LMA® Gastro™ Airway for endoscopic retrograde cholangiopancreatography: a retrospective observational analysis, BMC Anesthesiology
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Background Various airway techniques have been employed for endoscopic procedures, with an aim to optimise patient outcomes by improving airway control and preventing hypoxia whilst avoiding the need for intubation. The LMA® Gastro™ Airway, a novel dual channel supraglottic airway technique, has been described as such a device. Its utility alongside sedation with low flow nasal cannula and general anaesthesia (GA) with intubation for endoscopic retrograde cholangiopancreatography (ERCP) procedures was evaluated. Methods Details of all the ERCPs performed in our institution from March 2017 to June 2018 were carefully recorded in the patients’ electronic case records. Data on the successful completion of ERCP through LMA® Gastro™ Airway; any difficulty encountered by the gastroenterologists; and adverse events were recorded. Episodes of hypoxia (SpO2 < 92%) and haemodynamic parameters were compared across the three groups: LMA® Gastro™ vs. sedation with low flow nasal cannula vs. GA with an endotracheal tube (ETT). Results One hundred seventy-seven ERCP procedures were performed during the study period. The LMA® Gastro™ Airway was employed in 64 procedures (36%) on 59 patients. Of these 64 procedures, ERCP was successfully completed with LMA® Gastro™ Airway in 63 (98%) instances, with only one case requiring conversion to an endotracheal tube. This instance followed difficulty in negotiating the endoscope through LMA® Gastro™ Airway. No episodes of hypoxia or hypercapnia were documented in both LMA® Gastro™ and GA with ETT groups. One sedation case with nasal cannula was noted to have hypoxia. Adverse intraoperative events were recognised in 2 cases of LMA® Gastro™: one had minimal blood stained secretions from the oral cavity that resolved with suctioning; the other developed mild laryngospasm which resolved spontaneously within a few minutes. Conclusion In patients undergoing ERCP, the LMA® Gastro™ airway demonstrated a high success rate for ERCP completion. Ventilation was well maintained with minimal intraoperative and postoperative adverse events. This technique may have a role in higher risk groups such as high ASA (American Society of Anesthesiologists) status, or those with potential airway difficulties such as high body mass index and those with known or suspected sleep apnoea.
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Comparison of the Jcerity endoscoper airway and the endotracheal tube in endoscopic esophageal variceal ligation: a prospective randomized controlled trial
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LMA® Gastro™ Airway for endoscopic retrograde cholangiopancreatography: a retrospective observational analysis, BMC Anesthesiology
![](https://i1.rgstatic.net/publication/368689702_Recovery_time_in_target_controlled_infusion_versus_manual_infusion_of_propofol_in_total_intravenous_anaesthesia_for_endoscopic_retrograde_cholangio-pancreatography_procedure_using_laryngeal_mask_airwa/links/63f59a14574950594534440d/largepreview.png)
PDF) Recovery time in target controlled infusion versus manual infusion of propofol in total intravenous anaesthesia for endoscopic retrograde cholangio-pancreatography procedure using laryngeal mask airway-gastro: A randomised comparative study
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LMA Gastro™ airway is feasible during upper gastrointestinal interventional endoscopic procedures in high risk patients: a single-center observational study, BMC Anesthesiology
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LMA® Gastro™ Cuff Pilot™ for safe Endoscopy – Anaesthesia News
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Full article: Efficacy of the laryngeal mask airway gastro during trans-esophageal echocardiography in pediatrics: A randomized trial
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Lma Gastro (Teleflex Medical), Bioz
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Optimal timing of endoscopic retrograde cholangiopancreatography for acute cholangitis associated with distal malignant biliary obstruction, BMC Gastroenterology
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LMA Gastro™ airway is feasible during upper gastrointestinal interventional endoscopic procedures in high risk patients: a single-center observational study, BMC Anesthesiology
![](https://media.springernature.com/full/springer-static/image/art%3A10.1038%2Fs41598-023-39086-6/MediaObjects/41598_2023_39086_Fig1_HTML.png)
Comparison of the Jcerity endoscoper airway and the endotracheal tube in endoscopic esophageal variceal ligation: a prospective randomized controlled trial
![](https://i1.rgstatic.net/ii/profile.image/680487370637312-1539252240126_Q64/Venkatesan-Thiruvenkatarajan.jpg)
PDF) LMA® Gastro™ Airway for endoscopic retrograde cholangiopancreatography: a retrospective observational analysis
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BMC Anesthesiology 1/2020
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Respiratory support with nasal high flow without supplemental oxygen in patients undergoing endoscopic retrograde cholangiopancreatography under moderate sedation: a prospective, randomized, single-center clinical trial, BMC Anesthesiology
![](https://europepmc.org/articles/PMC6444943/bin/AER-13-13-g002.jpg)
A Comparison of Stress Response between Insertion of Gastro-laryngeal Tube and Endotracheal Intubation in Patients Undergoing Upper Gastrointestinal Endoscopic Procedures for Endoscopic Retrograde Cholangiopancreatography. - Abstract - Europe PMC