The Laryngeal Mask Airway: A Method to Improve Visualisation of the Trachea and Larynx during Fibreoptic Assisted Percutaneous Tracheostomy

Dexter, T.

doi:10.1177/0310057x9402200107

Cited by 61 publications

(15 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[5–8] In particular, the airway device is in a stable position and lies outside the larynx minimizing the risks of dislodgement, glottic damage and tube transfixion. [4] Fiber optic Bronchoscopic examination may be performed from the laryngeal inlet allowing accurate identification of the laryngeal rings and avoiding risk of damage to the bronchoscope.…”

Section: Discussionmentioning

confidence: 99%

“…The tip of the tracheal tube may still lie low enough within the trachea to risk cuff puncture or tube transfixion by the needle or by the guide wire. [4] Use of the classic laryngeal mask airway (LMA)[5–7] or the intubating LMA[8] during percutaneous dilatational tracheostomy (PDT) circumvents many of these problems. However, patients requiring PDT often have poorly compliant lungs requiring high inflation pressures.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit

Sarkar

Shashi

Paswan

et al. 2010

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

Purpose:To study the feasibility of using the pro-seal laryngeal mask airway (LMA) for airway maintenance during bronchoscopic-guided percutaneous tracheostomy.Materials and Methods:Observational study of 60 patients in a 16-bed intensive care unit. The patient’s tracheal tube was exchanged for a pro-seal LMA before undertaking percutaneous tracheostomy.Results:Inspiratory pressure and tidal volumes achieved during the procedure were recorded. The median peak inspiratory pressure was 25 (standard deviation 4.4) cm H2O. There was no loss of tidal volume in 30 patients, a loss of less than 100 mL/breath in 27, and loss of more than 100 mL in 3 patients. A pro-seal LMA successfully maintained the airway and allowed adequate ventilation during per-cutaneous tracheostomy in all 60 patients. In all patients, fiber optic bronchoscopy through the pro-seal LMA provided a clear view of the cords and trachea and there was no laryngeal or tracheal soiling at any stage of the procedure.Conclusion:The pro-seal LMA provides a reliable airway and allows effective ventilation during percutaneous tracheostomy. The passage of a fiberscope through the pro-seal LMA and glottis is easy and provides a clear view of the upper trachea.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit

Sarkar

Shashi

Paswan

et al. 2010

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

show abstract

“…Fernandez and his colleagues [29] suggested that because of the problems cited above, major complications could be avoided by continuous bronchoscopic observation during the procedure. The use of the laryngeal mask and bronchoscope may offer an alternative approach [31]; however, further controlled studies are required. The use of the laryngeal mask and bronchoscope may offer an alternative approach [31]; however, further controlled studies are required.…”

Section: Discussionmentioning

confidence: 99%

Bedside percutaneous tracheostomy experience with 72 critically ill patients

et al. 2000

View full text Add to dashboard Cite

Tracheostomy is necessary in intensive care unit (ICU) patients requiring prolonged mechanical ventilation. As an alternative to the standard surgical method, percutaneous techniques are available. Seventy-two patients were electively selected for percutaneous tracheostomy (PCT) in a nine-bed combined medical-surgical intensive care unit. PCT was performed at bedside with the Portex Percutaneous Tracheostomy Kit that uses the Griggs technique. The procedure time and early complications were recorded. The procedure was successful in all patients. The average duration of placement was 7.4 min. There were no tracheostomy-related deaths. Major bleeding occurred in three patients and required surgical intervention. In one patient, minor bleeding occurred at the stoma site that resolved with applied pressure. Wound infections were treated with local antiseptics in two patients. These findings suggest that PCT is a simple, quick and safe procedure.

show abstract

“…Dexter 5 multiple-dilator method. In five patients the procedure was completed successfully using an LMA, though a large air leak was noticed in the first patient in whom the nasogastric tube was left in situ.…”

Section: Summary Of Findingsmentioning

confidence: 99%

Laryngeal Mask Airway for Airway Control during Percutaneous Dilatational Tracheostomy

Pratt

Bromilow

2011

Anaesth Intensive Care

View full text Add to dashboard Cite

Percutaneous dilatational tracheostomy is a common bedside procedure in critical care for patients requiring prolonged mechanical ventilation. The traditional technique requires withdrawal of the endotracheal tube to a proximal position to facilitate tracheostomy insertion, but this carries the risk of inadvertent extubation and does not prevent cuff rupture. Use of a supraglottic airway such as the laryngeal mask airway may avoid these risks and could provide a safe alternative to the endotracheal tube. We present an appraisal of the literature to date. We found reasonable evidence to show improved ventilation and bronchoscopic visualisation with the laryngeal mask airway, but this has not been translated into improved outcome. There is currently insufficient evidence to draw conclusions about the safety of the laryngeal mask airway during percutaneous dilatational tracheostomy.

show abstract

The Laryngeal Mask Airway: A Method to Improve Visualisation of the Trachea and Larynx during Fibreoptic Assisted Percutaneous Tracheostomy

Abstract: A modification of the Ciaglia multiple-dilator method for percutaneous tracheostomy using both a fibreoptic bronchoscope and laryngeal mask airway to visualise the upper airway, so as to aid in safer placement, is described.

Cited by 61 publications

References 9 publications

Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit

Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit

Bedside percutaneous tracheostomy experience with 72 critically ill patients

Laryngeal Mask Airway for Airway Control during Percutaneous Dilatational Tracheostomy

Contact Info

Product

Resources

About