Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 5 , Pages 1038-1042 , May 2010

The Influence of Mouth Opening on Oropharyngeal Leak Pressure, Intracuff Pressure, and Cuff Position With the Laryngeal Mask Airway

  • Takuro Sanuki, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Anesthesiology, Osaka Dental University, Osaka, Japan
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Sanuki: Department of Anesthesiology, Osaka Dental University, 1-5-17 Otemae, Chuo-ku, Osaka 540-0008, Japan
    • ,
  • Shingo Sugioka, DDS, PhD

      Affiliations

    • Associate Professor, Department of Anesthesiology, Osaka Dental University, Osaka, Japan
    • ,
  • Motoko Hirokane, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Anesthesiology, Osaka Dental University, Osaka, Japan
    • ,
  • Hiroki Son, DDS, PhD

      Affiliations

    • Staff Anesthesiologist, Department of Anesthesia, Hirakata City Hospital, Osaka, Japan
    • ,
  • Rumiko Uda, MD, PhD

      Affiliations

    • Head, Department of Anesthesia, Hirakata City Hospital, Osaka, Japan
    • ,
  • Masafumi Akatsuka, MD, PhD

      Affiliations

    • Head, Department of Anesthesia, Hirakata City Hospital, Osaka, Japan
    • ,
  • Junichiro Kotani, DDS, PhD

      Affiliations

    • Professor, Department of Anesthesiology, Osaka Dental University, Osaka, Japan

References 

  1. Benumof JL. Laryngeal mask airway (Indications and contraindications). Anesthesiology. 1992;77:843
  2. Arisaka H, Matsumoto M, Furuya M, et al. Application of nasal flexible laryngeal mask airway in anesthesia for oral surgery. J Anesth. 2007;21:99
  3. Todd DW. A comparison of endotracheal intubation and use of the laryngeal mask airway for ambulatory oral surgery patients. J Oral Maxillofac Surg. 2002;60:2
  4. Kuna ST, Remmers JE. Neural and anatomic factors related to upper airway occlusion during sleep. Med Clin North Am. 1985;69:1221
  5. Watanabe T, Isono S, Tanaka A, et al. Contribution of body habitus and craniofacial characteristics to segmental closing pressures of the passive pharynx in patients with sleep-disordered breathing. Am J Respir Crit Care Med. 2002;165:260
  6. Ayuse T, Inazawa T, Kurata S, et al. Mouth-opening increases upper-airway collapsibility without changing resistance during midazolam sedation. J Dent Res. 2004;83:718
  7. Brimacombe J, Keller C. A comparison of pharyngeal mucosal pressure and airway sealing pressure with the laryngeal mask airway in anesthetized adult patients. Anesth Analg. 1998;87:1379
  8. Keller C, Brimacombe J. The influence of head and neck position on oropharyngeal leak pressure and cuff position with the flexible and the standard laryngeal mask airway. Anesth Analg. 1999;88:913
  9. Brimacombe J, Berry A. A proposed fiber-optic scoring system to standardize the assessment of laryngeal mask airway position. Anesth Analg. 1993;76:457
  10. Park SH, Han SH, Do SH, et al. The influence of head and neck position on the oropharyngeal leak pressure and cuff position of three supraglottic airway devices. Anesth Analg. 2009;108:112
  11. Devitt JH, Wenstone R, Noel AG, et al. The laryngeal mask airway and positive-pressure ventilation. Anesthesiology. 1994;80:550
  12. Lewis FR, Schiobohm RM, Thomas AN. Prevention of complications from prolonged tracheal intubation. Am J Surg. 1978;135:452
  13. Burgard G, Mollhoff T, Prien T. The effect of laryngeal mask cuff pressure on postoperative sore throat incidence. J Clin Anesth. 1996;8:198
  14. Keller C, Sparr HJ, Brimacombe J. Laryngeal mask lubrication (A comparative study of saline versus 2% lignocaine gel with cuff pressure control). Anaesthesia. 1997;52:592
  15. Keller C, Sparr HJ, Brimacombe J. Positive pressure ventilation in non-paralysed adult patients with the laryngeal mask airway: A comparison of sevoflurane and propofol maintenance techniques. Br J Anaesth. 1998;80:332
  16. Young TM. The laryngeal mask in dental anaesthesia. Eur J Anaesthesiol Suppl. 1991;4:53
  17. Buckham M, Brooker M, Brimacombe J, et al. A comparison of the reinforced and standard laryngeal mask airway: Ease of insertion and the influence of head and neck position on oropharyngeal leak pressure and intracuff pressure. Anaesth Intensive Care. 1999;27:628

PII: S0278-2391(10)00063-7

doi: 10.1016/j.joms.2009.12.029

Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 5 , Pages 1038-1042 , May 2010

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