The LMA-SupremeTMas an intubation conduit in patients with known difficult airways: a prospective evaluation study
| Autor: | A. A. J. van Zundert, T. Van Zundert, David T. Wong |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Tracheal intubation Laryngoscopy General Medicine respiratory system Tracheal tube Surgery Catheter Intubation procedure Anesthesiology and Pain Medicine Bronchoscopy Anesthesia Medicine Intubation General anaesthesia business |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 57:77-81 |
| ISSN: | 0001-5172 |
| DOI: | 10.1111/aas.12011 |
| Popis: | Background Many extraglottic airway devices allow the direct passage of an adult-sized tracheal tube, but this is not possible with the LMA-Supreme . We evaluated the feasibility of using the LMA-Supreme as a conduit for intubation in patients with known difficult airways. Methods Sixty-eight adult patients, with preoperative predictors of difficult intubation, were scheduled for elective surgery under general anaesthesia. After assessing the direct laryngoscopy view, 23 patients with Cormack-Lehane III/IV were included in the study. An LMA-Supreme was inserted, followed by the passage of a flexible bronchoscope loaded with an Aintree Intubation Catheter into the trachea. The bronchoscope and LMA-Supreme were removed, and a tracheal tube was railroaded over the Aintree Intubation Catheter into the trachea. Results Tracheal intubation was successful in all patients using the above technique. SpO was >95% during the intubation procedure. Conclusions We conclude that the LMA-Supreme is a successful conduit for bronchoscopic/Aintree Intubation Catheter-guided intubation in patients with known difficult airway. © 2012 The Authors. Acta Anaesthesiologica Scandinavica |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text