Document Detail


The intubating laryngeal mask airway compared with direct laryngoscopy.
MedLine Citation:
PMID:  10673880     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have compared the ability of naïve intubators to intubate the trachea using a laryngoscope and an intubating laryngeal mask airway (ILMA) after receiving basic training, in a randomized, prospective, crossover study in 60 patients. Ventilation of the lungs via the ILMA was also compared with ventilation with a face mask. There was no significant difference in successful intubation between the techniques (38 of 89 with the ILMA and 33 of 93 with direct laryngoscopy; ns). In patients in whom participants failed in their intubation attempts with the ILMA, investigators achieved success in 89% (16 of 18). Satisfactory ventilation was more common with the ILMA (50 of 51) than with the face mask (43 of 60) (P = 0.0001). A total of 98% (89 of 91) of ILMA were inserted successfully, with a mean insertion time of 19.6 s, and 78% (69/89) of these insertions were achieved in less than 26 s. The ILMA may be useful for emergency oxygenation and ventilation, but these results do not support its use for intubation by those not trained in advanced airway management and ILMA use.
Authors:
M S Avidan; A Harvey; N Chitkara; J Ponte
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  83     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1999 Oct 
Date Detail:
Created Date:  2000-03-02     Completed Date:  2000-03-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  615-7     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, King's College Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Competence
Cross-Over Studies
Humans
Laryngeal Masks*
Laryngoscopy*
Manikins
Masks
Pilot Projects
Prospective Studies
Comments/Corrections
Comment In:
Br J Anaesth. 2000 Apr;84(4):538-9   [PMID:  10823115 ]

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


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