Airway control during percutaneous dilatational tracheostomy: pilot study with the intubating laryngeal mask airway

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The intubating laryngeal mask airway.

T he laryngeal mask airway (LMA) is accepted as both a rescue ventilation and a primary airway management device in both the prehospital and emergency department environments. A modified version of the LMA, the intubating laryngeal mask airway (ILMA, LMA-Fastrach; Intavent Ltd, Reading, UK) exists, which, when combined with a modified tracheal tube, can be used for blind tracheal intubation. Th...

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Modified technique of realtime ultrasound guided percutaneous balloon dilatational tracheostomy through laryngeal mask airway insertion

Background The technique of bedside percutaneous tracheostomy (BPT) has become a routine procedure in the ICU. As a common standard, a bronchoscope is used during the BPT in order to assess the upper airway anatomy and to assist guiding the needle while penetrating the tracheal inter-ring space into the correct central positioning. However, using the bronchoscope during the puncture of the trac...

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The Use of Fiberoptic Bronchoscopy During Percutaneous Dilatational Tracheostomy With Laryngeal Mask

UNLABELLED The aim of our research is to evaluate the advantage by the combined use of fiberoptic bronchoscopy and laryngeal mask during the performance of percutaneous dilatational tracheostomy in an intensive care unit. PATIENTS 16 adult patients who were candidates to middle-long term mechanical ventilation. ENVIRONMENT Intensive Care Unit of a Community General Hospital. RESULTS We ex...

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Submental Intubation with Reinforced Tube for Intubating Laryngeal Mask Airway

Submental endotracheal intubation is a simple and secure alternative to either nasoendotracheal intubation or a tracheostomy in the airway management of maxillofacial trauma. However, a submental endotracheal intubation is quite difficult to manage if adverse events such as a tube obstruction, accidental extubation, or a leaking cuff with the endotracheal tube in the submental route occur, whic...

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Role of the Intubating Laryngeal-Mask Airway in the ED

Airway management is a crucial skill for emergency physicians (EPs) and a defining element of the specialty of emergency medicine. With the addition to our practice of rapid sequence intubation, EPs successfully perform laryngoscopy and orotracheal intubation in 99 percent of cases. However, the remaining 1 percent of patients who may need alternative airway management poses a quandary for EPs....

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1998

ISSN: 0007-0912

DOI: 10.1093/bja/81.4.608