Kang-Dong Sacred Heart Hospital, Seoul, Republic of Korea.
authors.forename: S J
authors.initials: SJ
authors.lastname: Hong
authors.forename: K M
authors.initials: KM
authors.lastname: Ko
authors.forename: J H
authors.initials: JH
authors.lastname: Park
authors.forename: I S
authors.initials: IS
authors.lastname: Kims
authors.forename: S M
authors.initials: SM
authors.lastname: Hwang
authors.forename: K M
authors.initials: KM
authors.lastname: Shin
authors.forename: Y J
authors.initials: YJ
authors.lastname: Yoon
authors.forename: S S
authors.initials: SS
authors.lastname: Kang
mesh_terms: D000759:Adjuvants, Anesthesia / Q000008:administration & dosage / Q000494:pharmacology; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006024:Glycopyrrolate / Q000008:administration & dosage / Q000494:pharmacology; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D018475:Head-Down Tilt; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000379:methods*; D007442:Intubation, Intratracheal; D010535:Laparoscopy / Q000379:methods*; D017214:Laryngeal Masks; D057045:Laryngopharyngeal Reflux / Q000453:epidemiology; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010612:Pharyngitis / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D018401:Sample Size; D055815:Young Adult
chemical_list: D000759:Adjuvants, Anesthesia; D006024:Glycopyrrolate