Document Detail


Awake insertion of the fibreoptic intubating LMA CTrach in three morbidly obese patients with potentially difficult airways.
MedLine Citation:
PMID:  17697225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Intubating Laryngeal Mask Airway (ILMA) is a supraglottic airway that facilitates ventilation and blind tracheal intubation. The LMA CTrach is functionally identical to the ILMA, but has an integrated fibreoptic bundle that provides a view of the larynx. This enables visualisation of tracheal intubation while delivering 100% oxygen, with or without an inhalational anaesthetic. We report awake insertion of the CTrach in three morbidly obese patients (BMI 60-63) with known or anticipated difficult airways. Pre-operatively, patients were given midazolam and glycopyrrolate intravenously, and then in the operating theatre the airway was anaesthetised with topical lidocaine 4%. The CTrach was inserted into the oropharynx of the still-awake patient, the vocal cords were visualised, and anaesthetic induction was commenced with sevoflurane and spontaneous ventilation. Neuromuscular blockers were not used and we were able to see the vocal cords during the entire anaesthetic induction and intubation.
Authors:
R Wender; A J Goldman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  62     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-10-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  948-51     Citation Subset:  AIM; IM    
Affiliation:
Univerisity of Washington, Department of Anaesthesiology, MS 356540, 1959 NE Pacific Street, Seattle, WA 98195, USA. rwender@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, General / methods
Awareness
Female
Fiber Optic Technology
Humans
Intubation, Intratracheal / instrumentation,  methods
Laryngeal Masks*
Middle Aged
Obesity, Morbid / complications*

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


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