The cardiovascular response to insertion of 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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Hemodynamic responses to insertion of the laryngeal mask airway versus Combitube

Introduction: One of the most common problems during laryngoscopy involves sympathetic system stimulation and the subsequent hemodynamic changes. It is a key measure to maintain the hemodynamic stability of patients with cardiovascular diseases during induction of anesthesia. This study attempted to compare the hemodynamic effects of laryngeal mask airway and combitube. Methods: This prospec...

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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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Comparison of laryngeal mask and intubating laryngeal mask insertion by the naïve intubator.

Seventy-five inexperienced participants were timed inserting the laryngeal mask airway (LMA) and the intubating laryngeal mask (ILM) in one of five cadavers. Adequacy of ventilation was assessed on a three-point scale depending on chest expansion and air leak. Participants were also asked to intubate the trachea via the ILM. The ILM was inserted faster than the LMA (P < 0.05) with a greater pro...

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The intubating laryngeal mask airway: an initial assessment of performance.

A new prototype of the laryngeal mask airway (LMA), the intubating laryngeal mask airway (ILMA), was used to facilitate tracheal intubation in 100 fasted patients presenting for elective surgery. Alignment of the ILMA with the larynx was assessed fibreoptically before intubation without the investigator performing the intubation being aware of the view score. Ease of intubation correlated with ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2002

ISSN: 0003-2409

DOI: 10.1046/j.1365-2044.2002.02463.x