Role of the Intubating Laryngeal-Mask Airway in the ED
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چکیده
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. The authors of 2 recent papers addressed the use of the intubating laryngeal-mask airway (ILMA) in the ED.
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The intubating laryngeal mask: is there a role for paramedics?
OBJECTIVE To compare the ability of UK paramedics to intubate a simulated difficult airway using a Mackintosh laryngoscope versus an intubating laryngeal mask airway (ILMA). METHOD/DESIGN A randomised controlled trial. RESULTS 100% of the paramedics were able to intubate a simulated difficult airway using the ILMA versus 0% of those using the Mackintosh laryngoscope. CONCLUSIONS This stud...
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I read the manuscript entitled “Case Report of An Open Neck Procedure Complication Associated with Laryngeal Mask Airway Use” by Subramaniam T et al. This is a valuable manuscript describing iatrogenic complications during level-2 cervical lymph node biopsy, in which the airway is managed with laryngeal mask airway (LMA). During the procedure, the surgeon realized that the mass was actually the...
متن کاملEmergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube
When using the laryngeal tube and the intubating laryngeal mask airway (ILMA), the medium-size (maximum volume 1100 ml) versus adult (maximum volume 1500 ml) self-inflating bags resulted in significantly lower lung tidal volumes. No gastric inflation occurred when using both devices with either ventilation bag. The newly developed medium-size self-inflating bag may be an option to further reduc...
متن کاملCase Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use
Introduction: The laryngeal mask airway (LMA) is a safe method to establish airway control during general anaesthesia. In otolaryngology surgery, the use of a LMA is well established in ear surgery; however, the use of a LMA during open neck procedures remains controversial. We report a case in which the pharyngeal distortion by the LMA cuff resulted in an iatrogenic complication. Case Report...
متن کاملHemodynamic responses and upper airway morbidity following tracheal intubation in patients with hypertension: Conventional laryngoscopy versus an intubating laryngeal mask airway
OBJECTIVES We compared hemodynamic responses and upper airway morbidity following tracheal intubation via conventional laryngoscopy or intubating laryngeal mask airway in hypertensive patients. METHODS Forty-two hypertensive patients received a conventional laryngoscopy or were intubated with a intubating laryngeal mask airway. Anesthesia was induced with propofol, fentanyl, and cis-atracuriu...
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