scholarly journals Intubating laryngeal mask as a ventilatory device during percutaneous dilatational tracheostomy: a descriptive study

2007 ◽  
Vol 99 (6) ◽  
pp. 912-915 ◽  
Author(s):  
U. Linstedt ◽  
F. Möller ◽  
N. Grote ◽  
M. Zenz ◽  
A. Prengel
Keyword(s):  
Percutaneous Dilatational Tracheostomy ◽  
Descriptive Study ◽  
Laryngeal Mask ◽  
Dilatational Tracheostomy ◽  
Ventilatory Device

Laryngeal Mask Airway or Endotracheal Tube for Percutaneous Dilatational Tracheostomy

2010 ◽  
Vol 110 (4) ◽  
pp. 1076-1082 ◽  
Author(s):  
Ulf Linstedt ◽  
Michael Zenz ◽  
Kirsten Krull ◽  
Dietrich Häger ◽  
Andreas W. Prengel
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Percutaneous Dilatational Tracheostomy ◽  
Laryngeal Mask ◽  
Dilatational Tracheostomy

scholarly journals The Use of Fiberoptic Bronchoscopy During Percutaneous Dilatational Tracheostomy With Laryngeal Mask

1997 ◽  
Vol 4 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Maurizio Rossi ◽  
Marco De Monti ◽  
Davide Sonnino ◽  
Bruno Giacometti
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Percutaneous Dilatational Tracheostomy ◽  
Fiberoptic Bronchoscopy ◽  
Laryngeal Mask ◽  
Obese Patients ◽  
Limited Mobility ◽  
Dilatational Tracheostomy ◽  
Combined Use

The aim of our research is to evaluate the advantage by the combined use of fiberoptic bronchoscopy and laryngeal mask during the performance of percutaneous dilatational tracheostomy in an intensive care unit.Patients: 16 adult patients who were candidates to middle-long term mechanical ventilation.Environment: Intensive Care Unit of a Community General Hospital.Results: We experienced 3 minor complications (2 minor bleedings and 1 neck emphysema). Difficulties were found in 3 patients with particular anatomical conformation (obese patients with short neck and limited mobility of the cervical spine).Conclusion: The combined use of fiberoptic tracheo-bronchoscopy with the laryngeal mask permits a better endoscopic visualisation of the operatory field, providing a more secure and precise procedure.

scholarly journals Laryngeal Mask Airway for Airway Control during Percutaneous Dilatational Tracheostomy

2011 ◽  
Vol 39 (6) ◽  
pp. 1009-1013 ◽  
Author(s):  
T. Pratt ◽  
J. Bromilow
Keyword(s):  
Laryngeal Mask Airway ◽  
Endotracheal Tube ◽  
Prolonged Mechanical Ventilation ◽  
Percutaneous Dilatational Tracheostomy ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Safe Alternative ◽  
Airway Control ◽  
Dilatational Tracheostomy ◽  
Reasonable Evidence

Percutaneous dilatational tracheostomy is a common bedside procedure in critical care for patients requiring prolonged mechanical ventilation. The traditional technique requires withdrawal of the endotracheal tube to a proximal position to facilitate tracheostomy insertion, but this carries the risk of inadvertent extubation and does not prevent cuff rupture. Use of a supraglottic airway such as the laryngeal mask airway may avoid these risks and could provide a safe alternative to the endotracheal tube. We present an appraisal of the literature to date. We found reasonable evidence to show improved ventilation and bronchoscopic visualisation with the laryngeal mask airway, but this has not been translated into improved outcome. There is currently insufficient evidence to draw conclusions about the safety of the laryngeal mask airway during percutaneous dilatational tracheostomy.

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