Volume 36

Number 1 January 2024

Comparison of Laryngeal Mask Airway and Endotracheal Tube for Airway Management in Adults

DOI: https://doi.org/10.47648/jmsr.2024.v3601.02

Samar Chandra Saha1 , Kazi Shariful Islam2 , Shariful Islam Seraji3 , Mohammad Zikrul Hoque4 , A.M. Delwar Hossain5

Abstract

Background: Airway management is a critical skill in anaesthesiology, and failure can lead to catastrophicoutcomes. This study compares the effectiveness of the Laryngeal Mask Airway (LMA) and Endotracheal Tube(ETT) in adult patients. Aim of the study: The study aimed to compare the use of the Laryngeal Mask Airway(LMA) and Endotracheal Tube (ETT) for airway management in adult patients. Methods: This prospectivecomparative study, conducted from January 1, 2022, to December 31, 2023, n the Department of Anesthesia-Analgesia & Intensive Care Unit at Holy Family Red Crescent Medical College, Dhaka, Bangladesh,included 120 adult patients. Patients were randomly assigned to LMA (n=60) or ETT (n=60) groups. Data ondemographics, insertion time, hemodynamic responses, complications, and SpO2 were collected. Statisticalanalysis was performed with significance set at p < 0.05. Results: The LMA and ETT groups had similar agedistribution and BMI, with no significant differences. The LMA group had a significantly shorter mean insertiontime (p < 0.001). Hemodynamic responses at one minute post-insertion showed substantial differences favoringLMA. Sore throat incidence was higher in the ETT group while coughing and laryngospasm were significantlymore common. SpO2 levels were higher in the LMA group at 5 and 10 minutes post-insertion, with significantdifferences. Conclusion: The study concluded that the Laryngeal Mask Airway (LMA) is more effective andsafer than the Endotracheal Tube (ETT) for airway management in adult patients, with shorter insertion times,better oxygen saturation, and fewer complications.

Keywords:


  1. Assistant Professor, Department of Anesthesia-Analgesia & Intensive Care Unit

    Holy Family Red Crescent Medical College, Dhaka

  2. Assistant Professor, Department of Anesthesia-Analgesia & Intensive Care Unit

    Holy Family Red Crescent Medical College, Dhaka

  3. Assistant Professor, Department of Anesthesia-Analgesia & Intensive Care Unit

    Holy Family Red Crescent Medical College, Dhaka

  4. Assistant Professor, Department of Anesthesia-Analgesia & Intensive Care Unit

    Holy Family Red Crescent Medical College, Dhaka

  5. Resident Medical Officer, Department of Anesthesia-Analgesia & Intensive Care Unit

    Holy Family Red Crescent Medical College, Dhaka

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Volume 36, Number 1 January 2024
Page: 11-16