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Comparison of the supraglottic airway device BlockBusterTM and laryngeal mask airway Supreme in anaesthetised, paralyzed adult patients: a multicenter randomized controlled trial

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单位: [1]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. [2]Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [3]Department of Anesthesiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. [4]Department of Anesthesia, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China. [5]Department of Anesthesiology, Chongqing People's Hospital, Chongqing, China. [6]Department of Anesthesiology, Fujian Medical University Union Hospital, Fuzhou, China. [7]Department of Anesthesiology and Perioperative Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China. [8]Department of Anesthesiology, the Fourth Hospital of Hebei Medical University, Shi-Jia-Zhuang, China. [9]Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Air Force Military Medical University, Xi'an, China. [10]Department of Anesthesiology, Chifeng Municipal Hospital, Chifeng, China. [11]Department of Anesthesiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China. [12]Department of Anesthesiology, Second Affiliated Hospital of Anhui Medical University, Hefei, China. [13]Department of Anesthesiology, Nanjing First Hospital, Nanjing, China.
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关键词: Supraglottic airway device BlockBuster™ laryngeal mask airway supreme general anesthesia oropharyngeal leak pressure adults

摘要:
This multicenter prospective, randomized controlled clinical trial compared the clinical performance of supraglottic airway device (SAD) BlockBusterTM and laryngeal mask airway (LMA) Supreme for airway maintenance in anesthetized, paralyzed adult patients.A total of 651 adult patients scheduled for elective surgery in 13 hospitals were randomly allocated into BlockBuster group (n = 351) or Supreme group (n = 300). The primary outcome was oropharyngeal leak pressure (OLP). Duration and ease of insertion, fiberscopic view of positioning, airway manipulations, and complications were also assessed.The OLP was significantly higher in BlockBuster group compared with Supreme group (29.9 ± 4.2 cmH2O vs 27.4 ± 4.3 cmH2O, p < 0.001). Success rate of insertion at the first attempt (90.2% vs 85.1%, p = 0.027), rate of optimal fiberscopic view (p = 0.002) and satisfactory positioning of SAD (p < 0.001) were significantly increased in BlockBuster group.Both SAD BlockBusterTM and LMA Supreme are safe, effective, and easy-to-use devices for airway maintenance in anesthetized, paralyzed adult patients, but the SAD BlockBusterTM is superior to LMA Supreme in terms of OLP, success rate at the first attempt, and fiber-optic view of positioning.The trial is registered at www.chictr.org.cn (ChiCTR-ONC-16009105).

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出版当年[2021]版
大类 | 3 区 工程技术
小类 | 4 区 工程:生物医学
最新[2025]版
大类 | 3 区 医学
小类 | 3 区 工程:生物医学
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出版当年[2020]版:
Q3 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q3 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
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通讯机构: [1]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. [*1]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, NO. 95 Yong-An Road, Xi-Cheng District, Beijing 100050, People’s Republic of China
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