Background And Aims: LMA CTrach, a new intubating conduit, has a thicker shaft compared to that of the intubating laryngeal mask airway (ILMA) due to the embedded optical fibres of the system. This causes difficulty during insertion despite normal mouth opening. Utility of two manoeuvres to overcome this was evaluated.
Methods: From our experience with LMA CTrach we found that two manoeuvres can be helpful to facilitate the insertion of LMA (a) dorsal and downward pressure over the shaft at the point where it hinges against the incisors while continuing the one handed rotational insertion of LMA (b) Lateral insertion of the LMA till the cuff is inside the oral cavity and then rotation of the LMA by 90° and then complete the insertion. A retrospective analysis of 200 insertions of LMA CTrach was done to evaluate the utility of these manoeuvres.
Results: Out of 200 insertions, 15 were found to be difficult. Manoeuvre "a" was applied in 13 cases to facilitate the insertion and manoeuvre "b" was applied in 2 cases where insertion was not possible despite manoeuvre "a'. Insertion was successful in these cases after the application of the described manoeuvres.
Conclusion: The two manoeuvres described above can be useful when LMA CTrach insertion into the oral cavity is obstructed by the incisor teeth.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7852448 | PMC |
| http://dx.doi.org/10.4103/ija.IJA_515_20 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
How does head position affect laryngeal vision with a video laryngeal mask airway?
Front Med (Lausanne)
December 2024
Department of Anaesthesiology and Intensive Therapy, Medical University of Lodz, Łódź, Poland.
Background: The Laryngeal Mask Airway Vision Mask (LMA VM) is a supraglottic airway device (SAD) with a vision guidance system. The ideal head and neck position for direct laryngoscopy is known, but the ideal position for placing a LMA is not. The objective of this study is to evaluate and compare the optimal position for placement of a video laryngeal mask airway.
View Article and Find Full Text PDFThe median effective dose of ciprofol combined with sufentanil in suppressing the laryngeal mask airway insertion response in both young and older adult patients.
BMC Anesthesiol
December 2024
Department of Anesthesiology, The Second Clinical Medical College, North Sichuan Medical College, Nanchong Central Hospital, Nanchong, China.
Background: Ciprofol, a novel intravenous anesthetic, exhibits similar sedation mechanisms and pharmacokinetic properties to propofol. However, ciprofol demonstrates greater potency and is associated with reduced injection pain compared to propofol. Given the varying sensitivities to anesthetic agents across different age groups, this study aims to determine the median effective dose (ED) of ciprofol required to suppress the laryngeal mask airway (LMA) insertion response in both young and older adult patients, as well as to assess its potential adverse reactions.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to identify anesthetic agents that reduce negative outcomes during laryngeal mask airway (LMA) insertion in adult patients receiving general anesthesia.
- A network meta-analysis of 53 randomized controlled trials involving 4695 patients found that the combination of propofol and dexmedetomidine was most effective in minimizing adverse events during the procedure.
- Overall, all anesthetic combinations, except for those involving thiopental, were better than propofol alone in reducing adverse outcomes related to apnea, insertion failure, and inadequate anesthesia depth.
Comparative analysis of LMA Blockbuster clinical performance: Blind versus Miller laryngoscope-guided insertion in paediatric general anaesthesia - A double-blinded, randomised controlled trial.
Indian J Anaesth
October 2024
Department of Anaesthesiology, Government Medical College, Pali, Rajasthan, India.
Article Synopsis
- The study compares two insertion methods for the LMA Blockbuster in children: blind insertion versus Miller laryngoscope-guided insertion, focusing on oropharyngeal leak pressure (OPLP) as the primary outcome.
- Results showed that guided insertion had a significantly higher mean OPLP (27.9 cmHO) compared to blind insertion (25.94 cmHO), indicating better airway positioning.
- While guided insertion took longer (11.9 seconds) than blind insertion (8.7 seconds), there were no significant differences in first-attempt success, haemodynamic stability, or postoperative complications.
Choice of supraglottic airway devices: a network meta-analysis of randomised controlled trials.
Br J Anaesth
December 2024
Washington University in Saint Louis, Anaesthesiology Barnes Jewish Hospital, Saint Louis, MO, USA. Electronic address:
Background: Over the last two decades, significant research interest has led to the development of a wide variety of supraglottic airways (SGAs) for anaesthesia providers to choose from.
Methods: In this network meta-analysis, we analysed 111 studies, enrolling 12 045 patients undergoing airway management with 29 SGAs. We targeted outcomes that contribute to clinicians' choice of one SGA over another.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!