The LMA CTrach<sup>TM</sup> in airway resuscitation: six case reports

Goldman, Ann; Rosenblatt, William H.

doi:10.1111/j.1365-2044.2006.04787.x

Cited by 28 publications

(15 citation statements)

References 16 publications

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“…Reports have been published on the use of the CTrach in patients with normal airways [22,23], in morbidly obese patients [24], and in patients with anticipated difficult airways [25][26][27]. In the study of patients with normal airways, tracheal intubation was successful at the first atttempt in 100% of cases.…”

Section: ó 2009 the Authorsmentioning

confidence: 99%

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq^® and LMA CTrach™ devices*

et al. 2009

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SummaryThe aim of this study was to evaluate the effectiveness of the Airtraq® and CTrach™ in lean patients with simulated cervical spine injury after application of a rigid cervical collar. Eighty‐six consenting adult patients of ASA physical status 1 or 2, who required elective tracheal intubation were included in this study in a randomised manner. Anaesthesia was induced using 1 μg.kg−1 fentanyl, 3 mg.kg−1 propofol and 0.6 mg.kg−1 rocuronium, following which a rigid cervical collar was applied. Comparison was then made between tracheal intubation techniques using either the AirTraq or CTrach device. The mean (SD) time to see the glottis was shorter with the Airtraq than the CTrach (11.9 (6.8) vs 37.6 (16.7)s, respectively; p < 0.001). The mean (SD) time taken for tracheal intubation was also shorter with the Airtraq than the CTrach (25.6 (13.5) and 66.3 (29.3)s, respectively; p < 0.001). There was less mucosal damage in the Airtraq group (p = 0.008). Our findings demonstrate that use of the Airtraq device shortened the tracheal intubation time and reduced the mucosal damage when compared with the CTrach in patients who require cervical spine immobilisation.

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Section: ó 2009 the Authorsmentioning

confidence: 99%

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq^® and LMA CTrach™ devices*

et al. 2009

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“…However supraglottic devices are useful alternatives provided the mouth opening is adequate and there is no oropharyngeal pathology 10,11,12 . The CTrach provides a patent airway conduit 12,13 and the intubation can be facilitated under direct vision.…”

Section: Resultsmentioning

confidence: 99%

“…Liu et al reported 100% first attempt intubation success rate when CTrach was used in 84 normal paralysed patients 4 . It has also been successfully used in patients with potential 9,11,12 or unanticipated difficult airway 10 .…”

Section: Resultsmentioning

confidence: 99%

Intubation Using Lma Ctrach in Anaesthetized but Unparalysed Patients – A Pilot Study

Chilkoti¹,

Mohta²,

Kochhar³

et al. 2012

jemds

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BACKGROUND -Laryngeal Mask Airway (LMA) CTrach is a supraglottic device which is functionally identical to Intubating Laryngeal Mask airway (ILMA) which enables ventilation and allows real time visualization of endotracheal intubation. This study aimed at assessing the ease and efficacy of using LMA CTrach for orotracheal intubation in anaesthetized but unparalysed patients. MATERIAL AND METHODS: 40 patients of ASA Grade I/ II scheduled for elective surgeries requiring orotracheal intubation were studied. Anaesthesia was induced with fentanyl 1 µg.kg -1 and sevoflurane. Neuromuscular blockers were not used. After CTrach insertion, various corrective manoeuvres were used to obtain the best laryngeal view. Two ml of 2% lignocaine was instilled over the vocal cords via a small sized catheter and tracheal intubation was performed after 2 minutes. The haemodynamic parameters were recorded. Any complications occurring following the CTrach insertion or tracheal intubation and those in the post operative period were also recorded. RESULTS: The insertion of CTrach was easy and well tolerated in all the patients. Thirty percent of patients required corrective manoeuvres. Tracheal intubation was successful in all 40 patients in first or second attempt. The problems encountered were hypotension following tracheal intubation in 20% patients and bucking over the tube at the time of CTrach removal in 17.5% patients. Hypotension persisted only for 2-3 minutes. In the post operative period, mild sore throat and pain on swallowing were complained by four patients each, which resolved within 24 hours. CONCLUSION -The use of LMA CTrach to ventilate lungs and facilitate tracheal intubation in anaesthetized unparalysed patients appears to be a useful and safe technique as it does not require patient cooperation and use of neuromuscular blockers.

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“…4 Recently the laryngeal mask airway CTrach™ (LMA CTrach™) has been used for tracheal intubation in patients with unexpected difficult airways. 5 The LMA CTrach™ is identical to the ILMA but in addition it has integrated fibreoptic that provides a view of the larynx that allows visualization of the endotracheal tube as it is advanced through the vocal cords. Due to potential difficulty in secondary tracheal intubation using the LMA® -Unique, either the LMA® -Classic or ILMA should be available for managing difficult intubation.…”

Section: Tracheal Intubation Through a Single Use Laryngeal Mask Airwmentioning

confidence: 99%

Tracheal intubation through a single use laryngeal mask airway using a guidewire technique

John

Linga-Nathan

Mendonca

2007

Can J Anesth/J Can Anesth

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The LMA CTrach^TM in airway resuscitation: six case reports

Cited by 28 publications

References 16 publications

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq^® and LMA CTrach™ devices*

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq^® and LMA CTrach™ devices*

Intubation Using Lma Ctrach in Anaesthetized but Unparalysed Patients – A Pilot Study

Tracheal intubation through a single use laryngeal mask airway using a guidewire technique

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The LMA CTrachTM in airway resuscitation: six case reports

Cited by 28 publications

References 16 publications

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq® and LMA CTrach™ devices*

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq® and LMA CTrach™ devices*

Intubation Using Lma Ctrach in Anaesthetized but Unparalysed Patients – A Pilot Study

Tracheal intubation through a single use laryngeal mask airway using a guidewire technique

Contact Info

Product

Resources

About

The LMA CTrach^TM in airway resuscitation: six case reports

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq^® and LMA CTrach™ devices*

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq^® and LMA CTrach™ devices*