The Intubating Laryngeal Mask Airway After Induction of General Anesthesia Versus Awake Fiberoptic Intubation in Patients with Difficult Airways
| Autor: | S Kapoor, Hwan S. Joo, Dorian K. Rose, V N Naik |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Larynx medicine.medical_specialty Consciousness Sedation medicine.medical_treatment Mascara Anesthesia General Laryngeal Masks Intubation Intratracheal medicine Fiber Optic Technology Humans Intubation Aged business.industry Tracheal intubation Middle Aged respiratory system Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Patient Satisfaction Anesthesia Female medicine.symptom business Airway Propofol medicine.drug |
| Zdroj: | Anesthesia & Analgesia. 92:1342-1346 |
| ISSN: | 0003-2999 |
| DOI: | 10.1097/00000539-200105000-00050 |
| Popis: | UNLABELLED We performed the current study to compare tracheal intubation (TI) using awake fiberoptic intubation (AFOI) and TI using the intubating laryngeal mask airway (ILMA) in patients with difficult airway. Our hypothesis was that patients with difficult airways could be safely intubated after induction of anesthesia using the ILMA. After ethics approval and informed consent, 38 patients who were identified to have difficult airways were randomly assigned to AFOI or TI using the ILMA. Patients in the AFOI group had the usual sedation and airway topicalization. Patients in the ILMA group were induced with propofol for ILMA insertion and succinylcholine for TI. The first TI attempt was done blindly via the ILMA and all subsequent attempts were performed with fiberoptic guidance. All patients in the ILMA group were successfully ventilated. Successful TI was achieved in all patients in both groups. However, in 10% of the patients in the ILMA group, TI was achieved by a second anesthesiologist who was more experienced with the use of the ILMA. In a postoperative questionnaire, patients in the ILMA group were more satisfied with their method of TI (P < 0.01). The ILMA is a useful device in the management of patients with difficult airways and may be a valuable alternative to AFOI when AFOI is contraindicated or in the patient with the unanticipated difficult airway. IMPLICATIONS The intubating laryngeal mask airway is a useful device in the management of patients with difficult airways and may be a valuable alternative to awake fiberoptic intubation (AFOI) when AFOI is contraindicated or in the patient with the unanticipated difficult airway. |
| Databáze: | OpenAIRE |
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