Laryngeal mask airway—a novel method of airway protection during ERCP: Comparison with endotracheal intubation

Osborn, Irene P.; Cohen, Jonathan; Soper, R. J.; Roth, Leslie

doi:10.1067/mge.2002.125546

Cited by 50 publications

(32 citation statements)

References 20 publications

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“…The use of LMA has been tried but requires more care in the prone position because it can easily dislodge by manipulations done during the procedure and it does not secure the patient's airway in case of aspiration of gastric fluids. 5 The device using Ayre's T-piece circuit along with nasopharyngeal airway obviated all these problems. Advantages of this device were:…”

Section: Discussionmentioning

confidence: 99%

Use of Ayer’s T piece circuit for monitored anaesthesia care for ERCP

Bhargava¹,

Chakravarty²,

Shende³

et al. 2015

Sri Lankan J Anaesthesiol

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Although moderate (conscious) sedation is intended during elective gastrointestinal endoscopy, unintended levels of deep sedation occur resulting in respiratory and cardiac compromise. We present here use of Ayre's T-piece circuit along with nasopharyngeal airway for Endoscopic Retrograde CholangioPancreatography (ERCP) procedure under sedation which negates all the above problems, ensuring safety of the patient.

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Section: Discussionmentioning

confidence: 99%

Use of Ayer’s T piece circuit for monitored anaesthesia care for ERCP

Bhargava¹,

Chakravarty²,

Shende³

et al. 2015

Sri Lankan J Anaesthesiol

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“…In the prone position, the tongue falls anteriorly by gravity and creates an open space for LMAD insertion. 3,7,8 We undertook a literature review to determine the cumulative clinical experience of LMAD insertion with patients in the prone position as a form of rescue airway management in patients whose tracheas were unintentionally extubated during the course of general anesthesia. In cases of unintentional extubation with the patient in the prone position, we specifically sought to assess the feasibility of LMAD insertion and to document complications related to this method of rescue airway management.…”

Section: Résumémentioning

confidence: 99%

“…2,8 Weksler et al reported a prospective study comparing insertion of the LMAD with patients in the prone position (n = 25) with insertion of the LMAD with patients in the supine position (n = 25). Osborn et al reported a retrospective cohort study evaluating the feasibility of using the LMAD during endoscopic retrograde cholangiopancreatography (ERCP) in 41 patients.…”

Section: Literature Search Strategymentioning

confidence: 99%

“…Osborn et al reported a retrospective cohort study evaluating the feasibility of using the LMAD during endoscopic retrograde cholangiopancreatography (ERCP) in 41 patients. 8 Four comparison groups were included in the study: LMAD prone insertion, LMAD supine insertion, endotracheal intubation, or monitored anesthesia care. None of the above-mentioned controlled studies was a randomized controlled trial.…”

Section: Literature Search Strategymentioning

confidence: 99%

“…In the study by Brimacombe et al, the operating table was tilted laterally by 15°to enable further access to the patient's face during LMAD insertion. 6 After securing venous access, the patient was preoxygenated with 100% oxygen for three minutes 8 or until the end-tidal oxygen was [ 90%. 6 This procedure was followed by induction of anesthesia using intravenous fentanyl and propofol.…”

Section: Literature Search Strategymentioning

confidence: 99%

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Brief review: Airway rescue with insertion of laryngeal mask airway devices with patients in the prone position

Abrishami

Zilberman

Chung

2010

Can J Anesth/J Can Anesth

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Purpose Unintentional extubation of the trachea while the anesthetized patient is in the prone position is a potentially life-threatening situation that is usually managed by turning the patient supine for emergent re-intubation. However, this approach may delay definitive airway management and lead to irreversible complications. This review evaluates the efficacy of insertion of a laryngeal mask airway device (LMAD) with the patient in the prone position as a rescue method in airway management for unintentional tracheal extubation. Principal findings We searched MEDLINE and EMBASE databases in the English language for the period 1980 to October 2009 in order to identify observational studies and case reports describing insertion of the LMAD with the patient in the prone position. We found 12 such articles (n = 526 patients) consisting of four retrospective studies, one prospective cohort with a control group, one non-controlled prospective study, and six case reports. On the first attempt, the LMAD was inserted successfully in 87.5-100% of the patients involved in the included reports. On the second attempt, the LMAD was inserted successfully in all patients, with or without laryngoscopy. Ventilation was maintained successfully in the lungs of 83.3-100% of the patients involved in the reported articles. Following insertion of the LMAD with patients in the prone position, the most common complications reported were sore throat, bleeding, bradycardia, and laryngospasm.Conclusions Cumulative experience from published reports suggests the feasibility of placing the LMAD with the patient in the prone position in the elective setting; however, the evidence is lacking regarding the use of this method for emergency management of unintended tracheal extubation with the patient in the prone position. RésuméObjectif L'extubation involontaire de la trache´e alors que le patient est en procubitus est une situation potentiellement fatale qu'on corrige en ge´ne´ral en couchant le patient afin de re´aliser une re´intubation urgente. Cette approche pourrait cependant retarder la prise en charge des voies ae´riennes de´finitive et entraıˆner des complications irre´versibles. Cet article de synthe`se e´value l'efficacite´de l'insertion d'un masque larynge( LMAD) chez un patient en procubitus en tant que me´thode de sauvetage pour la prise en charge des voies ae´riennes lors d'une extubation trache´ale involontaire. Constatations principales Nous avons passe´en revue les bases de donne´es MEDLINE et EMBASE en anglais pour la pe´riode allant de 1980 a`octobre 2009 afin de retrouver les e´tudes observationnelles et les pre´sentations de cas de´crivant l'insertion d'un LMAD chez des patients en procubitus. Nous avons re´cupe´re´12 articles (n = 526 patients), soit quatre e´tudes re´trospectives, une e´tude prospective de cohorte avec groupe te´moin, une e´tude prospective sans groupe te´moin et six pre´sentations de cas. L'insertion du LMAD a re´ussi au premier essai dans 87,5-100 % des patients de´crits dans les pre´sentatio...

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General Approach to Endoscopy: Sedation, Monitoring, and Preparation

Fatima

Rex

2015

Yamada' S Textbook of Gastroenterology

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Laryngeal mask airway—a novel method of airway protection during ERCP: Comparison with endotracheal intubation

Cited by 50 publications

References 20 publications

Use of Ayer’s T piece circuit for monitored anaesthesia care for ERCP

Use of Ayer’s T piece circuit for monitored anaesthesia care for ERCP

Brief review: Airway rescue with insertion of laryngeal mask airway devices with patients in the prone position

General Approach to Endoscopy: Sedation, Monitoring, and Preparation

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