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Updated: Apr 18, 2026

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[Second generation laryngeal masks : expanded indications].

A Timmermann1, E A Nickel, F Pühringer

  • 1Klinik für Anästhesiologie, Schmerztherapie, Intensiv- und Notfallmedizin, OP-Management, DRK Kliniken Berlin Westend und Mitte, Spandauer Damm 130, 14050, Berlin, Deutschland, a.timmermann@drk-kliniken-berlin.de.

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Summary
This summary is machine-generated.

Second-generation laryngeal mask airways (LMAs) offer advanced features for various clinical applications. This review evaluates their performance in expanded indications like prolonged use and specific surgical positions.

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Area of Science:

  • Anesthesiology
  • Airway Management
  • Medical Devices

Context:

  • The laryngeal mask airway (LMA) has seen increased use since the late 1980s.
  • Second-generation supraglottic airway (SGA) devices represent advancements over classic LMAs.

Purpose:

  • To describe the features of second-generation LMAs.
  • To evaluate their performance in position and usability tests.
  • To appraise their utility in expanded clinical indications.

Summary:

  • Second-generation LMAs possess enhanced features compared to earlier models.
  • Performance in position and usability tests is a key focus.
  • The review examines literature on indications including prolonged use, laparoscopic surgery, obesity, prone position, and Cesarean sections.

Impact:

  • Provides an updated understanding of second-generation LMA utility.
  • Informs clinical decisions regarding expanded indications for SGAs.
  • Highlights the evolving role of supraglottic airway devices in modern anesthesia.