Preliminary Experience with LMA CTrach™ for Assessment of Glottic Structures during Thyroidectomy

Chilkoti, Geetanjali T; Mohta, Medha; Saxena, Arushi

doi:10.1177/0310057x1604400617

Cited by 3 publications

(7 citation statements)

References 4 publications

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“…In our previous study utilising LMA CTrach for this indication, we attempted replacement in anaesthetised and paralysed patients. [ 14 ] However, in the present study, it was done following reversal of neuromuscular blockade under adequate depth of anaesthesia – which not only allays the inadvertent risk of losing the airway but also resulted in early detection of vocal cord mobility.…”

Section: Discussionmentioning

confidence: 97%

“…The LMA CTrach has been commonly used as a difficult airway adjunct,[ 12 13 ] and recently a case series has employed the use of LMA CTrach for this indication. [ 14 ] observed lesser use of corrective manoeuvres and better tolerability by the patients. It has the advantage that it enables ventilation throughout the process of visualisation and provides a panoramic view of the laryngeal structures.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the studies utilising the replacement of ETT has been conducted in anaesthetised and paralysed neurosurgical patients as it has been associated with favourable haemodynamic profile, less cerebral hyperaemia and a lower incidence of cough but may fret with the inadvertent risk of losing airway. [ 15 16 ] Similarly, the studies utilising such replacement in thyroidectomy were performed again in anaesthetised and paralysed patients[ 8 14 ] except a case report by Maroof et al . [ 7 ] where it was performed following reversal of neuromuscular blockade.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, it has been used for assessment of glottic structures following thyroidectomy in a case series. [ 14 ] The result of this series was found to be encouraging in terms of safety, use of corrective manoeuvres and tolerability by the patient. [ 14 ]…”

Section: Introductionmentioning

confidence: 94%

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A randomised preliminary study to compare the performance of fibreoptic bronchoscope and laryngeal mask airway CTrach (LMA CTrach) for visualisation of laryngeal structures at the end of thyroidectomy

et al. 2020

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Background and Aims: Various methods have been used to check vocal cord movements as a routine before awakening the patient at the end of thyroidectomy to rule out recurrent laryngeal nerve (RLN) palsy; out of which, fibreoptic-assisted visualisation via laryngeal mask airway (LMA) being the most desirable. Methods: Thirty patients of either sex, aged 18-65 years, American Society of Anaesthesiologists (ASA) grade I/II, scheduled for thyroidectomy under general anaesthesia (GA) were included and were randomised to receive either fibreoptic assisted (FB) or LMA CTrach-assisted (CT) visualisation of laryngeal structures at the end of thyroidectomy. The primary outcome was grade of view of laryngeal structures and secondary outcomes were time taken to achieve optimal view of laryngeal structures, ease of visualisation, hemodynamic parameters, and complications. Results: In the fibreoptic group, we obtained comparable optimal laryngeal view i.e., grade 1 and 2 in all (100%) patients in comparison to 14 (93.33%) in LMA CTrach group. The “time taken to achieve the optimal view” was significantly lower in the CTrach group when compared to Fibreoptic group (220.67 ± 95.98 vis-a-vis 136.67 ± 68.98). The ease of visualisation of laryngeal structures was comparable ( P = 0.713) and the baseline haemodynamic parameters were comparable between the 2 groups and at various designated intervals. In total, 6.66% and 26.66% patients in group FB and CT group, respectively, required manoeuvres. However, difference was statistically significant ( P < 0.05). Conclusion: Both Fibreoptic-assisted and LMA CTrach-assisted visualization of laryngeal structures in thyroidectomy are equally efficacious in terms of the optimal laryngeal view obtained and ease of visualisation. However, the time taken to achieve optimal laryngeal view was lesser with LMA CTrach.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

See 2 more Smart Citations

A randomised preliminary study to compare the performance of fibreoptic bronchoscope and laryngeal mask airway CTrach (LMA CTrach) for visualisation of laryngeal structures at the end of thyroidectomy

et al. 2020

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“…A case series has evaluated the role of LMA CTrach for assessment of glottic structures following thyroidectomy and the result of this preliminary study was promising in terms of its safety and tolerability by the patients. [ 32 ] A panoramic view of vocal cords accessible for view to the surgeons is the major advantage of this device. In addition, it provides continued ventilation during the procedure.…”

Section: Methodsmentioning

confidence: 99%

Techniques of detecting recurrent laryngeal nerve palsy in patients undergoing thyroid surgery: Pearls and pitfalls

Chilkoti,

Gupta,

Bhandari

et al. 2024

Journal of Anaesthesiology Clinical Pharmacology

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Though permanent vocal cord palsy consequent to recurrent laryngeal nerve (RLN) injury is rare following thyroidectomies, its consequences are grave enough for it to be the most feared complication postoperatively. Anesthesiologists and surgeons take various precautions to prevent its occurrence and employ various methods for its early detection. They include direct visualization of the nerve intraoperatively, use of intraoperative nerve monitoring, and post-extubation visualization of vocal cord mobility by use of direct or indirect methods. In the present narrative review, we aim to discuss the clinical evidence pertaining to the various methods adopted for the prevention and early detection of RLN palsy during thyroidectomy.

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Comparison of the Efficacy of Macintosh Laryngoscope Versus Airtraq Videolaryngoscope for Visualization of Laryngeal Structures at the End of Thyroidectomy: A Randomized Control Study

Chilkoti

Bhandari

Mohta

et al. 2023

Indian J Otolaryngol Head Neck Surg

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Preliminary Experience with LMA CTrach™ for Assessment of Glottic Structures during Thyroidectomy

Cited by 3 publications

References 4 publications

A randomised preliminary study to compare the performance of fibreoptic bronchoscope and laryngeal mask airway CTrach (LMA CTrach) for visualisation of laryngeal structures at the end of thyroidectomy

A randomised preliminary study to compare the performance of fibreoptic bronchoscope and laryngeal mask airway CTrach (LMA CTrach) for visualisation of laryngeal structures at the end of thyroidectomy

Techniques of detecting recurrent laryngeal nerve palsy in patients undergoing thyroid surgery: Pearls and pitfalls

Comparison of the Efficacy of Macintosh Laryngoscope Versus Airtraq Videolaryngoscope for Visualization of Laryngeal Structures at the End of Thyroidectomy: A Randomized Control Study

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