Introduction: One of the most important jobs of an anesthesiology is to preserve an adequate gaseous exchange. With the coming in the 80’s of the laryngeal mask airway, a less invasive technique was introduced for this end. There are a lot of variants of these supraglotic issues, being the i-gel a no inflate mask; witch principle is to provide a perilaryngel stamp that reduced the incidence of ...

5 Mason DG, Bingham RM. The laryngeal mask airway in children. Anaesthesia 1990; 45: 760-3. 6 Collier C. A hazard with the laryngeal mask airway (Letter). Anaesth Intensive Care 1991; 19: 301. 7 Silk JM, Hill HM, Calder I. Difficult intubation and the laryngeal mask. Eur J Anaesth 1991; $4: 47-51. 8 Nandi PR, Charlesworth CH, Taylor S J, Nunn JE Dore CJ, Effect of general anaesthesia in the pha...

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...

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...

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 ...

PURPOSE When tracheal intubation is required in a patient with an uncollapsible tracheal stenosis, the tip of the tube is usually positioned proximal to the stenosis. Only the tip of the tube may be in the trachea and the tube can be dislodged. We report the successful airway management of a patient with an uncollapsible tracheal stenosis who underwent cranial surgery in the prone position. C...

was established in 99% of patients on the first attempt, and in 1% of patients insertion failed at the second attempt. In agreement with the authors, the effective airway time was similar for the two devices and the oropharyngeal leak pressure was higher in the Soft Seal laryngeal mask group. The endoscopic score of the larynx was significantly better with the Soft Seal laryngeal mask group tha...

OBJECTIVES The purpose of this study was to determine effects of different airway devices and tidal volumes on lung ventilation and gastric inflation in an unprotected airway. METHODS Thirty one non-anaesthesia house officers volunteered for the study, and ventilated a bench model simulating an unintubated respiratory arrest patient with bag-valve-facemask, laryngeal mask airway, and combitub...

We compared the risk of pulmonary aspiration in patients whose lungs were mechanically ventilated through a laryngeal mask airway (35 630 procedures) or tracheal tube (30 082 procedures). Three cases of pulmonary aspiration occurred with the laryngeal mask airway and seven with the tracheal tube. There were no deaths related to pulmonary aspiration. The incidence and outcome of pulmonary aspira...