The impact of manual in-line stabilisation on ventilation and visualisation of the glottis with the LMA CTrach™: a randomised crossover trial*
| Autor: | F. G. Chen, B. S. W. Ng, R.W.L. Goy, E. H. C. Liu, J. A. Bain |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Glottis medicine.medical_specialty Time Factors medicine.medical_treatment Laryngeal Masks law.invention Immobilization Young Adult law Intubation Intratracheal medicine Humans Intubation In patient Aged Aged 80 and over Cross-Over Studies business.industry Tracheal intubation Middle Aged Respiration Artificial Crossover study Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Ventilation (architecture) Cervical Vertebrae Female business Cervical vertebrae |
| Zdroj: | Anaesthesia. 64:894-898 |
| ISSN: | 1365-2044 0003-2409 |
| Popis: | The LMA CTrach (CTrach) enables ventilation, glottis visualisation and tracheal intubation via a laryngeal mask conduit. The CTrach has been successfully used in patients with cervical spine pathology, but it is unclear if cervical spine immobilisation affects its ease of use. In this randomised crossover trial, the CTrach was used once with and once without manual in-line stabilisation of the cervical spine in every patient. With manual in-line stabilisation, the median [IQR] time to achieve ventilation was 22 [16-32] s, compared with 19 [13-30] s without stabilisation (p = 0.065). With manual in-line stabilisation, the time to achieving a glottic views was 42 [30-63] s compared with 39 [25-53] s without stabilisation (p = 0.019). There was no difference in the success rates of achieving ventilation and glottic views. These results suggest that manual in-line stabilisation does not affect use of the CTrach. |
| Databáze: | OpenAIRE |
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