Management of laryngeal mask airway ProSeal by diplomantes of the Specialty of Anesthesia

Abstract

Introduction: the simplicity of the technique of insertion and the facility of learning make laryngeal mask an attachment of great value for managing of the airway by personnel without prior experience or with minimal knowledge. Objective: to describe the management of the insertion of the laryngeal mask ProSeal in a group of graduate nurses of the Specialty of Anesthesia. Method: twelve nurses of Anesthesia diploma were observed when inserting the laryngeal mask to 240 patients electively programmed in “Manuel Fajardo Rivero” Hospital. Related variables were studied successfully, specific times related to the device and the problems associated with insertion. Results: time of installations were recorded (250 ± 61.53 seconds) and specific (16.14 ± 4.53 seconds) of the maneuver. It was informed an average percent of success of replacement in the first attempt (55.4%). Conclusions: laryngeal mask was placed successfully in less than twenty seconds, the successes was not related to the classification of Mallampati and positively with the number of cases of the operator and the most frequent problems were the fault by pressing against the palate, the suboptimal position of head and neck and the mask rotated on its axis.

Keywords

• máscaras laríngea