Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral
BackgroundSudden loss of airway in patients in the lateral position has always been proven to be difficult to manage with conventional laryngoscopy. We performed a randomized controlled trial to prove the success rate of ventilation and intubation in the lateral position via intubating laryngeal mas...
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doaj-41fc8ab6f05e437a9f9e661d5ea236eb2020-11-25T03:57:26ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-10-0165430631110.4097/kjae.2013.65.4.3067667Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateralMamta Panwar0Avnish Bharadwaj1Gaurav Chauhan2Drubajyoti Kalita3Department of Anesthesiology, VMMC & Safdarjang Hospital, New Delhi, India.Department of Anesthesiology, SMS Medical College, Jaipur, India.Department of Anesthesiology, VMMC & Safdarjang Hospital, New Delhi, India.Department of Anesthesiology, VMMC & Safdarjang Hospital, New Delhi, India.BackgroundSudden loss of airway in patients in the lateral position has always been proven to be difficult to manage with conventional laryngoscopy. We performed a randomized controlled trial to prove the success rate of ventilation and intubation in the lateral position via intubating laryngeal mask airway (ILMA).MethodsNinety patients were divided into three groups of 30 patients each, positioned supine, right lateral, and left lateral randomly. Each group comprised of both sexes of American Society of Anesthesiologists grade I and II, aged between 18-55 years with normal airway posted for surgery under general anesthesia. Patients were pre-medicated with fentanyl followed by induction with propofol and neuromuscular blockade with rocuronium. ILMA was inserted and blind tracheal intubation via ILMA was done. The success rate, time taken and the number of adjusting maneuvers used for both procedures were recorded. The data was tabulated and analyzed using ANOVA (analysis of variance), multiple 't' test and chi square.ResultsThe success rate of intubation (96%) and time taken in insertion and intubation was found to be quite similar in all the three groups.ConclusionsWe conclude that the ILMA has an important role to play in the emergency management of airways in patients in the lateral position in terms of ease, success rate and time taken.http://ekja.org/upload/pdf/kjae-65-306.pdfendotracheal intubationfentanylpropofol |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mamta Panwar Avnish Bharadwaj Gaurav Chauhan Drubajyoti Kalita |
spellingShingle |
Mamta Panwar Avnish Bharadwaj Gaurav Chauhan Drubajyoti Kalita Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral Korean Journal of Anesthesiology endotracheal intubation fentanyl propofol |
author_facet |
Mamta Panwar Avnish Bharadwaj Gaurav Chauhan Drubajyoti Kalita |
author_sort |
Mamta Panwar |
title |
Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral |
title_short |
Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral |
title_full |
Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral |
title_fullStr |
Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral |
title_full_unstemmed |
Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral |
title_sort |
intubating laryngeal mask airway as an independent ventilatory and intubation device. a comparison between supine, right lateral and left lateral |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2013-10-01 |
description |
BackgroundSudden loss of airway in patients in the lateral position has always been proven to be difficult to manage with conventional laryngoscopy. We performed a randomized controlled trial to prove the success rate of ventilation and intubation in the lateral position via intubating laryngeal mask airway (ILMA).MethodsNinety patients were divided into three groups of 30 patients each, positioned supine, right lateral, and left lateral randomly. Each group comprised of both sexes of American Society of Anesthesiologists grade I and II, aged between 18-55 years with normal airway posted for surgery under general anesthesia. Patients were pre-medicated with fentanyl followed by induction with propofol and neuromuscular blockade with rocuronium. ILMA was inserted and blind tracheal intubation via ILMA was done. The success rate, time taken and the number of adjusting maneuvers used for both procedures were recorded. The data was tabulated and analyzed using ANOVA (analysis of variance), multiple 't' test and chi square.ResultsThe success rate of intubation (96%) and time taken in insertion and intubation was found to be quite similar in all the three groups.ConclusionsWe conclude that the ILMA has an important role to play in the emergency management of airways in patients in the lateral position in terms of ease, success rate and time taken. |
topic |
endotracheal intubation fentanyl propofol |
url |
http://ekja.org/upload/pdf/kjae-65-306.pdf |
work_keys_str_mv |
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