scholarly journals Hemodynamic changes occurring with tracheal intubation by direct laryngoscopy compared with intubating laryngeal mask airway in adults: A randomized comparison trial

2013 ◽  
Vol 29 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Masoomeh Tabari ◽  
Mohammad Alipour ◽  
Mahdi Ahmadi
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Direct Laryngoscopy ◽  
Laryngeal Mask ◽  
Hemodynamic Changes ◽  
Intubating Laryngeal Mask Airway ◽  
Comparison Trial

scholarly journals Hemodynamic changes during endotracheal intubation: A prospective randomised comparative study using fibreoptic bronchoscope and intubating laryngeal mask airway

2015 ◽  
Vol 1 (2) ◽  
pp. 70-75
Author(s):  
Manzil Shrestha ◽  
Tanvir R Rahman ◽  
Bikash Agarwal
Keyword(s):  
Heart Rate ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Fibreoptic Bronchoscope ◽  
Laryngeal Mask ◽  
Hemodynamic Changes ◽  
Group I ◽  
Intubating Laryngeal Mask Airway ◽  
Group Ii

Background: Fibreoptic intubation and Intubating laryngeal mask airway are alternatives to conventional laryngoscopy. The objective of the study was to compare hemodynamic changes with the use of these two devices for tracheal intubation.Methods: It was a randomized, comparative and prospective study of two groups comprising of 50 patients each. Tracheal intubations were performed using intubating fiberscope in group I and intubating laryngeal mask airway in Group II. Intubation time, heart rate, blood pressure and complications were compared.Results: Heart rate response to tracheal intubation was comparable between the groups. Changes in mean arterial pressure were also comparable and returned to baseline after two minutes of tracheal intubation. The first attempt success rate was 80% and 92% respectively in Group I and Group II. The time taken for intubation was found to be significantly longer in Group II irrespective of the number of attempts. There were no major complications observed. However there was some desaturation at the time of intubation which was seen in three patients in Group I, and one patient in Group II. However the Spo2 did not fall below 96% and was not considered to be clinically significant.Conclusions: Endotracheal intubation using either an Intubating Laryngeal Mask Airway or a Fibreoptic Bronchoscope is comparable in terms of the haemodynamic responses.Journal of Society of Anesthesiologists 2014 1(2): 70-75

Comparison of the Intubating Laryngeal Mask Airway with the Fiberoptic Intubation in Anticipated Difficult Airway Management

2001 ◽  
Vol 94 (6) ◽  
pp. 968-972 ◽  
Author(s):  
Olivier Langeron ◽  
François Semjen ◽  
Jean-Louis Bourgain ◽  
Alain Marsac ◽  
Anne-Marie Cros
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Adverse Events ◽  
Oxygen Saturation ◽  
Difficult Airway ◽  
Difficult Intubation ◽  
Laryngeal Mask ◽  
Fiberoptic Intubation ◽  
Alternative Technique ◽  
Intubating Laryngeal Mask Airway

Background The intubating laryngeal mask airway (ILMA; Fastrach; Laryngeal Mask Company, Henley-on-Thames, UK) may provide an alternative technique to fiberoptic intubation (FIB) to facilitate the management of the anticipated difficult airway. The authors therefore compared the effectiveness of the ILMA with FIB in patients with anticipated difficult intubation. Methods One hundred patients, with at least one difficult intubation criteria (Mallampati class III or IV, thyromental distance < 65 mm, interincisor distance < 35 mm) were enrolled (FIB group, n = 49; ILMA group, n = 51) in this prospective randomized study. Anesthesia was induced with propofol and maintained with alfentanil and propofol after an efficient mask ventilation has been demonstrated. The success of the technique (within three attempts), the number of attempts, duration of the successful attempt, and adverse events (oxygen saturation < 90%, bleeding) were recorded. Results The rate of successful tracheal intubation with ILMA was 94% and comparable with FIB (92%). The number of attempts and the time to succeed were not significantly different between groups. In case of failure of the first technique, the alternative technique always succeeded. Failures in FIB group were related to oxygen desaturation (oxygen saturation < 90%) and bleeding, and to previous cervical radiotherapy in the ILMA group. Adverse events occurred significantly more frequently in FIB group than in ILMA group (18 vs. 0%, P < 0.05). Conclusion The authors obtained a high success rate and comparable duration of tracheal intubation with ILMA and FIB techniques. In patients with previous cervical radiotherapy, the use of ILMA cannot be recommended. Nevertheless, the use of the ILMA was associated with fewer adverse events.

scholarly journals Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

2016 ◽  
Vol 46 ◽  
pp. 1617-1623 ◽  
Author(s):  
Semih ÖZDİL ◽  
Zehra İpek ARSLAN AYDIN ◽  
Zehra Nur BAYKARA ◽  
Kamil TOKER ◽  
Zeynep Mine SOLAK
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
Intubating Laryngeal Mask Airway

TRACHEAL INTUBATION DURING MANUAL INLINE STABILISATION: COMPARISON OF INTUBATING LARYNGEAL MASK AIRWAY™ VERSUS TRACHLIGHT®

2021 ◽  
pp. 60-62
Author(s):  
Manjunath Prabhu ◽  
Shwethapriya Rao ◽  
Arushi Gupta
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
P Value ◽  
Stabilization Method ◽  
Intubating Laryngeal Mask Airway ◽  
Effective Ventilation ◽  
Unstable Cervical Spine ◽  
Spine Movement

Introduction: Airway management with unstable cervical spine is a major challenge to anesthetist. Conventional direct laryngoscopy causes substantial movement of cervical spine and can cause neurological decit. Newer devices like Intubating Laryngeal Mask Airway(ILMA) and Trachlight avoid cervical spine movement. To compare rate of successful tracheal Aim: intubation with Intubating Laryngeal Mask Airway™ with Trachlight® in anaesthetised and paralysed adults with manual in line stabilization Method and Materials: 50 patients were included in the study and allocated in two groups. In the ILMA group ,patients were ventilated and then intubated through the ILma. IN the Trachlight group, patients were intubated using trachlight. Success rate , time taken for intubation and post operative sore throat and hoarseness of voice were compared between the two groups. Results: In the ILMA group,21 patients could be adequately ventilated in the rst attempt and 4 in second attempt. 12 patients could be successfully intubated. 9 patients could be intubated in the rst attempt and 3 patients in second attempt. In the Trachlight , 24 patients could be intubated in the rst attempt and one patient in second attempt. Intubation time was 14.08 ± 2.23 seconds in the ILMA group whereas in Trachlight group it was 26.48 ± 9.13 seconds(p value of <0.0001) In healthy anaesthetized,paralysed adults with manual in line stabiliz Conclusion: ation Trachlight assistance at tracheal intubation provides high rst attempt success.ILMA is an effective ventilation device, but an unacceptably high failure rate at blind tracheal intubation.

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