The laryngeal mask airway and the tracheal route for drug administration

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Cricoid pressure impedes placement of the laryngeal mask airway and subsequent tracheal intubation through the mask.

We have studied 40 patients to see if cricoid pressure affects the success rate of ventilation through, and the position of, the laryngeal mask and subsequent fiberscope-aided tracheal intubation. Adequate ventilation of the lungs was produced through the laryngeal mask in 19 of 20 patients in the control group, but in only 10 of 20 patients in the cricoid pressure group (P < 0.002). The laryng...

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Airway management and endoscopic treatment of subglottic and tracheal stenosis: the laryngeal mask airway technique.

OBJECTIVES The objective is to present clinical outcomes of subglottic and tracheal stenosis treated by flexible bronchoscopic delivery of carbon dioxide (CO2) laser via laryngeal mask airway (LMA). METHODS All consecutive, nontracheotomy dependent cases of subglottic and tracheal stenosis treated endoscopically over a 4-year period were retrospectively reviewed. The surgical approach consist...

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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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Comparison of the standard laryngeal mask airway and the ProSeal laryngeal mask airway in obese patients.

BACKGROUND The ProSeal laryngeal mask airway (PLMA) may have advantages over the laryngeal mask airway (LMA) in obese patients. We tested this hypothesis in a clinical setting. METHODS Sixty obese patients (BMI >30) were randomized to receive mechanical ventilation (tidal volume 7 ml kg(-1), PEEP 10 cm H(2)O), through either the PLMA or the LMA. A gastric tube was used in all patients. Cuff p...

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Comparison of the Laryngeal Mask Airways: Laryngeal Mask Airway-classic and Laryngeal Mask Airway-proseal in Children

Introduction In the past 25 years with the development of various supraglottic airway devices, the armamentarium for airway management has increased. In our study, the laryngeal mask airway (LMA)-ProSeal is compared with the LMA-Classic with respect to as follows: (a) Ease of insertion and number of insertion attempts, (b) Device positional stability and possible oropharyngeal leak, (c) Airway ...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1997

ISSN: 0007-0912

DOI: 10.1093/bja/78.2.220