Profile Soft-Seal CuffTM for General Anesthesia under Ambulatory Gynecologic Laparoscopy
Ketchada Uerpairojkit MD*, Somrat Charuluxananan MD*, Thewarug Werawatganon MD*, Theerasak Poomseetong MD*
Affiliation : * Department of Anesthesia, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Objective : To compare the severity of throat discomfort in terms of sore throat, dysphagia, and dysphonia
caused by LMA-ProSealTM (PLMA) and Profile Soft-Seal CuffTM (PSSC) in early (2 hour) and late (24 hour)
postoperative period after ambulatory gynecologic laparoscopy.
Results : Randomized double-blind controlled trial
Material and Method: One hundred and thirty eight patients undergoing ambulatory gynecologic laparoscopy
in Chulalongkorn Memorial Hospital were randomly allocated into two groups. One group was intubated
with Profile-Soft-Seal CuffTM (PSSC), while the other with ProSeal LMATM (PLMA). Four-leveled score of sore
throat, dysphagia, dysphonia, nausea, or vomiting symptoms at 2 and 24 hours and 5-leveled satisfaction
score to both techniques at 24 hours postoperatively were evaluated.
Results : The patients in the PLMA group had less severe symptoms of sore throat (p = 0.016) and dysphonia
(p = 0.003) than those in the PSSC group at 2 hour. No difference was detected for dysphagia, nausea,
vomiting, and satisfaction scores at 24 hour postoperatively.
Conclusion : PLMA caused less sore throat and dysphonia in the early postoperative period than PSSC did.
PLMA can be used as an alternative airway device for anesthesia in ambulatory gynecologic laparoscopy.
Keywords : LMA-ProSeal, sore throat, dysphonia, dysphagia
