Articles Vol. 67 No. 1 15/01/2026

COMPARISON OF VENTILATION EFFICACY BETWEEN LMA GASTRO AIRWAY AND ENDOTRACHEAL INTUBATION IN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY

Pham Quang Minh1,2,3,4, Vi Van Manh1,3, Nguyen Toan Thang5,6
1 Hanoi Medical University
2 Hanoi Medical University Hospital
3 Trường Đại học Y Hà Nội
4 Bệnh viện Đại học Y Hà Nội
5 Bach Mai Hospital
6 Bệnh viện Bạch Mai
DOI: 10.52163/yhc.v67i1.4108
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Keywords
Laryngeal mask airway, endotracheal intubation, ventilation efficiency, endoscopic retrograde cholangiopancreatography.
Abstract

Objective: To compare ventilation efficacy between laryngeal gastric mask gastro airway and endotracheal intubation in endoscopic retrograde cholangiopancreatography.

Subjects and methods: Randomized controlled trial of 60 patients randomized into two groups: group I (endotracheal intubation) and group II (laryngeal gastric mask gastro airway). Outcome primary: airway insertion time, tidal volume, air leakage, peak airway pressure (Ppeak), and SpO₂ were compared at baseline, immediately post-insertion, pre-lateral positioning, 1 minute and 5 minutes post-lateral positioning, end of surgery, pre-extubation, and 1 minute, 5 minutes, and 10 minutes post-extubation.

Results: Laryngeal gastric mask gastro airway insertion time was significantly faster than endotracheal intubation (25,47 ± 5,05 seconds vs 48,53 ± 7,21 seconds, p < 0.01). SpO₂, EtCO₂, and tidal volume remained within normal limits in both groups, with comparable air leak rates < 10%. Peak airway pressure was within normal range and significantly lower in the group II compared to the group I (p < 0,05).

Conclusion: Laryngeal gastric mask gastro airway is a suitable and better alternative to endotracheal tube as it allows adequate ventilation efficacy in endoscopic retrograde cholangiopancreatography.

References
[1]
Schmutz A, Loeffler T, Schmidt A, Goebel U. LMA GastroTM airway is feasible during upper gastrointestinal interventional endoscopic procedures in high risk patients: a single-center observational study. BMC Anesthesiol, 2020, 20 (1): 40. Google Scholar
[2]
Terblanche N.C.S, Middleton C, Choi-Lundberg D.L, Skinner M. Efficacy of a new dual channel laryngeal mask airway, the LMA®GastroTM Airway, for upper gastrointestinal endoscopy: a prospective observational study. Br J Anaesth, 2018, 120 (2): 353-360. Google Scholar
[3]
Sreevastava D.K, Verma R.N, Verma R. A randomized controlled trial comparing gastro-laryngeal tube with endotracheal intubation for airway management in patients undergoing ERCP under general anaesthesia. Med J Armed Forces India, 2019, 75 (2): 146-151. Google Scholar
[4]
Osborn I.P, Cohen J, Soper R.J, Roth L.A. Laryngeal mask airway-a novel method of airway protection during ERCP: comparison with endotracheal intubation. Gastrointest Endosc, 2002, 56 (1): 122-128. Google Scholar
[5]
Nguyễn Anh Tân, Dương Hồng Thái. Kết quả điều trị sỏi ống mật chủ bằng kỹ thuật nội soi mật tụy ngược dòng tại Bệnh viện Đa khoa tỉnh Bắc Ninh. Tạp chí Y học Việt Nam, 2022, 511: 53-56. Google Scholar
[6]
Trần Văn Quang. Đánh giá hiệu quả thông khí của mask thanh quản Proseal trong gây mê cho phẫu thuật tán sỏi thận qua da ở tư thế nằm nghiêng. Luận văn bác sĩ chuyên khoa II, Trường Đại học Y Hà Nội, 2020. Google Scholar
[7]
Weiler N, Latorre F, Eberle B, Goedecke R, Heinrichs W. Respiratory mechanics, gastric insufflation pressure, and air leakage of the laryngeal mask airway. Anesth Analg, 1997, 84 (5): 1025. Google Scholar
[8]
Gaitini L.A, Lavi A, Stermer E, Charco Mora P, Pott L.M, Vaida S.J. Gastro-laryngeal tube for endoscopic retrograde cholangiopancreatography: a preliminary report. Anaesthesia, 2010, 65 (11): 1114-1118. Google Scholar
[9]
Singam A.P, Jaiswal A.A, Chaudhari A.R. Comparison of laryngeal mask airway supremeTM versus endotracheal intubation in positive pressure ventilation with muscle relaxant for intraoperative and postoperative conditions. Int J Res Med Sci, 2018, 6 (1): 129-134. Google Scholar