EASE OF INSERTION OF ENDOTRACHEAL TUBE USING BLOCKBUSTER LMA - AN OBSERVATION STUDY OF FIRST ATTEMPT SUCCESS RATE.

Autor: Abid, Ifra, Ahad, Saba, Ommid, Mohamad, bashir, Farhana, Najeeb, Rukhsana
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 12, p2377-2386, 10p
Abstrakt: Background: Today various Laryngeal mask airways (LMA) are available which are helpful adjuncts in difficult airway. BLOCKBUSTER® Laryngeal Mask Airway, a newer supraglottic airway device, is claimed to be an efficient conduit for endotracheal intubation. A silicone wire reinforced tube with a Touhy-tip named as the BLOCKBUSTERTM tube, is recommended for intubation via the BLOCKBUSTER™ LMA. Aim: This observational study was undertaken to evaluate the ease of insertion of endotracheal tube using Blockbuster LMA. Methods: Patients undergoing elective surgeries under general anaesthesia (GA) were intubated, using the blockbuster LMAs and observed keenly. Intubation was considered successful on the first attempt if tracheal tube was passed without any resistance through the LMA. Following successful tracheal intubation, the LMA was removed using the standard technique and the stabilizing rod. The first attempt success rate was noted. The time taken for insertion and removal of LMA was observed. All complications were properly observed and noted. Results: 81.8% (45) patients were successfully intubated in first attempt, 10.9% (6) patients needed two attempts while the rest 7.3% patients required three attempts for intubation. Mean time required for LMA insertion was 19.9+8.95 seconds. Among the complications only sore throat was seen after 1 hour post-surgery in 4 of our patients and after 4 hours in other 4 patients. Conclusion: Blockbuster LMA provides higher first pass success rate of blind tracheal intubation with less complications like sore throat, nausea and hoarseness of voice. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index