Comparison of Laryngeal Mask Airway Classic with Endotracheal Tube in Short Surgical Procedures

Dr. Sanchi Neeraj, Dr Rajesh Gore, Dr Abhilasha Ajankar

Abstract: Background: Airway management of patients has also progressed from insufflation to endotracheal tube (ETT) to lesser invasive supraglottic airway devices like LMA or I- Gel. Endotracheal intubation (ETT) can induce significant hemodynamic stress, while supraglottic airway devices like the laryngeal mask airway (LMA) offer a less invasive alternative. This study compares respiratory parameters between LMA and ETT in short surgical procedures. Methods: A randomized interventional study was conducted on 80 ASA I-II patients (aged 20?65 years) undergoing short surgeries. Participants were divided into ETT (n=40) and LMA (n=40) groups. Respiratory parameters?SpO?, EtCO?, peak airway pressure (P peak) and plateau pressure (P plateau), post- operative complications were measured at 1, 5, 10, and 15 minutes post-intubation. Statistical analysis was performed using SPSS v23. Results: No significant differences were found in SpO? or EtCO? between groups. However, the LMA group exhibited significantly lower P peak and P plateau values at all time points.These advantages remained consistent after adjusting for age, sex, and surgery duration. Conclusion: LMA provides better pulmonary mechanics (lower airway pressures, improved compliance) compared to ETT, without compromising oxygenation or ventilation. Its ease of use, reduced hemodynamic stress make it a preferable choice for short surgical procedures in low-risk patients. Further studies should explore its efficacy in high-risk populations.

Keywords: Laryngeal mask airway (LMA), endotracheal tube (ETT), respiratory mechanics, airway management, short surgical procedures

How to Cite?: Dr. Sanchi Neeraj, Dr Rajesh Gore, Dr Abhilasha Ajankar, "Comparison of Laryngeal Mask Airway Classic with Endotracheal Tube in Short Surgical Procedures", Volume 14 Issue 5, May 2025, International Journal of Science and Research (IJSR), Pages: 1782-1786, https://www.ijsr.net/getabstract.php?paperid=SR25528182730, DOI: https://dx.doi.org/10.21275/SR25528182730