Use of the intubating laryngeal mask in children: an evaluation using video-endoscopic monitoring

Weiß, Markus; Schwarz, Uwe; Dillier, Claudia M.; Fischer, Joachim E.; Gerber, Andri

doi:10.1046/j.1365-2346.2001.00909.x

Cited by 9 publications

(12 citation statements)

References 19 publications

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“…Additionally our results for supine patients are quite comparable with light-wand guided intubation via ILMA in supine patients [11-14]. Fibreoptic guidance definitely improves success rates as reported by Joo and Rose [15], where he compared blind versus fibreoptic intubation via ILMA and by Weiss et al [16] who used fibre-optic guidance in pediatric patients after a failed blind intubation.…”

Section: Discussionsupporting

confidence: 81%

Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral

Panwar

Bharadwaj

Chauhan

et al. 2013

Korean J Anesthesiol

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BackgroundSudden loss of airway in patients in the lateral position has always been proven to be difficult to manage with conventional laryngoscopy. We performed a randomized controlled trial to prove the success rate of ventilation and intubation in the lateral position via intubating laryngeal mask airway (ILMA).MethodsNinety patients were divided into three groups of 30 patients each, positioned supine, right lateral, and left lateral randomly. Each group comprised of both sexes of American Society of Anesthesiologists grade I and II, aged between 18-55 years with normal airway posted for surgery under general anesthesia. Patients were pre-medicated with fentanyl followed by induction with propofol and neuromuscular blockade with rocuronium. ILMA was inserted and blind tracheal intubation via ILMA was done. The success rate, time taken and the number of adjusting maneuvers used for both procedures were recorded. The data was tabulated and analyzed using ANOVA (analysis of variance), multiple 't' test and chi square.ResultsThe success rate of intubation (96%) and time taken in insertion and intubation was found to be quite similar in all the three groups.ConclusionsWe conclude that the ILMA has an important role to play in the emergency management of airways in patients in the lateral position in terms of ease, success rate and time taken.

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Section: Discussionsupporting

confidence: 81%

Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral

Panwar

Bharadwaj

Chauhan

et al. 2013

Korean J Anesthesiol

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show abstract

“…There are a number of different techniques reported in the literature to aid SAD insertion: with bougie (64), with laryngoscope (65), rotational insertion (66,67), part inflated (68), laterally inserted part inflated (69), and blind (70). Most of these relate to the classic laryngeal mask airway, but there is some limited evidence that the ProSeal TM is of use in children (24,70,71) and the Intubating Laryngeal Mask Airway, in children over 8 (42).…”

Section: Number Of Intubation Attemptsmentioning

confidence: 99%

Development of a guideline for the management of the unanticipated difficult airway in pediatric practice

Black

Flynn

Smith

et al. 2015

Pediatric Anesthesia

145

192

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“…This technique should be practiced under controlled conditions or on a mannequin before attempting this in an emergency situation. Although successfully used in adults by highly experienced users, blind insertion of the tracheal tube through the LMA ⁄ iLMA should be avoided (36).…”

Section: (B) Tracheal Intubation (Direct Laryngoscopy)mentioning

confidence: 99%

Proposal for the management of the unexpected difficult pediatric airway

Weiß

Engelhardt

2010

Pediatric Anesthesia

199

176

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SummaryThe incidence of unanticipated difficult or failed airway in otherwise healthy children is rare, and routine airway management in pediatric patients is easy in experienced hands. However, difficulties with airway management in healthy children are not infrequent in nonpediatric anesthetists and are a main reason for pediatric anesthesia-related morbidity and mortality. Clear concepts and strategies are, therefore, required to maintain oxygenation and ventilation in children. Several complicated algorithms for the management of the unanticipated difficult adult and pediatric airway have been proposed, but a simple structured algorithm for the pediatric patient with unanticipated difficult airway is missing. This paper proposes a simple step-wise algorithm for the unexpected difficult pediatric airway based on an adult Difficult Airway Society (DAS) protocol, discusses the role of recently introduced airway devices, and suggests a content of a pediatric airway trolley. It is intended as an easy to memorize and a practical guide for the anesthetist only occasionally involved in pediatric anesthesia care as well as a call to stimulate discussion about the management of the unanticipated difficult pediatric airway.

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Use of the intubating laryngeal mask in children: an evaluation using video-endoscopic monitoring

Cited by 9 publications

References 19 publications

Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral

Intubating laryngeal mask airway as an independent ventilatory and intubation device. A comparison between supine, right lateral and left lateral

Development of a guideline for the management of the unanticipated difficult airway in pediatric practice

Proposal for the management of the unexpected difficult pediatric airway

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