This study evaluated the accuracy of pulse oximetry measured by a modified
laryngeal mask airway (LMA). Ten anaesthetized patients (ASA I-II, aged 18-
45) undergoing elective knee arthroscopies (mean-duration 40 min) were stud
ied. A transmission pulse oximeter probe/sound OHMEDA(R) was attached on th
e back of LMA (sizes 4 and 5) in an area in contact with the Boor of the la
ryngeal part of the pharynx. Pharyngeal pulse oximetry as well as LMA cuff
pressure were monitored and recorded every 5 min from the time of insertion
(T0) to removal (T8) and were compared to simultaneous finger pulse oximet
er readings. At T2 the cuff was over-inflated to obtain a 100 cm H2O intrac
uff pressure. At T3 the cuff pressure was decreased at 60 cm H2O. Pharyngea
l pulse oximetry correlated with finger pulse oximetry throughout the study
and was not effected by over-inflation of the LMA. This modification of th
e LMA provides an accurate method of measuring pulse oximetry which may be
of use in a variety of circumstances. (C) 1999 Elsevier Science Ireland Ltd
. All rights reserved.