Failed ventilation through the laryngeal mask airway

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The intubating laryngeal mask airway in failed fibreoptic intubation.

PURPOSE Prediction of difficult tracheal intubation is not always reliable and management with fibreoptic intubation is not always successful. We describe two cases in which blind intubation through the intubating laryngeal mask airway (ILMA FasTrach) succeeded after fibreoptic intubation failed. CLINICAL FEATURES The first patient, a 50 yr old man, was scheduled for elective craniotomy for i...

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Reflux during positive pressure ventilation via the laryngeal mask airway?

Sir,—We read with interest the pilot study by Valentine, Stakes and Bellamy [1] comparing lower oesophageal pH changes in patients managed with either the laryngeal mask airway (LMA) or tracheal tube during intermittent positive pressure ventilation (IPPV). However, we suggest that the following factors in their study design may have had an influence on their results. (1) The authors probably u...

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Pressure controlled versus volume controlled ventilation with laryngeal mask airway.

STUDY OBJECTIVE To quantify the impact on peak airway pressure of pressure-controlled and volume-controlled ventilation during Laryngeal Mask Airway (LMA) use. DESIGN Prospective, crossover clinical study. SETTING University-affiliated hospital. PATIENTS 32 ASA physical status I and II patients undergoing general anesthesia with the LMA. INTERVENTIONS Patients were ventilated for three ...

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Positive pressure ventilation during fibreoptic intubation: comparison of the laryngeal mask airway, intubating laryngeal mask and endoscopy mask techniques.

BACKGROUND The efficacy of delivery of mechanical ventilation through different airway devices during fibreoptic intubation is not known. METHODS We compared the laryngeal mask airway (LMA), intubating laryngeal mask (ILM) and endoscopy mask for positive pressure ventilation (PPV) during fibreoptic intubation. In 80 adult paralysed patients, fibreoptic intubation was performed during PPV usin...

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Cricoid pressure impedes positioning and ventilation through the laryngeal mask airway.

PURPOSE To assess the effect of cricoid pressure on the positioning of and ventilation through the laryngeal mask airway (LMA). METHODS In a double-blind, randomized design, the LMA was inserted with (CP[+] group, n = 20) or without double-handed cricoid pressure (CP[-] group, n = 20). Ventilation through the LMA was assessed by measuring expiratory tidal volume and judged as adequate when a ...

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ژورنال

عنوان ژورنال: Journal of Anesthesia

سال: 2013

ISSN: 0913-8668,1438-8359

DOI: 10.1007/s00540-013-1765-7