For adults with percutaneous dilatational tracheostomy, how does securing of the airway with a laryngeal mask compare with use of an endotracheal tube?

2019 ◽  
Author(s):  
Jane Burch ◽  
Sera Tort
Keyword(s):  
Endotracheal Tube ◽  
Percutaneous Dilatational Tracheostomy ◽  
Laryngeal Mask ◽  
Dilatational Tracheostomy

Laryngeal Mask Airway or Endotracheal Tube for Percutaneous Dilatational Tracheostomy

2010 ◽  
Vol 110 (4) ◽  
pp. 1076-1082 ◽  
Author(s):  
Ulf Linstedt ◽  
Michael Zenz ◽  
Kirsten Krull ◽  
Dietrich Häger ◽  
Andreas W. Prengel
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Percutaneous Dilatational Tracheostomy ◽  
Laryngeal Mask ◽  
Dilatational Tracheostomy

scholarly journals Laryngeal Mask Airway for Airway Control during Percutaneous Dilatational Tracheostomy

2011 ◽  
Vol 39 (6) ◽  
pp. 1009-1013 ◽  
Author(s):  
T. Pratt ◽  
J. Bromilow
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Prolonged Mechanical Ventilation ◽  
Percutaneous Dilatational Tracheostomy ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Safe Alternative ◽  
Airway Control ◽  
Dilatational Tracheostomy ◽  
Reasonable Evidence

Percutaneous dilatational tracheostomy is a common bedside procedure in critical care for patients requiring prolonged mechanical ventilation. The traditional technique requires withdrawal of the endotracheal tube to a proximal position to facilitate tracheostomy insertion, but this carries the risk of inadvertent extubation and does not prevent cuff rupture. Use of a supraglottic airway such as the laryngeal mask airway may avoid these risks and could provide a safe alternative to the endotracheal tube. We present an appraisal of the literature to date. We found reasonable evidence to show improved ventilation and bronchoscopic visualisation with the laryngeal mask airway, but this has not been translated into improved outcome. There is currently insufficient evidence to draw conclusions about the safety of the laryngeal mask airway during percutaneous dilatational tracheostomy.

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