Document Detail


Intubation through intubating laryngeal mask with and without a lightwand: a randomized comparison.
MedLine Citation:
PMID:  11439796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The combined use of a lightwand and the intubating laryngeal mask airway (ILMA) was compared with the use of the ILMA alone to determine whether the combination was a more efficient method of endotracheal intubation. One hundred healthy patients were randomly assigned to two groups. After induction of anaesthesia, Group A patients were intubated blindly through the ILMA while in Group B, intubation was guided by a lightwand. A sequence of standard manoeuvres was followed it attempts at intubation failed. The number of manoeuvres used, the time taken for successful intubation and complications associated with intubation were recorded. Intubations were successful in all patients, but the mean endotracheal intubation time was longer in Group A than in Group B (38.3 +/- 10.4 s versus 26.4 +/- 9.1 s, P < 0.001). The number of patients who needed one or more manoeuvres was significantly higher in Group A than in Group B (76% versus 42%, P = 0.001). We conclude that the lightwand is a useful adjunct in endotracheal intubation through an ILMA.
Authors:
P L Chan; T W Lee; K K Lam; W S Chan
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  29     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-07-06     Completed Date:  2001-12-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  255-9     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Intensive Care, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong, PRC.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Intubation, Intratracheal* / instrumentation,  methods
Laryngeal Masks*
Male
Time Factors

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


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