Document Detail


Comparison of fibreoptic-guided intubation through ILMA versus intubation through LMA-CTrach.
MedLine Citation:
PMID:  18582259     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We compared the time taken to intubate the trachea of a manikin by fibreoptic-guided intubation through an intubating laryngeal mask airway (ILMA-FOS) with intubation through a laryngeal mask airway CTrach (LMA-CTrach). Forty-two anaesthetists participated in this randomised crossover study. Although the insertion time was similar, the time taken to intubate the trachea was significantly shorter with the LMA-CTrach as compared with the ILMA-FOS, with a mean time (SD) for ILMA-FOS and CTrach 84 (32) and 53 (21) s, respectively (p < 0.001). The mean difference in the total time between the two techniques was 31 s, with a 95% confidence interval of 22 to 39 s. Thirty (71%) anaesthetists preferred LMA-CTrach as compared with ILMA-FOS (p = 0.008). We conclude that LMA-CTrach is a suitable alternative to fibreoptic-guided intubation through ILMA for the management of unanticipated failed intubation.
Authors:
S Sreevathsa; P Linga Nathan; B John; R F Danha; C Mendonca
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia     Volume:  63     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-27     Completed Date:  2008-07-18     Revised Date:  2008-12-23    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  734-7     Citation Subset:  AIM; IM    
Affiliation:
Neville Hall Hospital, Abergavenny, Gwent, UK.
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MeSH Terms
Descriptor/Qualifier:
Cross-Over Studies
Fiber Optic Technology*
Humans
Intubation, Intratracheal / methods
Laryngeal Masks*
Manikins
Time Factors
Comments/Corrections
Comment In:
Anaesthesia. 2008 Dec;63(12):1374-5; author reply 1375   [PMID:  19032309 ]

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


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