title: Prospective, randomized clinical trial of laryngeal mask airway Supreme(®) used in patients undergoing general anesthesia.
abstract: OBJECTIVE
  Supraglottic airway devices are increasingly used as an option to tracheal intubation for elective procedures of varying complexity. The aim of this study was to prospectively evaluate the clinical use of the laryngeal mask airway Supreme(®) (LMAS) in patients undergoing elective breast surgery and compare it with endotracheal tube (ETT).
  
  
  METHODS
  Sixty patients undergoing breast procedures under general anesthesia were randomly divided into two groups according to the device used (LMAS or ETT). Time of insertion, number of insertion attempts, hemodynamic response to insertion, presence of blood on the device used; and incidence of sore throat, dysphagia, nausea and vomiting were assessed postoperatively.
  
  
  RESULTS
  There was no difference between groups regarding time of insertion, number of attempts for successful insertion, and presence of blood on the device. Heart rate and blood pressure after insertion were higher in ETT group. Incidence of sore throat and dysphagia was also higher in ETT group after two hours in the postoperative period. There was no difference regarding incidence and severity of complications evaluated after six hours postoperatively.
  
  
  CONCLUSIONS
  The use of the LMAS technique to access airway during general anesthesia for elective breast surgery is as safe and effective as tracheal intubation, with the advantage of promoting smaller hemodynamic response during its management and lower incidence of sore throat and dysphagia in the first hours after surgery.
authors.affiliation: Department of Anesthesiology, Pain, and Intensive Care, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Sara R
authors.initials: SR
authors.lastname: Barreira
authors.affiliation: Department of Anesthesiology, Pain, and Intensive Care, Universidade Federal de São Paulo, São Paulo, SP, Brazil. Electronic address: cmdesouza@uol.com.br.
authors.forename: Camila Machado
authors.initials: CM
authors.lastname: Souza
authors.affiliation: Department of Anesthesiology, Pain, and Intensive Care, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Fernanda
authors.initials: F
authors.lastname: Fabrizia
authors.affiliation: Department of Anesthesiology, Pain, and Intensive Care, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Ana Bárbara G
authors.initials: AB
authors.lastname: Azevedo
authors.affiliation: Department of Anesthesiology, Pain, and Intensive Care, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Talitha G
authors.initials: TG
authors.lastname: Lelis
authors.affiliation: Department of Anesthesiology, Pain, and Intensive Care, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
authors.forename: Claudia
authors.initials: C
authors.lastname: Lutke
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D017214:Laryngeal Masks / Q000009:adverse effects; D008875:Middle Aged; D011446:Prospective Studies
keywords: Complications; Equipment; General anesthesia; Laryngeal mask airway