Profile Soft-Seal Cuff for general anesthesia under ambulatory gynecologic laparoscopy.

OBJECTIVE

To compare the severity of throat discomfort in terms of sore throat, dysphagia, and dysphonia caused by LMA-ProSeal (PLMA) and Profile Soft-Seal Cuff (PSSC) in early (2 hour) and late (24 hour) postoperative period after ambulatory gynecologic laparoscopy.

DESIGN

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 Cuff (PSSC), while the other with ProSeal LMA (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.