{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:35:38Z","timestamp":1786649738718,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n Background and Aims:<\/jats:title>\n \n Upper gastrointestinal (GI) endoscopic procedures under total intravenous anaesthesia (TIVA) pose risks of sedation-related complications. This study compared the first-attempt endoscope insertion success between the Laryngeal Mask Airway\n \u00ae<\/jats:sup>\n (LMA) Gastro\u2122 and low-flow nasal cannula during upper GI endoscopy under TIVA.\n <\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n This prospective randomised controlled study involved 140 adult patients scheduled for upper GI endoscopy under TIVA. The participants were randomly assigned into two groups: Group L (LMA\n \u00ae<\/jats:sup>\n Gastro\u2122) and Group C (low-flow nasal cannula). In Group L, LMA\n \u00ae<\/jats:sup>\n Gastro\u2122 was inserted, and in Group C, oxygen was supplemented using a low-flow nasal cannula at 4 litres\/min. The primary outcome was first-attempt success of endoscope insertion. Secondary outcomes included endoscope insertion time, endoscopist and anaesthesiologist satisfaction scores, and intra- and postoperative complications. Data were analysed using statistical package for social sciences (SPSS) 19.0, and\n P<\/jats:italic>\n < 0.05 was considered statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The first-attempt success rate for endoscope insertion was comparable between the groups (Group L: 92.6% vs. Group C: 95.7%,\n P<\/jats:italic>\n = 0.44). However, the endoscopy insertion time was significantly prolonged in Group L (Median [interquartile range] (seconds): 30 [22-41] vs. 17.5 [13-22],\n P<\/jats:italic>\n < 0.001). Anaesthesiologist satisfaction was comparable between the groups, but endoscopists were more satisfied with Group C (\n P<\/jats:italic>\n < 0.001). Group L had significantly fewer intraoperative respiratory adverse events compared with Group C; however, a higher incidence of postoperative sore throat was observed in Group L (20.5%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n The first-attempt endoscope insertion success rate was comparable between the LMA\n \u00ae<\/jats:sup>\n Gastro\u2122 and nasal cannula groups in patients undergoing upper GI endoscopy under TIVA.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ija.ija_43_26","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T11:00:11Z","timestamp":1773399611000},"page":"408-414","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of first-attempt endoscope insertion success between LMA\u00ae Gastro\u2122 and low-flow nasal cannula during upper gastrointestinal endoscopy: A prospective randomised controlled trial"],"prefix":"10.4103","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4138-3316","authenticated-orcid":false,"given":"Japhia","family":"Selvin","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7177-2962","authenticated-orcid":false,"given":"Stalin","family":"Vinayagam","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8189-9227","authenticated-orcid":false,"given":"Yaal","family":"Elango","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9965-1169","authenticated-orcid":false,"given":"Suman","family":"Lata","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1473-4382","authenticated-orcid":false,"given":"Pazhanivel","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"R1-20260416","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1186\/s12876-025-04066-9","article-title":"Prophylactic endotracheal intubation prior to emergency endoscopy for acute esophagogastric variceal hemorrhage: A retrospective single center study","volume":"25","author":"Zhao","year":"2025","journal-title":"BMC Gastroenterol"},{"key":"R3-20260416","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.bpa.2025.09.007","article-title":"An overview of procedural sedation guidelines and their differences","volume":"39","author":"Verschakelen","year":"2025","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"R4-20260416","doi-asserted-by":"crossref","first-page":"188","DOI":"10.5946\/ce.2022.033","article-title":"Respiratory complications during recovery from gastrointestinal endoscopies performed by gastroenterologists under moderate sedation","volume":"56","author":"Pozin","year":"2023","journal-title":"Clin Endosc"},{"key":"R5-20260416","doi-asserted-by":"crossref","first-page":"564","DOI":"10.4103\/joacp.joacp_231_23","article-title":"A new device, LMA Gastro\u2122, on the horizon for endoscopy procedures: A narrative review","volume":"40","author":"Gupta","year":"2024","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"R6-20260416","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.bja.2017.11.075","article-title":"Efficacy of a new dual channel laryngeal mask airway, the LMA\u00aeGastroTM Airway, for upper gastrointestinal endoscopy: A prospective observational study","volume":"120","author":"Terblanche","year":"2018","journal-title":"Br J Anaesth"},{"key":"R7-20260416","doi-asserted-by":"crossref","first-page":"987","DOI":"10.23736\/S0375-9393.21.15371-4","article-title":"Comparison of LMA\u00ae Gastro\u2122 airway and gastrolaryngeal tube in endoscopic retrograde cholangiopancreatography: A prospective randomized observational trial","volume":"87","author":"Uysal","year":"2021","journal-title":"Minerva Anestesiol"},{"key":"R8-20260416","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s12871-020-0938-9","article-title":"LMA GastroTM airway is feasible during upper gastrointestinal interventional endoscopic procedures in high risk patients: A single-center observational study","volume":"20","author":"Schmutz","year":"2020","journal-title":"BMC Anesthesiol"},{"key":"R9-20260416","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1213\/ANE.0000000000005183","article-title":"Safety of the LMA\u00ae Gastro\u2122 for Endoscopic Retrograde Cholangiopancreatography","volume":"131","author":"Hagan","year":"2020","journal-title":"Anesth Analg"},{"key":"R10-20260416","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1186\/s12871-020-01019-5","article-title":"LMA\u00ae Gastro\u2122 Airway for endoscopic retrograde cholangiopancreatography: A retrospective observational analysis","volume":"20","author":"Tran","year":"2020","journal-title":"BMC Anesthesiol"},{"key":"R11-20260416","first-page":"101379","article-title":"A randomized controlled trial of the LMA\u00ae Gastro\u2122 compared to nasal cannula for endoscopic retrograde cholangiopancreatography","volume":"43","author":"Hagan","year":"2024","journal-title":"Anaesth Crit Care Pain Med"},{"key":"R12-20260416","first-page":"101289","article-title":"A comparative evaluation of LMA\u00ae GastroTM versus Gastro Laryngeal Tube for airway management in patients undergoing endoscopic retrograde cholangiopancreatography under general anesthesia: A randomized control study","volume":"52","author":"De","year":"2023","journal-title":"Trends Anaesth Crit Care"},{"key":"R13-20260416","first-page":"277","article-title":"Clinical outcomes of a modified laryngeal mask airway (LMA\u00ae Gastro\u2122 Airway) during esophagogastroduodenoscopy in children and adolescents: A randomized study","volume":"13","author":"Hakim","year":"2020","journal-title":"Med Devices Auckl NZ"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_43_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:57:51Z","timestamp":1786647471000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_43_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_43_26","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2026-01-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}