caa a22 4500 445373946 CHVBK 20180317142956.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00540-011-1145-0 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1145-0 Comparison of Laryngeal Mask Supreme® and Soft Seal® for airway management in several positions [Elektronische Daten] [Nobuyasu Komasawa, Ryusuke Ueki, Akari Fujii, Aoi Samma, Masashi Nakagawa, Shin-ich Nishi, Yoshiroh Kaminoh] Purpose: In emergency situations, rescuers occasionally must secure the airway while the patient is in a position other than the ideal supine position. We hypothesized that the laryngeal mask airway Supreme® (Supreme) may be useful for emergent airway management in several positions and compared the utility of the Supreme with that of the conventional Soft Seal® (Soft Seal) device. Methods: Nineteen novice doctors in our anesthesia department attempted insertion of the Supreme or Soft Seal device on a simulated manikin in the supine, left lateral decubitus (left-LT), right lateral decubitus (right-LT), prone, and sitting positions. For each device, successful ventilation attempts, mean time to secure the airway, and difficulty of use [using the visual analog scale (VAS)] were evaluated. Results: The success rate of ventilation was significantly higher with the Supreme than the Soft Seal in the prone and sitting positions (P<0.05). Compared with the Soft Seal, time to secure the airway was significantly shorter with the Supreme when the manikin was in the sitting position but not in the other four positions. VAS scores for Supreme use were significantly higher than those for Soft Seal use in the right-LT, prone, and sitting positions. Conclusion: Airway management attempts by novice doctors were more successful with the Supreme than the Soft Seal in the right-LT, prone, and sitting positions in the manikin. The Supreme may therefore be useful for emergent airway management. Japanese Society of Anesthesiologists, 2011 Laryngeal Mask Supreme® nationallicence Laryngeal Mask Soft Seal® nationallicence Airway management nationallicence Manikin nationallicence Body position nationallicence Komasawa Nobuyasu Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut Ueki Ryusuke Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut Fujii Akari Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut Samma Aoi Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut Nakagawa Masashi Division of Anesthesiology, Kinan Hospital, Tanabe, Japan aut Nishi Shin-ich Division of Intensive Care Unit, Hyogo College of Medicine, Nishinomiya, Japan aut Kaminoh Yoshiroh Central Surgical Center, Hyogo College of Medicine, Nishinomiya, Japan aut Journal of Anesthesia Springer Japan 25/4(2011-08-01), 535-539 0913-8668 25:4<535 2011 25 540 https://doi.org/10.1007/s00540-011-1145-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1145-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Komasawa Nobuyasu Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut NATIONALLICENCE 700 1- Ueki Ryusuke Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut NATIONALLICENCE 700 1- Fujii Akari Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut NATIONALLICENCE 700 1- Samma Aoi Department of Anesthesiology, Hyogo College of Medicine, Mukogawa-cho 1-1, 663-8501, Nishinomiya, Hyogo, Japan aut NATIONALLICENCE 700 1- Nakagawa Masashi Division of Anesthesiology, Kinan Hospital, Tanabe, Japan aut NATIONALLICENCE 700 1- Nishi Shin-ich Division of Intensive Care Unit, Hyogo College of Medicine, Nishinomiya, Japan aut NATIONALLICENCE 700 1- Kaminoh Yoshiroh Central Surgical Center, Hyogo College of Medicine, Nishinomiya, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/4(2011-08-01), 535-539 0913-8668 25:4<535 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer