• M Y Tang, I P Tang, and C Y Wang.
• University Malaysia Sarawak, Faculty of Medicine and Health Sciences, Department of Surgery, Jalan Tun Ahmad Zaidi Adruce, 93150 Kuching, Malaysia. ingptang@yahoo.com.
• Med. J. Malaysia. 2014 Aug 1; 69 (4): 151-5.

AimThis was a randomized single blinded study to determine optimal size for Ambu®LMA (ALMA) among Malaysian adult population.MethodsOne hundred and twenty six non-paralyzed anaesthetized adult patients were block randomized into size 3, 4 and 5 Ambu®LMA. Optimal size is defined primarily by oropharyngeal pressure (OLP). Pharyngeal injury and ease of insertion are also taken into consideration.ResultsMean OLP was significantly higher for Size 4 and 5 compared to size 3 (p<0.001) but similar between size 4 and 5. Number of insertion attempts and insertion time were similar between sizes. Size 5 required more manipulations during insertion (p<0.005) and had higher pharyngeal injury (p=0.001) compared to size 3 and 4.DiscussionWe recommend size 4 ALMA as the optimal size for Malaysian adults in view of the higher OLP compared to size 3, yet less pharyngeal injury than size 5 in spontaneously breathing patients.

5 keywords...

hide…