The use of spontaneous vs. pressure support ventilation with a laryngeal mask airway: An integrative review
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Objective: The aim of this integrative review is to provide current evidence along with recommendations for practice regarding the effects of spontaneous and pressure support ventilation with the use of a Laryngeal Mask Airway (LMA)in the adult population. Emphasis has been placed on the incidence of leak and gastric insufflation and the impact ventilation holds on the perioperative period.
Methods: A search of the electronic databases CINAHL complete, PubMed, Scopus, Google Scholar, and Cochrane Library was performed. Thirteen articles published from 1994-2022 were critically appraised for reliability.
Results and Conclusion: Evidence suggests that the use of pressure support ventilation, inclusive in terms of positive pressure ventilation, is as safe and effective as spontaneous ventilation when conducted through an LMA, with a comparative incidence of leak and gastric insufflation to an ETT, while optimizing ventilatory parameters.
| Type | Other Graduate Paper |
| Acquisition | Proxy-submission |
| Review Type | Faculty Approved: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | Literature Review |
| Research Approach | Translational Research/Evidence-based Practice |
| Keywords | Laryngeal Mask Airway; Ventilation; Gastric Insufflation; Leak Pressure; Respitory Hemodynamics |
| Grantor | Bryan College of Health Sciences |
| Advisor | Chandler, Holly |
| Level | Doctoral-Other |
| Year | 2023 |
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