Pressure Support Ventilation Versus Continuous Positive Airway Pressure Ventilation with the ProSeal™ Laryngeal Mask Airway: A Randomized Crossover Study of Anesthetized Pediatric Patients

@article{vonGoedecke2005PressureSV,
  title={Pressure Support Ventilation Versus Continuous Positive Airway Pressure Ventilation with the ProSeal{\texttrademark} Laryngeal Mask Airway: A Randomized Crossover Study of Anesthetized Pediatric Patients},
  author={Achim von Goedecke and Joseph R. Brimacombe and Christoph H{\"o}rmann and Hans-Christian Jeske and Axel T. Kleinsasser and Christian Keller},
  journal={Anesthesia \& Analgesia},
  year={2005},
  volume={100},
  pages={357-360}
}
Continuous positive airway pressure (CPAP) and pressure support ventilation (PSV) improve gas exchange in adults, but there are little published data regarding children. We compared the efficacy of PSV with CPAP in anesthetized children managed with the ProSeal™ laryngeal mask airway. Patients were randomized into two equal-sized crossover groups and data were collected before surgery. In Group 1, patients underwent CPAP, PSV, and CPAP in sequence. In Group 2, patients underwent PSV, CPAP, and… 
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Pressure support ventilation-pro decreases propofol consumption and improves postoperative oxygenation index compared with pressure-controlled ventilation in children undergoing ambulatory surgery: a randomized controlled trial
TLDR
The PSVPro mode decreases propofol consumption and emergence time, and improves oxygenation index in children undergoing ambulatory surgery.
Programming Pressure Support Ventilation in Pediatric Patients in Ambulatory Surgery with a Laryngeal Mask Airway
TLDR
PSV with a Proseal™ LMA in outpatient pediatric anesthesia can be programmed simply using the common clinical noninvasive variables studied, however, more studies are needed to estimate the level of pressure support that may be required in other clinical situations (respiratory pathology, endotracheal tubes, or other types of surgeries) or with other anesthesia workstations.
Use of the ProSeal laryngeal mask airway for pressure-controlled ventilation with and without positive end-expiratory pressure in paediatric patients: a randomized, controlled study.
TLDR
The ability to apply PEEP with the ProSeal LMA might improve gas exchange during positive pressure ventilation in children when the LMA is used, and the PLMA can be used for PCV with PEEP in paediatric patients.
Ventilation of Nonparalyzed Patients Under Anesthesia with Laryngeal Mask Airway, Comparison of Three Modes of Ventilation: Volume Controlled Ventilation, Pressure Controlled Ventilation, and Pressure Controlled Ventilation-volume Guarantee
TLDR
Venting of nonparalyzed patients with LMA under anesthesia with PC-VG is advantageous over VCV in reducing PIP and increasing lung compliance and no difference was noted between PCV and PC- VG in ASA Classes I or II under the adequate depth of anesthesia in patients with normal pulmonary function.
Comparing 3 ventilation modalities by measuring several respiratory parameters using the ProSeal laryngeal mask airway in children.
A comparison of 3 ventilation strategies in children younger than 1 year using a Proseal laryngeal mask airway: a randomized controlled trial.
Effects of Pressure Support Ventilation Mode on Emergence Time and Intra-Operative Ventilatory Function: A Randomized Controlled Trial
TLDR
In knee arthroscopic surgery, in comparison to CMV, PSV use during general anesthesia in unparalyzed patients decreases LMA removal time, propofol consumption and leaks around LMA while improving ventilatory variables without adverse effects.
Use of the ProSealTM laryngeal mask airway for pressure-controlled ventilation with and without positive end-expiratory pressure in paediatric patients : a randomized , controlled study
TLDR
The ProSeal LMA (PLMA) has been shown to form a more effective seal than the Classic LMA and the ability to apply PEEP with the PLMA might improve gas exchange during positive pressure ventilation in children when the LMA is used.
Does pressure support ventilation improve the postoperative outcome of adeno-tonsillectomy patients? A prospective randomized trial
Performance Characteristics of Five New Anesthesia Ventilators and Four Intensive Care Ventilators in Pressure-support Mode: A Comparative Bench Study
TLDR
Regarding trigger sensitivity and the system’s ability to meet inspiratory flow during pressure-supported breaths, the most recent anesthesia ventilators have comparable performances of recent-generation intensive care unit ventilator machines.
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