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Editorial
. 2021 Feb;65(2):142-145.
doi: 10.1111/aas.13727. Epub 2020 Nov 29.

Time to consider supraglottic airway device oropharyngeal leak pressure measurement more objectively

Chandra M Kumar  1   2 , Tom C Van Zundert  3 , Edwin Seet  1   4 , André A Van Zundert  5
Affiliations
Editorial

Time to consider supraglottic airway device oropharyngeal leak pressure measurement more objectively

Chandra M Kumar et al. Acta Anaesthesiol Scand. 2021 Feb.

Abstract

Oropharyngeal leak pressure (OLP) is considered a measure of successful placement, adequate performance and is a useful comparator between supraglottic airway devices (SADs). OLP measurement is based on the premise that the SAD is sited properly in the hypopharynx after blind placements, but the evidence suggests otherwise. Several limitations and controversies surround OLP. This editorial addresses the uses and pitfalls of OLP, the rationale for and methods of ascertaining OLP, the pros and cons of OLP measurement and newer modalities to improve its accuracy.

Keywords: anaesthesia; intracuff pressure; malpositioning; oropharyngeal leak pressure; supraglottic airway devices.

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References

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