Comparison of the supraglottic airway device BlockBusterTM and laryngeal mask airway Supreme in anaesthetised, paralyzed adult patients: a multicenter randomized controlled trial
单位:[1]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.临床科室麻醉科麻醉科首都医科大学附属北京友谊医院[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.河北医科大学第四医院[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.
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).
第一作者单位:[1]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
通讯作者:
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
推荐引用方式(GB/T 7714):
Gao Xue,Liu Ju-Hui,Chen Chun-Mei,et al.Comparison of the supraglottic airway device BlockBusterTM and laryngeal mask airway Supreme in anaesthetised, paralyzed adult patients: a multicenter randomized controlled trial[J].Expert Review Of Medical Devices.2022,1-8.doi:10.1080/17434440.2022.2130048.
APA:
Gao Xue,Liu Ju-Hui,Chen Chun-Mei,Wang Yong,Wang Zhong-Yu...&Tian Ming.(2022).Comparison of the supraglottic airway device BlockBusterTM and laryngeal mask airway Supreme in anaesthetised, paralyzed adult patients: a multicenter randomized controlled trial.Expert Review Of Medical Devices,,
MLA:
Gao Xue,et al."Comparison of the supraglottic airway device BlockBusterTM and laryngeal mask airway Supreme in anaesthetised, paralyzed adult patients: a multicenter randomized controlled trial".Expert Review Of Medical Devices .(2022):1-8