A manoeuvre for using the flexilbe fibreoptic bronchoscope through the Intubating Laryngeal Mask Airway®

Panjwani, S.; Seymour, Peter; Pandit, J. J.

doi:10.1046/j.1365-2044.2001.02137-9.x

Cited by 16 publications

(12 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This made it impossible to advance the fibrescope into the trachea even though the laryngeal view was good, as the fibrescope could not be flexed sufficiently to manoeuvre it into place, despite the use of techniques previously described [16]. Table 3 shows the results of the view of the larynx seen through the fibrescope.…”

Section: Resultsmentioning

confidence: 99%

Comparison of fibreoptic‐guided orotracheal intubation through classic and single‐use laryngeal mask airways*

Danha¹,

Thompson²,

Popat

et al. 2005

Anaesthesia

Self Cite

View full text Add to dashboard Cite

SummaryWe compared times to intubate the trachea orally and success rates using two fibreoptically assisted techniques in 42 healthy patients with normal airways using (a) a 6.0‐mm nasal RAE tracheal tube passed through a classic laryngeal mask airway (CLMA group) or (b) a 6.0‐mm nasal RAE tracheal tube passed through a new disposable Portex Soft Seal laryngeal mask airway (PLMA group). The mean (SD) total intubation times were 82 (14) and 80 (17) s, respectively (p = 0.55). The success rates for intubation at the first attempt were similar (17/21 in the CLMA vs. 16/21 in the PLMA group; p = 0.50). We conclude that there is no clinically significant difference between the times to intubate the trachea or success rates using these two devices, but there may be other more subtle measures which might influence the choice of device in clinical practice. Finally, in the course of this study we developed a grading scale to describe the laryngeal views obtained when using a fibrescope passed through supraglottic airway devices.

show abstract

Section: Resultsmentioning

confidence: 99%

Comparison of fibreoptic‐guided orotracheal intubation through classic and single‐use laryngeal mask airways*

Danha¹,

Thompson²,

Popat

et al. 2005

Anaesthesia

Self Cite

View full text Add to dashboard Cite

show abstract

“…Panjwani et al. [10] described flexing the tip of the fibrescope tip fully just before contact with the epiglottic elevating bar to negotiate past the latter with little risk of damage to the tip of the fibrescope. The curved side (bull‐nose) is used to push against the epiglottic elevating bar and once past, the tip of the fibrescope may be extended again.…”

Section: Discussionmentioning

confidence: 99%

Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA Fastrach^TM) and the Air‐Q^TM

Karim

Swanson

2011

Anaesthesia

View full text Add to dashboard Cite

SummaryThis study assessed two disposable devices, the LMA Fastrach TM and the newly developed supraglottic airway device, the Air-Q TM , as a conduit for tracheal intubation in 154 healthy adults undergoing elective surgery. Using a non-inferiority approach, the primary outcome measure was successful tracheal intubation within two blind insertion attempts. Successful blind intubation after two attempts was achieved in 75 ⁄ 76 (99%) of the patients in the LMA Fastrach group vs 60 ⁄ 78 (77%) in the Air-Q group (95% CI for the difference 12-32%, p < 0.0001). Fibreoptic intubation was used to assist the third attempt. The rate of successful intubation after three attempts was 100% in the LMA Fastrach group and 95% in Air-Q group. The single-use LMA Fastrach appears superior compared with the Air-Q, as a conduit to facilitate blind tracheal intubation.

show abstract

“…In this way a 'wide-angled', minimally distorted view can be obtained; A .................................................................................................................................................................................................................... Ó 2010 The Authors however, there is a real risk of damage to the fibrescope as it may about the epiglottis elevator bar -thus this technique is not recommended by the manufacturer. Panjwani et al [13] have suggested an alternative manoeuvre to negotiate the epiglottis elevator bar without damaging the fibrescope. By fully flexing the tip of the fibrescope before contact with the EEB, the curved side can be used to push the epiglottis elevator bar, before extending the tip again once the epiglottis elevator bar has been passed.…”

Section: Discussionmentioning

confidence: 99%

Manikin study of fibreoptic‐guided intubation through the classic laryngeal mask airway with the Aintree intubating catheter vs the intubating laryngeal mask airway in the simulated difficult airway*

2010

View full text Add to dashboard Cite

In this randomised crossover manikin study of simulated difficult intubation, 26 anaesthetists attempted to intubate the trachea using two fibreoptic-guided techniques: via a classic laryngeal mask airway using an Aintree intubating catheter and via an intubating laryngeal mask airway using its tracheal tube. Successful intubation was the primary endpoint, which was completed successfully in all 26 cases using the former technique, and in 5 of 26 cases using the latter (p < 0.0001). The former technique also proved quicker to reach the vocal cords with the fibrescope (median (IQR . We conclude that in simulated difficult intubation, fibreoptic intubation appears easier to achieve using a classic laryngeal mask airway and an Aintree intubating catheter than through an intubating laryngeal mask airway.

show abstract

A manoeuvre for using the flexilbe fibreoptic bronchoscope through the Intubating Laryngeal Mask Airway®

Cited by 16 publications

References 1 publication

Comparison of fibreoptic‐guided orotracheal intubation through classic and single‐use laryngeal mask airways*

Comparison of fibreoptic‐guided orotracheal intubation through classic and single‐use laryngeal mask airways*

Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA Fastrach^TM) and the Air‐Q^TM

Manikin study of fibreoptic‐guided intubation through the classic laryngeal mask airway with the Aintree intubating catheter vs the intubating laryngeal mask airway in the simulated difficult airway*

Contact Info

Product

Resources

About

A manoeuvre for using the flexilbe fibreoptic bronchoscope through the Intubating Laryngeal Mask Airway®

Cited by 16 publications

References 1 publication

Comparison of fibreoptic‐guided orotracheal intubation through classic and single‐use laryngeal mask airways*

Comparison of fibreoptic‐guided orotracheal intubation through classic and single‐use laryngeal mask airways*

Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA FastrachTM) and the Air‐QTM

Manikin study of fibreoptic‐guided intubation through the classic laryngeal mask airway with the Aintree intubating catheter vs the intubating laryngeal mask airway in the simulated difficult airway*

Contact Info

Product

Resources

About

Comparison of blind tracheal intubation through the intubating laryngeal mask airway (LMA Fastrach^TM) and the Air‐Q^TM