The laryngeal mask and the oesophagus

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The laryngeal mask.

Obstruction of the upper airway is the commonest complication of general anaesthesia and is potentially life threatening. The first skill that all anaesthetists must therefore acquire is how to keep the airway patent. A further complication of anaesthesia is the loss of upper airway reflexes, which may result in the accidental aspiration of gastric contents into the tracheobronchial tree with t...

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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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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 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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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1991

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1991.tb09745.x