Comparison of ProSeal Laryngeal Mask Airway and Cuffed Endotracheal Tube in Laparoscopic Cholecystectomy Under General Anesthesia (Code-T0286)

Introduction: Airway management is crucial during laparoscopic cholecystectomy under general anesthesia. Traditionally, a cuffed endotracheal tube (ETT) has been the standard choice for securing the airway. However, the ProSeal laryngeal mask airway (PLMA) has gained attention as a supraglottic device offering effective ventilation with potential advantages such as reduced airway trauma and hemodynamic stability. This study compares the effectiveness of PLMA and ETT in patients undergoing laparoscopic cholecystectomy.

Aims and Objectives: The study aims to compare PLMA and ETT in terms of ease of insertion, hemodynamic response, airway sealing pressure, oxygenation and ventilation efficiency, and incidence of postoperative complications.

Methods: A prospective, randomized controlled study will be conducted on patients undergoing elective laparoscopic cholecystectomy under general anesthesia. Participants will be allocated into two groups: PLMA and ETT. Parameters such as insertion success rate, airway pressures, hemodynamic changes, ventilation adequacy, and postoperative complications like sore throat and aspiration risk will be recorded and analyzed.

Results: It is expected that PLMA will demonstrate comparable efficacy to ETT in maintaining adequate ventilation and oxygenation, with reduced hemodynamic stress and fewer postoperative airway complications.

Conclusion: If proven effective, PLMA may serve as a safe and less invasive alternative to ETT in laparoscopic cholecystectomy, enhancing patient comfort and recovery outcomes while maintaining adequate airway management.

Keywords: ProSeal LMA, Endotracheal Tube, Airway Management, Laparoscopic Cholecystectomy, General Anesthesia, Ventilation Efficiency.