Randomized Controlled Trial
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2019; 7(24): 4245-4253
Published online Dec 26, 2019. doi: 10.12998/wjcc.v7.i24.4245
Effect of different types of laryngeal mask airway placement on the right internal jugular vein: A prospective randomized controlled trial
Jing-Jing Zhang, Zong-Yang Qu, Zhen Hua, Ming-Zhang Zuo, Hong-Ye Zhang
Jing-Jing Zhang, Zong-Yang Qu, Zhen Hua, Ming-Zhang Zuo, Hong-Ye Zhang, Department of Anesthesiology, Beijing Hospital, National Center of Gerontology, Beijing 100730, China
Author contributions: Zhang JJ, Qu ZY, Hua Z, Zuo MZ, and Zhang HY contributed to the study design, manuscript writing, and revisions.
Institutional review board statement: The study was reviewed and approved by the Beijing Hospital Medical Ethics Committee (2012bjyyec-030-02).
Informed consent statement: Informed consent was signed by the patient or legal guardian before enrollment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The manuscript was revised according to the CONSORT 2010.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Hong-Ye Zhang, MD, Doctor, Department of Anesthesiology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongcheng District, Beijing 100730, China. anaesthesia120@163.com
Received: September 29, 2019
Peer-review started: September 29, 2019
First decision: November 19, 2019
Revised: November 27, 2019
Accepted: November 30, 2019
Article in press: November 30, 2019
Published online: December 26, 2019
Core Tip

Core tip: The placement of laryngeal mask airway (LMA) may affect the position and blood flow of the internal jugular vein (IJV). The results of our study show that the placement of Supreme, Guardian, and I-gel LMA can increase the overlap index, reduce the success rate of IJV puncture, increase the incidence of arterial puncture, and cause congestion of IJV. Type of LMA did not influence the difficulty of IJV puncture. Therefore when LMA is used, ultrasound is recommended to guide the IJV puncture.