Use of the Laryngeal Tube-S™ for Airway Management and Prevention of Aspiration after a Failed Tracheal Intubation in a Parturient

Zand, Farid; Amini, Afshin

doi:10.1097/00000542-200502000-00039

Cited by 14 publications

(7 citation statements)

References 14 publications

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“…We used patients with normal airways during controlled positive pressure ventilation, therefore we cannot comment on results that could be obtained in spontaneously breathing patients and during difficult airway management. There is, however, a recent report on the use of the LTS in a parturient with a difficult airway [16] and several reports on the usefulness of the PLMA for difficult airway management [17][18][19]. Moreover, we only determined the position of the airway tube and not the position of the gastric channel of the devices either with a fibre-optic bronchoscope or by insertion of a gastric tube.…”

Section: Discussionmentioning

confidence: 99%

A comparison of the laryngeal tube-S™ and Proseal™ laryngeal mask during outpatient surgical procedures

Zand

Amini

Sadeghi

et al. 2007

European Journal of Anaesthesiology

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Section: Discussionmentioning

confidence: 99%

A comparison of the laryngeal tube-S™ and Proseal™ laryngeal mask during outpatient surgical procedures

Zand

Amini

Sadeghi

et al. 2007

European Journal of Anaesthesiology

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“…Supraglottic airways have been used in parturients for airway maintenance during emergency C sections after failed tracheal intubation [13,14]. Complications like injury to the pharyngeal mucosa, dysphagia, piriform sinus rupture and esophageal perforation, associated with the use of supraglottic devices can also be found in the literature [15,16].…”

Section: Discussionmentioning

confidence: 99%

Management of an Unanticipated Difficult Airway during Emergency “C” Section—A Novel Approach

Govindarajan¹,

Chang²,

Khalil³

et al. 2014

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Introduction: Knowledge, skill and training in addition to quick thinking, come to the rescue of Anesthesiologists when encountering an unanticipated difficult airway during emergency Caesarean section. Ability to react with time to spare will ensure maternal and fetal well being while handling this life threatening emergency. Case History: While anesthetizing a 22-year parturient for emergency Caesarean section, the endotracheal tube was inadvertently placed in the esophagus. As the "call for help" was activated, the esophageal tube was delivered thru the endoscopic port of a Patil-Syracuse face mask. After confirming our ability to ventilate the patient without distending the stomach while maintaining the oxygen saturation and end tidal carbon dioxide levels within normal limits, surgery was allowed to proceed under mask anesthesia employing oxygen, nitrous oxide and sevoflurane with rocuronium for muscle relaxation. After a healthy infant was delivered, definitive airway access was obtained with Glidescope ® assisted fiberoptic intubation. The esophageal tube was then removed. Further surgery proceeded uneventfully. Discussion: By choosing to deliver the proximal end of the inadvertently placed esophageal tube thru the endoscopic port of a Patil-Syracuse mask and mask ventilating the patient, we have been able to provide that few precious minutes of oxygenation to the distressed fetus before delivery. By isolating and venting the stomach thru the esophageal tube we provided maternal air way protection during the initial phase of the delivery. Definitive airway access was obtained as soon as additional help and equipment were available. Conclusion: Difficult airway algorithm while comprehensive, does not address the question of time management. While dealing with a difficult airway in obstetric anesthesia, time is the single most important factor, which will determine the maternal and fetal well being. We in our case report have attempted to answer that question of "time".

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“…Laryngeal tube-S (LTS) is a newergeneration laryngeal tube that is fitted with a second lumen for suctioning and gastric drainage. LTS has been recently used in a parturient having an urgent cesarean section in a CVCI situation (79).…”

Section: Management Of Difficult Airway In Obstetricsmentioning

confidence: 99%

“…An airway pressure of 40 cm H 2 O can be achieved without gastric inflation (79). It may have a role in obstetrical emergency airway management.…”

Section: Management Of Difficult Airway In Obstetricsmentioning

confidence: 99%

Airway problems in pregnancy

Munnur

Boisblanc

Suresh

2005

Critical Care Medicine

155

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Teamwork between an anesthesiologist and an obstetrician is absolutely essential for the safety of both the mother and baby. Most of us tend to agree that airway emergencies have a way of occurring at the worst possible times. It is essential that all anesthesia care practitioners must have a preconceived and well thought-out algorithm and emergency airway equipment to deal with airway emergencies during difficult or failed intubation of a parturient.

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Use of the Laryngeal Tube-S™ for Airway Management and Prevention of Aspiration after a Failed Tracheal Intubation in a Parturient

Cited by 14 publications

References 14 publications

A comparison of the laryngeal tube-S™ and Proseal™ laryngeal mask during outpatient surgical procedures

A comparison of the laryngeal tube-S™ and Proseal™ laryngeal mask during outpatient surgical procedures

Management of an Unanticipated Difficult Airway during Emergency “C” Section—A Novel Approach

Airway problems in pregnancy

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