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BioMed Research International
Volume 2015 (2015), Article ID 201898, 8 pages
Clinical Study

Comparison of Five 2nd-Generation Supraglottic Airway Devices for Airway Management Performed by Novice Military Operators

1Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and University Military Hospital, U Vojenske Nemocnice 1, 169 02 Prague, Czech Republic
2Department of Anesthesia and Intensive Medicine, 1st Medical Faculty and General University Hospital, U Nemocnice 2, 128 08 Prague, Czech Republic
3University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK

Received 23 March 2015; Revised 25 June 2015; Accepted 12 July 2015

Academic Editor: Hideo Inaba

Copyright © 2015 Tomas Henlin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. Five different second-generation supraglottic airway devices, ProSeal LMA, Supreme LMA, i-gel, SLIPA, and Laryngeal Tube Suction-D, were studied. Operators were inexperienced users with a military background, combat lifesavers, nurses, and physicians. Methods. This was a prospective, randomized, single-blinded study. Devices were inserted in the operating room in low light conditions after induction of general anesthesia. Primary outcome was successful insertion on the first attempt while secondary aims were insertion time, number of attempts, oropharyngeal seal pressure, ease of insertion, fibre optic position of device, efficacy of ventilation, and intraoperative trauma or regurgitation of gastric contents. Results. In total, 505 patients were studied. First-attempt insertion success rate was higher in the Supreme LMA (96%), i-gel (87.9%), and ProSeal LMA (85.9%) groups than in the Laryngeal Tube Suction-D (80.6%) and SLIPA (69.4%) groups. Insertion time was shortest in the Supreme LMA (70.4 ± 32.5 s) and i-gel (74.4 ± 41.1 s) groups (). Oropharyngeal seal pressures were higher in the Laryngeal Tube Suction-D and ProSeal LMA groups than in other three devices. Conclusions. Most study parameters for the Supreme LMA and i-gel were found to be superior to the other three tested supraglottic airway devices when inserted by novice military operators.