Document Detail


Effects of tracheal intubation on ventilation with LMA classic for percutaneous dilation tracheostomy.
MedLine Citation:
PMID:  20203545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The classic laryngeal mask airway (cLMATM) can be used in place of an endotracheal tube (ETT) as the ventilatory device during percutaneous dilational tracheostomy (PDT). We aimed to investigate the possible loss of efficacy of cLMATM after tracheal intubation. METHODS: Severity of laryngeal lesions and efficacy of cLMATM were determined in two groups of thirty patients each who were switched from ETT ventilation to cLMA ventilation for PDT after a short (<4 days) or a long (>12 days) tracheal intubation. RESULTS: cLMATM allowed us to carry out PDT in all patients. Short tracheal intubations resulted in mild lesions of the larynx and mild gas leaks during cLMATM ventilation. Longer intubations caused moderate-to-severe (P<0.05) lesions of the larynx and larger gas leaks. A single complication occurred in one patient post-procedurally and in no patient at 6-month follow-up. CONCLUSION: Efficacy of cLMATM was maintained after short tracheal intubation and decreased after long intubation.
Authors:
M Carron; U Freo; F Michielan; C Ori
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva anestesiologica     Volume:  76     ISSN:  1827-1596     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-05-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  181-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
APACHE
Adolescent
Adult
Aged
Aged, 80 and over
Dilatation
Female
Humans
Intubation, Intratracheal / adverse effects,  methods*
Laryngeal Masks*
Laryngoscopy
Larynx / injuries
Male
Middle Aged
Postoperative Complications / epidemiology,  etiology
Respiratory Mechanics / physiology*
Surgical Procedures, Minimally Invasive
Tracheostomy / methods*
Young Adult
Comments/Corrections
Comment In:
Minerva Anestesiol. 2010 Jun;76(6):467   [PMID:  20473263 ]

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


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