{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:00:58Z","timestamp":1790884858242,"version":"4.1.0"},"reference-count":58,"publisher":"Termedia Sp. z.o.o.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesiol Intensive Ther"],"abstract":"Introduction<\/jats:title>The Air-Q Self Pressurized Airway Device with Blocker (SP Blocker) was compared to the Proseal Laryngeal Mask Airway (PLMA) during positive pressure ventilation regarding the primary outcome (oropharyngeal leak pressure [OLP]), secondary outcomes (peak inspiratory pressure [PIP], inspired tidal volume [ITV], expired tidal volume [ETV], leak volume [LV] and leak fraction [LF]), insertion time, ventilation score, fiber-optic glottis view score, and postoperative laryngopharyngeal parameters (LPM).<\/jats:p><\/jats:sec>Material and methods<\/jats:title>Adult healthy female patients scheduled for elective gynecological laparotomies under general anesthesia using controlled mechanical ventilation were recruited to a prospective randomized comparative clinical trial. Exclusion criteria were body mass index (BMI) \u2265 35 kg m<sup>\u20132<\/sup>, El-Ganzouri score \u2265 5, upper airway problems, hiatus hernia or pregnancy. Patients were classified into an SP Blocker group (<i>n<\/i> = 75) and a PLMA group (<i>n<\/i> = 75). Primary and secondary outcomes were assessed initially and at fixed time points after successful insertion of devices.<\/jats:p><\/jats:sec>Results<\/jats:title>Initially after successful device insertion: the SP Blocker group showed statistically significant higher mean OLP (cmH<sub>2<\/sub>O) (29.46 \u00b1 2.11 vs. 28.06 \u00b1 1.83 respectively; 95% CI: \u20132.037 to \u20130.76, <i>P<\/i> < 0.0001), lower mean PIP (cmH<sub>2<\/sub>O) (15.49 \u00b1 0.61 vs. 17.78 \u00b1 1.04 respectively; 95% CI: 2.02 to 2.56, <i>P<\/i> < 0.0001), higher mean ITV (mL) (411 \u00b1 30 vs. 403 \u00b1 15 respectively; 95% CI: \u201315.65 to \u20130.347, <i>P<\/i> = 0.041), higher mean ETV (mL) (389 \u00b1 12 vs. 354 \u00b1 11 respectively; 95% CI: \u201338.72 to \u201331.29, <i>P<\/i> < 0.0001), lower mean LV (mL) (22 \u00b1 18 vs. 49 \u00b1 10 respectively; 95% CI: 22.3 to 31.7, <i>P<\/i> < 0.0001) and lower mean LF (%) (5 \u00b1 2.04 vs. 12 \u00b1 6.8 respectively; 95% CI: 5.38 to 8.62, <i>P<\/i> < 0.0001) than the PLMA group. Mean insertion time (seconds) was shorter in the SP Blocker group than the PLMA group (16.39 \u00b1 2.81 vs. 18.63 \u00b1 3.44 respectively; 95% CI: 1.23 to 3.25, <i>P<\/i> < 0.0001). The SP Blocker group offered a better fiber-optic glottis view score than the PLMA group without differences concerning ventilation score and LPM.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>SP Blocker provided as safe anesthesia during controlled mechanical ventilation as PLMA.<\/jats:p><\/jats:sec>","DOI":"10.5114\/ait.2024.141203","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T08:24:07Z","timestamp":1722587047000},"page":"108-120","source":"Crossref","is-referenced-by-count":2,"title":["Comparison between Air-Q Self Pressurized Airway Device with Blocker and Proseal Laryngeal Mask Airway in anesthetized paralyzed adult female patients undergoing elective gynecological operations"],"prefix":"10.5114","volume":"56","author":[{"given":"Maha Mohammed","family":"Ismail Youssef","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naser Mohammed","family":"Dobal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahya Mohamed","family":"Hammad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nesrine Abdel Rahman","family":"El-Refai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reham Ali Abdelhaleem","family":"Abdelrahman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3061","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"ref-1373405","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkq058"},{"key":"ref-1373406","doi-asserted-by":"publisher","DOI":"10.14712\/23362936.2014.40"},{"key":"ref-1373407","doi-asserted-by":"publisher","DOI":"10.4172\/2155-6148.1000647"},{"key":"ref-1373408","year":"2001","unstructured":"LMA-Proseal Instructions Manual. 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