| Intubating laryngeal mask as a ventilatory device during percutaneous dilatational tracheostomy: a descriptive study. | |
| | |
MedLine Citation:
|
PMID: 17933797 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: We use an intubating laryngeal mask (ILM) in preference to an endotracheal tube (ETT) as the ventilatory device during percutaneous dilatational tracheostomy (PDT) to overcome potential problems such as difficult ventilation, accidental extubation, damage of the ETT or of the bronchoscope, and need for additional assistant to secure the airway. We report our experience with this method. METHODS: In this prospective observational study, PDT was performed using the ILM in 86 patients. The insertion of the ILM, the quality of ventilation, and the view of the tracheal puncture site were rated as: 'very good', 'good', 'difficult', and 'not possible with ILM'. RESULTS: The bronchoscope was not damaged during any case, and all PDTs were performed by two physicians, without the need for an additional assistant. PDTs with ILM were successful in 95% of the patients (n=82). The ratings were 'very good' or 'good' in 80% of cases with regards to ventilation, in 90% for identification of relevant structures and tracheal puncture site, and in 85% for the view inside the trachea during PDT. Tracheal re-intubation was required for inadequate ventilation with ILM in four patients. CONCLUSIONS: The advantages of this procedure were lack of damage to the bronchoscope, the need for two instead of three persons to perform the PDT, and the excellent view inside the trachea. We recommend the ILM as a standard device for ventilation during bronchoscope-guided PDT. |
| | |
Authors:
|
U Linstedt; F Möller; N Grote; M Zenz; A Prengel |
Related Documents
:
|
1425657 - Changes in ventilation in response to ramp changes in treadmill exercise load. 6833037 - Sinoaortic contribution to ventilatory control in exercising dogs. 10804157 - Ventilation and gas exchange during treadmill locomotion in the american alligator (all... 16412707 - Theories on the nature of the coupling between ventilation and gas exchange during exer... 19858327 - Mirrors and resistance exercise, do they influence affective responses? 1685447 - Effect of beta-adrenergic blockade on plasma lactate concentration during exercise at h... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article Date: 2007-10-12 |
Journal Detail:
|
Title: British journal of anaesthesia Volume: 99 ISSN: 1471-6771 ISO Abbreviation: Br J Anaesth Publication Date: 2007 Dec |
Date Detail:
|
Created Date: 2007-11-16 Completed Date: 2007-12-12 Revised Date: 2008-04-15 |
Medline Journal Info:
|
Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: England |
Other Details:
|
Languages: eng Pagination: 912-5 Citation Subset: IM |
Affiliation:
|
Department of Anaesthesiology, Intensive Care Medicine, and Pain Therapy, Diako Hospital, Flensburg, Academic Teaching Hospital of the University of Kiel, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Bronchoscopy Humans Intubation, Intratracheal / methods* Laryngeal Masks* Middle Aged Prospective Studies Respiration, Artificial Surgical Procedures, Minimally Invasive / methods Tracheostomy / methods* |
| Comments/Corrections | |
Comment In:
|
Br J Anaesth. 2008 Apr;100(4):562-3; author reply 563-4
[PMID:
18357642
]
Br J Anaesth. 2008 Apr;100(4):561-2; author reply 563-4 [PMID: 18344575 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Broad, ectopic expression of the sperm protein PLCZ1 induces parthenogenesis and ovarian tumours in ...
Next Document: Successful one-stage operation of aortoesophageal fistula from thoracic aneurysm using a rifampicin-...