PROSEAL LARYNGEAL MASK AIRWAY VERSUS CLASSIC LARYNGEAL MASK AIRWAY FOR AIRWAY MANAGEMENT IN BURN NECROSIS AND SKIN GRAFTING SURGERY

Objectives: To compare the efficiency of the classic laryngeal mask airway (c-LMA) and the proseal laryngeal mask airway (p-LMA) in patients with indications for burn necrosis and skin grafting surgery. Methods: A clinical descriptive, randomized comparison study was conducted on 60 patients divided into two groups: p-LMA (30 patients) and c-LMA (30 patients) were anesthetized with p-LMA and c-LMA, respectively. Accessing and comparing the ease of placement, respiratory function, and hemodynamic response, and the degree of airway injury after surgery between two groups. Results: 100% patients were successfully inserted laryngeal mask airway (LMA) with insertion time of 22.14 seconds and 20.56 seconds, respectively (p > 0.05); oropharyngeal leak pressure (OLP) was 28.56 cmH2O (p-LMA) and 19.66 cmH2O (c-LMA) (p < 0.05); hemodynamic and respiratory function during surgery were maintained in normal range and there was no difference between the two groups (p > 0.05), and no airway complications related to insertion technique (sore throat, hoarseness, or blood staining) were found in either group. Conclusion: Both LMAs are useful for managing airways in burn necrosis and skin grafting procedures. Both kinds of masks are simple to put on, do not significantly alter hemodynamic response or respiratory function, and patients recover safely from LMA placement without any problems.