Randomized Comparison of Actual and Ideal Body Weight for Size Selection of the Laryngeal Mask Airway Classic in Overweight Patients.
10.3346/jkms.2015.30.8.1197
- Author:
Min Soo KIM
1
;
Jong Seok LEE
;
Sang Beom NAM
;
Hyo Jong KANG
;
Ji Eun KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. beye98@yuhs.ac
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Airway Management;
Laryngeal Masks;
Body Weight;
Complications
- MeSH:
Adult;
Aged;
*Body Weight;
Equipment Design;
Female;
Human Engineering/*methods;
Humans;
Ideal Body Weight/*physiology;
Laryngeal Masks/*classification;
Male;
Middle Aged;
Overweight/*physiopathology;
Prosthesis Fitting/*methods;
Reproducibility of Results;
Republic of Korea;
Sensitivity and Specificity;
Young Adult
- From:Journal of Korean Medical Science
2015;30(8):1197-1202
- CountryRepublic of Korea
- Language:English
-
Abstract:
Size selection of the laryngeal mask airway (LMA) Classic based on actual body weight remains a common practice. However, ideal body weight might allow for a better size selection in obese patients. The purpose of our study was to compare the utility of ideal body weight and actual body weight when choosing the appropriate size of the LMA Classic by a randomized clinical trial. One hundred patients with age 20 to 70 yr, body mass index > or =25 kg/m2, and the difference between LMA sizes based on actual weight and ideal weight were allocated to insert the LMA Classic using either actual body weight or ideal body weight in a weight-based formula for size selection. After insertion of the device, several variables including insertion parameters, sealing function, fiberoptic imaging, and complications were investigated. The insertion success rate at the first attempt was lower in the actual weight group (82%) than in the ideal weight group (96%), even it did not show significant difference. The ideal weight group had significantly shorter insertion time and easier placement. However, fiberoptic views were significantly better in the actual weight group. Intraoperative complications, sore throat in the recovery room, and dysphonia at postoperative 24 hr occurred significantly less often in the ideal weight group than in the actual weight group. It is suggested that the ideal body weight may be beneficial to the size selection of the LMA Classic in overweight patients (Clinical Trial Registry, NCT 01843270).
