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dc.contributor.authorSneyd, JR
dc.contributor.authorO'Sullivan, EP
dc.date.accessioned2018-01-29T17:13:26Z
dc.date.available2018-01-29T17:13:26Z
dc.date.issued2018-02
dc.identifier.issn0007-0912
dc.identifier.issn1471-6771
dc.identifier.urihttp://hdl.handle.net/10026.1/10686
dc.description.abstract

In this edition of the British Journal of Anaesthesia, Terblanche and colleagues1 describe their preliminary clinical experiences with the LMA® Gastro™, a modified supraglottic airway designed for airway maintenance and security during upper gastrointestinal endoscopy. Thirty anaesthetists successfully deployed the device in 290/292 patients. Endoscopy was achieved in 98%.

Clinicians are here presented with a new device designed for a single clinical circumstance (albeit a common one). We should, therefore, ask whether the problem that the device sets out to solve is real, whether the device addresses it effectively, and reflect whether the apparatus is a useful addition to the clinical environment. The LMA® Gastro™ is not the only contender in this product area. Recently, an ‘endoscopic mask’ has been described, but that device appears to comprise a face mask with an integrated Guedel airway and no form of airway protection from aspiration of gastric contents.2, 3

Terblanche and colleagues1 report an observational study that does not include a control group (i.e. the equivalent of a Phase 2 pharmaceutical study). The patients were relatively fit (ASA I and II) and described by the authors as ‘at low risk of pulmonary aspiration’. This study design is a rational starting point for new equipment, but only offers us information relevant to the patients included.

Whilst the high rates of airway insertion and successful endoscopy are to be welcomed, we now need to see randomized comparisons with alternative techniques in the typically straightforward patient group already studied. Appropriate comparators include the unprotected airway and alternative airway management devices.

dc.format.extent209-211
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherOxford University Press (OUP)
dc.subjectAirway Management
dc.subjectGastroscopy
dc.subjectHumans
dc.subjectIntubation, Intratracheal
dc.subjectLaryngeal Masks
dc.subjectPatient Safety
dc.titleA modified supraglottic airway for gastroscopy – an advance in patient safety?
dc.typejournal-article
dc.typeEditorial Material
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/29406170
plymouth.issue2
plymouth.volume120
plymouth.publisher-urlhttp://dx.doi.org/10.1016/j.bja.2017.10.014
plymouth.publication-statusPublished
plymouth.journalBritish Journal of Anaesthesia
dc.identifier.doi10.1016/j.bja.2017.10.014
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Users by role
dc.publisher.placeEngland
dcterms.dateAccepted2017-10-19
dc.rights.embargodate2018-12-13
dc.identifier.eissn1471-6771
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.bja.2017.10.014
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2018-02
rioxxterms.typeJournal Article/Review


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