Document Detail


Analysis of 1500 laryngeal mask uses by one anaesthetist in adults undergoing routine anaesthesia.
MedLine Citation:
PMID:  8669573     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An analysis of 1500 laryngeal mask airway uses by one anaesthetist using the standard insertion technique was conducted to determine successful insertion rates, position by fibreoptic larynoscopy, complication rates and whether there is a long-term learning curve. The correlation between laryngeal mask airway placement and modified Mallampati grade was also determined. The first time insertion rate was 95.5% with an overall failure rate after three attempts of 0.4%. One hundred and fifteen patients were Mallampati III or IV. All failed placements were Mallampati I or II. Problems occurred in 94 patients (6.27%), but oxygen saturation decreased below 90% on only ten occasions and below 80% on one occasion. There were no episodes of regurgitation. The vocal cords were visible from the mask aperture bars in 97.1%. Comparison of insertion rates, fibreoptic position and complications for the first and second 750 insertions provides evidence for a 'long' term learning curve. These data could be used as a guide for 'optimal' or expected successful laryngeal mask airway insertion rates in adults undergoing routine anaesthesia.
Authors:
J Brimacombe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  51     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-08-05     Completed Date:  1996-08-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  76-80     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia, University of Queensland, Cairns Base Hospital, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anesthesia / methods*
Child
Female
Humans
Laryngeal Masks / adverse effects,  utilization*
Male
Middle Aged
Comments/Corrections
Comment In:
Anaesthesia. 1996 Aug;51(8):795   [PMID:  8815741 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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