Use of the <i>LMA-Supreme</i> ™ for Airway Rescue

Pearson, Darcy; Young, Peter

doi:10.1097/aln.0b013e31817fb406

Cited by 20 publications

(14 citation statements)

References 2 publications

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“…It has been suggested that the SLMA is suited for airway rescue [27] and airway management during cardiopulmonary resuscitation (CPR) by novices [28]. In one patient in this study, CPR via the SLMA was briefly performed when a transient fall in blood pressure and faulty ECG lead led to the misdiagnosis of ventricular fibrillation.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the LMA Supreme^™ in 100 non‐paralysed patients*

Cook

Gatward²,

Handel

et al. 2009

Anaesthesia

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SummaryWe studied the LMA Supreme TM in 100 elective, anaesthetised, healthy patients assessing: ease of use, airway quality, anatomical and functional positioning, airway leak and complications. Insertion was successful on first, second or third attempt in 90, nine and one patient respectively. Thirty manipulations were required in 22 patients to achieve a clear airway. Median [interquartile (range)] insertion time was 18 [10-25 (5-120)] s. During ventilation, an expired tidal volume of 7 ml.kgwas achieved in all patients. Median [interquartile (range)] airway leak pressure was 24 [20-28 (13-40)] cmH 2 O. On fibreoptic examination via the device, vocal cords were visible in 83 patients (85%). During maintenance, five patients (5%) required 13 airway manipulations. There was one episode of minor regurgitation, without aspiration. Other complications and patient side-effects were mild and few. The LMA Supreme is easily and rapidly inserted, providing a reliable airway and good airway seal. Further studies are indicated to assess safety and performance compared to other supraglottic airway devices.

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Section: Discussionmentioning

confidence: 99%

“…We studied 56 females and 44 males, with a median (range) age of 55 (18-86) years, weight of 71 (41-121) kg and body mass index of 25 (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) kg.m )2 . The ASA physical status grading was Grade 1 (n = 59), Grade 2 (n = 39) and Grade 3 (n = 2).…”

Section: Resultsmentioning

confidence: 99%

Evaluation of the LMA Supreme^™ in 100 non‐paralysed patients*

Cook

Gatward²,

Handel

et al. 2009

Anaesthesia

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“…Also the ILMA, designed especially for the management of the difficult airway, has been described as being successfully used for ventilation in the anticipated [26][27][28][29][30][31][32] and unanticipated [33,34] difficult airway in 97-100% of cases. Case reports or series (level 4) of successful ventilation in patients with difficult airways have been described for many other SADs: the LMA PLMA [35][36][37][38][39][40][41], the SLMA [42][43][44], the i-gel [45][46][47][48][49][50], the Ambu-i TM [51], the Air-Q [52][53][54][55], the CobraPLA [56] and the CobraPLUS [57]. The Laryngeal Tube, designed for emergency ventilation, is also successfully described in difficult airway management in elective adult [58] and paediatric [59] patients in the operation room.…”

Section: Ventilation Via Different Sads In a Difficult To Manage Airwaymentioning

confidence: 99%

Supraglottic airways in difficult airway management: successes, failures, use and misuse

Timmermann

2011

Anaesthesia

167

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SummarySupraglottic airway devices (SAD) play an important role in the management of patients with difficult airways. Unlike other alternatives to standard tracheal intubation, e.g. videolaryngoscopy or intubation stylets, they enable ventilation even in patients with difficult facemask ventilation and simultaneous use as a conduit for tracheal intubation. Insertion is usually atraumatic, their use is familiar from elective anaesthesia, and compared with tracheal intubation is easier to learn for users with limited experienced in airway management. Use of SADs during difficult airway management is widely recommended in many guidelines for the operating room and in the pre‐hospital setting. Despite numerous studies comparing different SADs in manikins, there are few randomised controlled trials comparing different SADs in patients with difficult airways. Therefore, most safety data come from extended use rather than high quality evidence and claims of efficacy and particularly safety must be interpreted cautiously.

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“…30 The remaining two cases documented successful insertions in patients whose lungs were difficult to ventilate due to partially obstructed airways. 31,32 One LMA Supreme insertion was later replaced with a tracheostomy tube due to an anticipated difficult endotracheal intubation. 31 The LMA Supreme was also inserted successfully in 57/60 (95%) cases of simulated difficult airway.…”

Section: Lma Supreme: Prospective Single-device Studiesmentioning

confidence: 99%