Comparison of Laryngeal Mask Supreme® and Soft Seal® for airway management in several positions

This review examines the airway adjuncts currently used to acutely manage the neonatal airway. It describes the challenges encountered with facemask ventilation and intubation. Evidence is presented on how to optimise intubation safety and success rates with the use of videolaryngoscopy and attention to the intubation environment. The supraglottic airway (laryngeal mask airway) is emerging as a promising neonatal airway adjunct. It can be used effectively with little training to provide a viable alternative to facemask ventilation and intubation in neonatal resuscitation and be used as an alternative conduit for the administration of surfactant.

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The Use of a Laryngeal Mask Airway for Emergent Airway Management in a Prone Child

Anesthesia & Analgesia ◽

10.1213/01.ane.0000146512.48688.fa ◽

2005 ◽

Vol 100 (3) ◽

pp. 670-671 ◽

Cited By ~ 30

Author(s):

R Scott Dingeman ◽

Liliana C. Goumnerova ◽

Susan M. Goobie

Keyword(s):

Laryngeal Mask Airway ◽

Airway Management ◽

Laryngeal Mask ◽

Emergent Airway Management

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Laryngeal mask airway supremeTMfor difficult airway management and establishing ventilation in the intensive care unit

Indian Journal of Anaesthesia ◽

10.4103/0019-5049.126843 ◽

2014 ◽

Vol 58 (1) ◽

pp. 91 ◽

Cited By ~ 1

Author(s):

Mohd Saif Ghaus

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Laryngeal Mask Airway ◽

Airway Management ◽

Difficult Airway ◽

Laryngeal Mask ◽

Difficult Airway Management

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Comprehensive Overview of Pediatric Airway Management

10.2310/em.4402 ◽

2019 ◽

Author(s):

Dale Woolridge ◽

Lisa Goldberg ◽

Garrett S. Pacheco

Keyword(s):

Airway Management ◽

Endotracheal Tube ◽

Endotracheal Intubation ◽

Emergency Physician ◽

Laryngeal Mask ◽

Volume Control ◽

Comprehensive Overview ◽

Insertion Depth ◽

Pediatric Airway ◽

Core Skill

Pediatric endotracheal intubation is a procedure that can be stress provoking to the emergency physician. Although the need for this core skill is rare, when confronted with this situation, the emergency physician must have knowledge of the anatomic, physiologic, and pathologic components unique to the pediatric airway to optimize success. Furthermore, the emergency physician should be well versed in the various equipment and adjuncts as well as techniques developed to effectively manage the pediatric airway. This review covers the pathophysiology and practice of endotracheal intubation. Figures show a gum elastic bougie; the Mallampati classification; appropriate oropharyngeal, laryngeal, and tracheal axes; advancing the laryngoscope to lift the epiglottis; endotracheal tube position in neonates; and synchronized intermittent mandatory ventilation pressure-regulated volume control mechanical ventilation. Tables list endotracheal tube sizes, neonatal endotracheal tube sizes, pediatric laryngeal mask airway sizes, commonly used induction agents, and endotracheal tube insertion depth guidelines. This review contains 6 figures, 8 tables, and 77 references. Key words: emergent tracheal intubation; endotracheal tube; laryngoscopy; pediatric airway; pediatric airway management; pediatric endotracheal intubation; pediatric laryngeal mask; video laryngoscopy

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Success of placement and complications during v-gel placement and maintenance of anaesthesia

Journal of Feline Medicine and Surgery ◽

10.1177/1098612x211050612 ◽

2021 ◽

pp. 1098612X2110506

Author(s):

Kathrin Hecker-Turkovic ◽

Katrin Hartmann ◽

René Dörfelt

Keyword(s):

Clinical Study ◽

Airway Management ◽

Airway Obstruction ◽

Endotracheal Intubation ◽

Laryngeal Mask ◽

Prospective Clinical Study ◽

Laryngeal Masks ◽

The Third ◽

Dorsal Position

Objectives Airway management during anaesthesia in cats is always a demanding task and is associated with several complications. The aim of this study was to evaluate the practicability and complications during feline-specific laryngeal mask placement in anaesthetised cats as an alternative to endotracheal intubation. Methods In this prospective clinical study, laryngeal masks were placed in 148 anaesthetised cats. Success of placement was evaluated by capnography. Results Placement was possible at the first attempt in 136 cats, at the second attempt in eight cats and at the third attempt in one cat. In one cat, placement was not possible. Two cats were excluded. Failure to position the laryngeal mask at the first attempt was not different between laryngeal mask sizes ( P = 0.313) or positioning during placement ( P = 0.406). In nine cats, the laryngeal mask dislocated during the procedure. Dislocation occurred more often in the dorsal position than in the sternal ( P = 0.018) and right lateral positions ( P = 0.046). Mucous obstruction of the laryngeal mask occurred in one of these cats and regurgitation in another. Material-related issues, such as disconnection of the parts of the laryngeal mask and leakage of the balloon, were observed in 2/8 laryngeal masks. Conclusions and relevance The placement of a feline-specific laryngeal mask was easy to perform. In about 7% of the cases, replacement of the device was required due to mispositioning or dislocation. Full monitoring, including capnography, should be provided to uncover dislocation and airway obstruction immediately.

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Comprehensive Overview of Pediatric Airway Management

10.2310/tywc.4402 ◽

2019 ◽

Author(s):

Dale Woolridge ◽

Lisa Goldberg ◽

Garrett S. Pacheco

Keyword(s):

Airway Management ◽

Endotracheal Tube ◽

Endotracheal Intubation ◽

Emergency Physician ◽

Laryngeal Mask ◽

Volume Control ◽

Comprehensive Overview ◽

Insertion Depth ◽

Pediatric Airway ◽

Core Skill

Pediatric endotracheal intubation is a procedure that can be stress provoking to the emergency physician. Although the need for this core skill is rare, when confronted with this situation, the emergency physician must have knowledge of the anatomic, physiologic, and pathologic components unique to the pediatric airway to optimize success. Furthermore, the emergency physician should be well versed in the various equipment and adjuncts as well as techniques developed to effectively manage the pediatric airway. This review covers the pathophysiology and practice of endotracheal intubation. Figures show a gum elastic bougie; the Mallampati classification; appropriate oropharyngeal, laryngeal, and tracheal axes; advancing the laryngoscope to lift the epiglottis; endotracheal tube position in neonates; and synchronized intermittent mandatory ventilation pressure-regulated volume control mechanical ventilation. Tables list endotracheal tube sizes, neonatal endotracheal tube sizes, pediatric laryngeal mask airway sizes, commonly used induction agents, and endotracheal tube insertion depth guidelines. This review contains 6 figures, 8 tables, and 77 references. Key words: emergent tracheal intubation; endotracheal tube; laryngoscopy; pediatric airway; pediatric airway management; pediatric endotracheal intubation; pediatric laryngeal mask; video laryngoscopy

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Theatre-Based Hospital Placements for Firefighters

British Journal of Perioperative Nursing (United Kingdom) ◽

10.1177/175045890501500905 ◽

2005 ◽

Vol 15 (9) ◽

pp. 396-399

Author(s):

Emma Durmaz

Keyword(s):

Laryngeal Mask Airway ◽

Airway Management ◽

Airway Obstruction ◽

Cause Of Death ◽

Pilot Project ◽

Laryngeal Mask ◽

Common Cause ◽

Consultant Anaesthetist ◽

Management Techniques ◽

One Year

Airway obstruction is the most common cause of death in the prehospital environment. It is estimated that 85% of these patients had otherwise survivable injuries. The aim of the project was to increase firefighters' skills in airway management techniques, to include the laryngeal mask airway (LMA), by providing theatre-based hospital placements under the supervision of a consultant anaesthetist. The training in the use of the LMA by firefighters is currently a pilot project to assess the potential for its use operationally, based on ease of training to a competent level and retention of skills after one year.

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