Document Detail


An alternative method to intubate with laryngeal mask and see-through-bougie.
MedLine Citation:
PMID:  10408817     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Different ways of managing the difficult airway is an important issue for the anaesthetist. We have investigated a technique with a see-through-bougie and laryngeal mask for intubation. METHODS: We report our experience with intubation of 30 patients using a see-through-bougie guided through a laryngeal mask with a fibreoptic bronchoscope. The bougie is then used as a guidance for a tracheal tube. RESULTS: In 29 of the 30 investigated patients, this method could be used. In one patient the method had to be abandoned because of a tortuous trachea. Seventeen patients were intubated within 2 min, 11 between 2 and 5 min and 1 required 10 min. The time was mainly dependent on the endoscopic experience of the anaesthetist. No patient sustained arterial desaturation. CONCLUSION: We conclude that intubation using a see-through-bougie and a laryngeal mask is a valuable method in the difficult intubation situation, when a temporary airway can be achieved with laryngeal mask, since it permits continuous ventilation and visual control throughout the procedure.
Authors:
F Hammarskjöld; G Lindskog; P Blomqvist
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  43     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-10-08     Completed Date:  1999-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  634-6     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anesthesia
Bronchoscopy
Female
Humans
Intubation, Intratracheal / instrumentation,  methods*
Laryngeal Masks*
Male
Middle Aged

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


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