BACKGROUND The purpose of this study was to evaluate the cuff pressures of four different laryngeal masks in paediatric patients undergoing routine surgery and to determine whether there is a substantial increase in cuff pressure when silicone masks are used compared to PVC laryngeal mask airways. METHODS Hundred and forty patients aged < 16 yr were randomly allocated to receive one of four e...

INTRODUCTION The use of the laryngeal mask airway in elective adenotonsillectomy has been well described. However, there is no literature to support its use in post-tonsillectomy haemorrhage. CLINICAL PICTURE We report a case of a patient who presented with primary post-tonsillectomy haemorrhage, which required general anaesthesia for haemostasis after undergoing bilateral functional endoscop...

STUDY OBJECTIVE Laryngeal mask airways (LMAs) are often used as airway rescue devices where laryngoscopy is difficult. The LMA does not protect the airway and is preferably replaced with a cuffed endotracheal tube. There are reports of cases where an Eschmann tracheal tube introducer (ETTI) was successfully used to bridge between a standard LMA and an endotracheal tube. This project was designe...

BACKGROUND ProSeal laryngeal mask airways (PLMAs) are routinely used after failed tracheal intubation as airway rescue, facilitating tracheal intubation by acting as a conduit and to secure airway during emergencies. In long duration surgeries, use of endotracheal tube (ETT) is associated with various hemodynamic complications, which are minimally affected during PLMA use. However, except for f...

Background: The i-gel, a new supraglottic airway device, has been touted to have acceptable airway seal pressure and better ventilatory parameters than Proseal laryngeal mask airway (PLMA) in adults. We propose to test this hypothesis objectively, by comparing fibreoptic grading of positioning of the above airways in adult patients. Methods: Ninety two adult patients undergoing minor surgeries ...

Cricoid pressure was described by Sellick [1] over 40 years ago to reduce the probability of the aspiration of gastric contents onto the pulmonary tree. It subsequently became part of the technique termed rapid sequence intubation and is used in most countries of the world as an integral part of the emergency induction of anaesthesia. Its introduction into clinical practice followed a simple te...

This review discusses the history, developments, benefits, and complications of supraglottic devices in prehospital care for adults and pediatrics. Evidence supporting their use as well as current controversies and developments in out-of-hospital cardiac arrest and rapid sequence airway management is discussed. Devices reviewed include the Laryngeal Mask Airway, Esophageal Tracheal Combitube, L...

Two important characteristics of the AAA should be apparent from the most casual appraisal: First, each branch-point-question calls on the clinician to apply his or her own experience and judgment, and second, the true role of the AAA is to help guide entrance into the American Society of Anesthesiologist’s Difficult Airway Algorithm (ASA-DAA). This calls attention to the misnomer of the ASA-DA...

background : we aimed to compare hemodynamic and endocrine alterations caused by stress response due to proseal laryngeal mask airway and endotracheal tube usage in laparoscopic cholecystectomy. methods : sixty-three asa i-ii patients scheduled for elective laparoscopic cholecystectomy were included in the study. patients were randomly allocated into two groups of endotracheal tube and proseal ...