title: Ventilation of Nonparalyzed Patients Under Anesthesia with Laryngeal Mask Airway, Comparison of Three Modes of Ventilation: Volume Controlled Ventilation, Pressure Controlled Ventilation, and Pressure Controlled Ventilation-volume Guarantee.
abstract: BACKGROUND
  Pressure controlled ventilation (PCV) is the preferable mode of ventilation of nonparalyzed patients undergoing anesthesia with laryngeal mask airway (LMA) as compared to volume controlled ventilation (VCV) and spontaneously breathing patient. In this study, we compared the PC-volume guarantee (PC-VG) mode of ventilation with VCV and PCV modes.
  
  
  METHODS
  A total of 30 patients, American Society of Anesthesiologists (ASA) physical status Classes I and II, scheduled for elective surgery under general anesthesia with a classic LMA were ventilated, subsequently, with the three modes of ventilation: VCV, PCV, and PC-VG for 10 min each mode. Tidal volume set for all patients was 8 ml/kg of ideal body weight. Parameters measured with modes of ventilation include peak inspiratory pressure (PIP), compliance, measured tidal volume, O2saturation, end-tidal CO2, and presence of an oropharyngeal leak.
  
  
  RESULTS
  The PIP was significantly higher with the application of VCV mode of ventilation than PCV and PC-VG modes. The compliance was significantly lower when using the mode of ventilation VCV than PCV and PC-VG. The PIP and the compliance were not statistically different between the PCV and PC-VG modes of ventilation.
  
  
  CONCLUSIONS
  Ventilation of nonparalyzed patients with LMA under anesthesia with PC-VG is advantageous over VCV in reducing PIP and increasing lung compliance. No difference was noted between PCV and PC-VG in ASA Classes I or II under the adequate depth of anesthesia in patients with normal pulmonary function.
authors.affiliation: Department of Anesthesia and Reanimation, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon; Department of Anesthesia, Rosary Sisters Hospital, Beirut, Lebanon.
authors.forename: Maroun Badwi
authors.initials: MB
authors.lastname: Ghabach
authors.affiliation: Department of Anesthesia and Reanimation, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
authors.forename: Elie M
authors.initials: EM
authors.lastname: El Hajj
authors.affiliation: Department of Anesthesia and Reanimation, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
authors.forename: Rouba D
authors.initials: RD
authors.lastname: El Dib
authors.affiliation: Department of Anesthesia and Reanimation, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
authors.forename: Jeanette M
authors.initials: JM
authors.lastname: Rkaiby
authors.affiliation: Department of Anesthesia, Rosary Sisters Hospital, Beirut, Lebanon.
authors.forename: May S
authors.initials: MS
authors.lastname: Matta
authors.affiliation: Department of Anesthesia and Reanimation, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
authors.forename: May R
authors.initials: MR
authors.lastname: Helou
keywords: Laryngeal mask airway; mechanical ventilation; pressure controlled ventilation; pressure controlled volume guarantee; volume controlled ventilation