Clinical Study

The AMBU® Aura-i™ Laryngeal Mask and LMA Supreme™: A Randomized Trial of Clinical Performance and Fibreoptic Positioning in Unparalysed, Anaesthetised Patients by Novices

Table 2

Airway insertion characteristics and performance of airway devices. Values are expressed as mean (SD) or numbers of patients () and percentages (%).

AMBU Aura-i
()
LMA Supreme
()
value

Size of airway used: 3/4/511/39/07/43/00.436
Number of insertion attempts, (%)
 143 (86.0%)44 (88.0%)0.591
 25 (10.0%)6 (12.0%)
 32 (4.0%)0
Reported ease of insertion, (%)
 1 = easy40 (80.0%)42 (88.0%)0.792
 2 = not so easy6 (12.0%)6 (12.0%)
 3 = difficult4 (8.0%)2 (4.0%)
 4 = very difficult00
 5 = impossible00
Time to successful airway insertion, 18.2 (6.0)17.3 (6.4)0.900
Cuff volume at 60 cmH2O, mL17.7 (3.5)23.1 (4.4)<0.001
Manoeuvres to optimize ventilation
 None37 (74.0%)42 (84.0%)0.784
 Adjusting head/neck position4 (8.0%)3 (6.0%)
 Changing depth of insertion1 (2.0%)0
 Applying jaw lift1 (2.0%)1 (2.0%)
 Reinserting the device7 (4.0%)4 (8.0%)
 Changing device size00
Oropharyngeal leak pressure, cmH2O28.8 (7.1)27.2 (5.3)0.240
Leak pressure <20 cmH2O, (%)8 (16.0%)1 (2.0%)0.031
Air leak into stomach at OLP
 Yes : No4 (8.0%) : 46 (92.0%)1 (2.0%) : 49 (98.0%)0.362
Fiberoptic view
 0 = cannot function, no cord seen0NA
 1 = cords not seen but function adequate5 (10.0%)
 2 = cords plus anterior epiglottis seen34 (68.0%)
 3 = cords plus posterior epiglottis seen10 (20.0%)
 4 = only cords seen1 (2.0%)

Defined as time from insertion of airway device into patient’s mouth to the first end-tidal carbon dioxide trace.