scholarly journals Intubating laryngeal mask airway allows tracheal intubation when the cervical spine is immobilized by a rigid collar

2004 ◽  
Vol 93 (5) ◽  
pp. 655-659 ◽  
Author(s):  
R. Komatsu ◽  
O. Nagata ◽  
K. Kamata ◽  
K. Yamagata ◽  
D.I. Sessler ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
Intubating Laryngeal Mask Airway

TRACHEAL INTUBATION DURING MANUAL INLINE STABILISATION: COMPARISON OF INTUBATING LARYNGEAL MASK AIRWAY™ VERSUS TRACHLIGHT®

2021 ◽  
pp. 60-62
Author(s):  
Manjunath Prabhu ◽  
Shwethapriya Rao ◽  
Arushi Gupta
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
P Value ◽  
Stabilization Method ◽  
Intubating Laryngeal Mask Airway ◽  
Effective Ventilation ◽  
Unstable Cervical Spine ◽  
Spine Movement

Introduction: Airway management with unstable cervical spine is a major challenge to anesthetist. Conventional direct laryngoscopy causes substantial movement of cervical spine and can cause neurological decit. Newer devices like Intubating Laryngeal Mask Airway(ILMA) and Trachlight avoid cervical spine movement. To compare rate of successful tracheal Aim: intubation with Intubating Laryngeal Mask Airway™ with Trachlight® in anaesthetised and paralysed adults with manual in line stabilization Method and Materials: 50 patients were included in the study and allocated in two groups. In the ILMA group ,patients were ventilated and then intubated through the ILma. IN the Trachlight group, patients were intubated using trachlight. Success rate , time taken for intubation and post operative sore throat and hoarseness of voice were compared between the two groups. Results: In the ILMA group,21 patients could be adequately ventilated in the rst attempt and 4 in second attempt. 12 patients could be successfully intubated. 9 patients could be intubated in the rst attempt and 3 patients in second attempt. In the Trachlight , 24 patients could be intubated in the rst attempt and one patient in second attempt. Intubation time was 14.08 ± 2.23 seconds in the ILMA group whereas in Trachlight group it was 26.48 ± 9.13 seconds(p value of <0.0001) In healthy anaesthetized,paralysed adults with manual in line stabiliz Conclusion: ation Trachlight assistance at tracheal intubation provides high rst attempt success.ILMA is an effective ventilation device, but an unacceptably high failure rate at blind tracheal intubation.

scholarly journals Comparative evaluation of ease of tracheal intubation using Airtraq and intubating laryngeal mask airway with cervical spine immobilization

2021 ◽  
Vol 8 (2) ◽  
pp. 161-166
Author(s):  
Lalit Gupta ◽  
Deepak Kumar ◽  
Sonia Wadhawan ◽  
Sivaraj ◽  
Amit Kohli ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Cervical Spine Injury ◽  
Laryngeal Mask ◽  
Spine Injury ◽  
Neutral Position ◽  
Group I ◽  
Intubating Laryngeal Mask Airway ◽  
Group A

Tracheal intubation in cervical spine injury patients with application of Manual In Line Stabilization (MILS) of the cervical spine in neutral position is a challenge for the anesthesiologist since it makes visualization of the larynx more difficult using conventional laryngoscopy. Our study was conducted to compare ease of intubation using Airtraq and Intubating laryngeal mask airway(ILMA) in simulated cervical spine injury patient using MILS. 100 ASA I/II patients (without cervical spine injury), aged 18-60 years were randomly allocated in two groups -Group A: Airtraq (n=50), Group I: ILMA (n=50). General anaesthesia was given as per standard protocol in all the patients, after that MILS was applied and patients intubated using Airtraq in group A and ILMA in group I with neck in neutral position. Time taken for intubation, number of attempts for intubation, ease of intubation with Airtraq/ILMA, hemodynamics and complications were compared.The mean time taken for intubation in the Group A was 12.6 ± 6.6 seconds and in the Group, I was 85.8 ± 36.6 seconds (p&#60;0.001). Number of intubations attempts in Group A was significantly less as compared to the Group I (p= 0.027).Airtraq is a safer and faster alternative when compared to ILMA in patients with simulated cervical spine injury using manual in line stabilization.

Comparison of the Intubating Laryngeal Mask Airway with the Fiberoptic Intubation in Anticipated Difficult Airway Management

2001 ◽  
Vol 94 (6) ◽  
pp. 968-972 ◽  
Author(s):  
Olivier Langeron ◽  
François Semjen ◽  
Jean-Louis Bourgain ◽  
Alain Marsac ◽  
Anne-Marie Cros
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Adverse Events ◽  
Oxygen Saturation ◽  
Difficult Airway ◽  
Difficult Intubation ◽  
Laryngeal Mask ◽  
Fiberoptic Intubation ◽  
Alternative Technique ◽  
Intubating Laryngeal Mask Airway

Background The intubating laryngeal mask airway (ILMA; Fastrach; Laryngeal Mask Company, Henley-on-Thames, UK) may provide an alternative technique to fiberoptic intubation (FIB) to facilitate the management of the anticipated difficult airway. The authors therefore compared the effectiveness of the ILMA with FIB in patients with anticipated difficult intubation. Methods One hundred patients, with at least one difficult intubation criteria (Mallampati class III or IV, thyromental distance &lt; 65 mm, interincisor distance &lt; 35 mm) were enrolled (FIB group, n = 49; ILMA group, n = 51) in this prospective randomized study. Anesthesia was induced with propofol and maintained with alfentanil and propofol after an efficient mask ventilation has been demonstrated. The success of the technique (within three attempts), the number of attempts, duration of the successful attempt, and adverse events (oxygen saturation &lt; 90%, bleeding) were recorded. Results The rate of successful tracheal intubation with ILMA was 94% and comparable with FIB (92%). The number of attempts and the time to succeed were not significantly different between groups. In case of failure of the first technique, the alternative technique always succeeded. Failures in FIB group were related to oxygen desaturation (oxygen saturation &lt; 90%) and bleeding, and to previous cervical radiotherapy in the ILMA group. Adverse events occurred significantly more frequently in FIB group than in ILMA group (18 vs. 0%, P &lt; 0.05). Conclusion The authors obtained a high success rate and comparable duration of tracheal intubation with ILMA and FIB techniques. In patients with previous cervical radiotherapy, the use of ILMA cannot be recommended. Nevertheless, the use of the ILMA was associated with fewer adverse events.

scholarly journals Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

2016 ◽  
Vol 46 ◽  
pp. 1617-1623 ◽  
Author(s):  
Semih ÖZDİL ◽  
Zehra İpek ARSLAN AYDIN ◽  
Zehra Nur BAYKARA ◽  
Kamil TOKER ◽  
Zeynep Mine SOLAK
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
Intubating Laryngeal Mask Airway

Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway

2017 ◽  
Vol 2 (1) ◽  
pp. 1-7
Author(s):  
Vartika Singh ◽  
Vartika Vinay ◽  
Reehan Ahmed
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Comparative Evaluation ◽  
Video Laryngoscope ◽  
Laryngeal Mask ◽  
Independent Observer ◽  
Evaluation Of Performance ◽  
Intubating Laryngeal Mask Airway ◽  
Ventilatory Device

ABSTRACT Introduction This prospective randomized study aimed to compare the effectiveness of the intubating laryngeal mask airway (ILMA) with the King Vision Video laryngoscope in aiding endotracheal intubation in Asian patients with normal airway. King Vision Video laryngoscope is a two-piece design. It has a reusable monitor that attaches to disposable blades. The ILMA is a device specifically designed to be an effective ventilatory device and blind intubating guide in patients with normal and abnormal airways. Materials and methods After ethics committee approval and obtaining patient's written informed consent, 60 American Society of Anesthesiologists grade I and II adult patients undergoing elective surgery requiring intubation were randomly allocated into either the ILMA group (Group L) or the King Vision Video laryngoscope group (Group V). • Thorough preanesthetic checkup was done. Patient was premedicated. Induction was done with propofol 2.5 mg/kg and succinylcholine 1.5 mg/kg. In Group L, ILMA was inserted using a single-handed rotational technique. In the King Vision Video laryngoscope group, intubation was done with videolaryngoscope. Placement was confirmed with auscultation and capnography. • An independent observer recorded the following: – Time taken for successful intubation – Success or failure of the tracheal intubation – Number of attempts needed for successful tracheal intubation – Complication associated with tracheal intubation: bleeding or postoperative sore throat – Hemodynamic response to intubation Results and conclusion King Vision Video laryngoscope is the more effective technique in aiding endotracheal intubation in patients with normal airways. How to cite this article Hanjura S, Agrawal AP, Agrawal M, Singh V, Vinay V, Ahmed R. Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway. Int J Adv Integ Med Sci 2017;2(1):1-7.

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