Document Detail


Supraglottic airways in difficult airway management: successes, failures, use and misuse.
MedLine Citation:
PMID:  22074079     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Supraglottic airway devices (SAD) play an important role in the management of patients with difficult airways. Unlike other alternatives to standard tracheal intubation, e.g. videolaryngoscopy or intubation stylets, they enable ventilation even in patients with difficult facemask ventilation and simultaneous use as a conduit for tracheal intubation. Insertion is usually atraumatic, their use is familiar from elective anaesthesia, and compared with tracheal intubation is easier to learn for users with limited experienced in airway management. Use of SADs during difficult airway management is widely recommended in many guidelines for the operating room and in the pre-hospital setting. Despite numerous studies comparing different SADs in manikins, there are few randomised controlled trials comparing different SADs in patients with difficult airways. Therefore, most safety data come from extended use rather than high quality evidence and claims of efficacy and particularly safety must be interpreted cautiously.
Authors:
A Timmermann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  66 Suppl 2     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  45-56     Citation Subset:  AIM; IM    
Copyright Information:
© 2011 The Author. Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland.
Affiliation:
Consultant Anaesthetist, Department of Anaesthesia and Pain therapy, Helios Klinikum Emil von Behring, Berlin, and Privatdozent (Associate Professor) of Anaesthesia, Intensive Care and Emergency Medicine, Georg-August University of Goettingen, Goettingen, Germany.
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