Laryngeal Mask Airway

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P M Bailey - One of the best experts on this subject based on the ideXlab platform.

  • comparison of the reinforced Laryngeal Mask Airway and tracheal intubation for adenotonsillectomy
    BJA: British Journal of Anaesthesia, 1993
    Co-Authors: P J Williams, P M Bailey
    Abstract:

    SUMMARY One hundred and four patients were allocated randomly to receive anaesthesia for adenotonsillectomy via either a reinforced Laryngeal Mask Airway or a tracheal tube. Airway maintenance and protection were assessed during and after operation. The reinforced Laryngeal Mask did not interfere with surgical access; it resisted compression and protected the lower Airway from contamination with blood. Four patients were withdrawn from the Laryngeal Mask Airway group: two because of difficulty with placement, and two because the Laryngeal Mask was obstructed distally when the Boyle Davis gag was opened fully. In children, recovery was less eventful in the Laryngeal Mask Airway group, with less Airway obstruction (P

Johan Raeder - One of the best experts on this subject based on the ideXlab platform.

Frances Chung - One of the best experts on this subject based on the ideXlab platform.

P J Williams - One of the best experts on this subject based on the ideXlab platform.

  • comparison of the reinforced Laryngeal Mask Airway and tracheal intubation for adenotonsillectomy
    BJA: British Journal of Anaesthesia, 1993
    Co-Authors: P J Williams, P M Bailey
    Abstract:

    SUMMARY One hundred and four patients were allocated randomly to receive anaesthesia for adenotonsillectomy via either a reinforced Laryngeal Mask Airway or a tracheal tube. Airway maintenance and protection were assessed during and after operation. The reinforced Laryngeal Mask did not interfere with surgical access; it resisted compression and protected the lower Airway from contamination with blood. Four patients were withdrawn from the Laryngeal Mask Airway group: two because of difficulty with placement, and two because the Laryngeal Mask was obstructed distally when the Boyle Davis gag was opened fully. In children, recovery was less eventful in the Laryngeal Mask Airway group, with less Airway obstruction (P

Allen L Hsiao - One of the best experts on this subject based on the ideXlab platform.

  • randomized trial of endotracheal tube versus Laryngeal Mask Airway in simulated prehospital pediatric arrest
    Pediatrics, 2008
    Co-Authors: Lei Chen, Allen L Hsiao
    Abstract:

    OBJECTIVE: Proficiency in Airway management in children is difficult to acquire and maintain for prehospital providers. The Laryngeal Mask Airway is a relatively new Airway device. Its ease of use makes it an attractive potential alternative to endotracheal tubes in pediatrics. The objective of this study was to investigate whether, in simulated cardiopulmonary arrests in children, the use of Laryngeal Mask Airway, compared with endotracheal tubes, results in shorter time to effective ventilation when performed by prehospital providers. METHODS: A randomized, crossover study was conducted in a local paramedic training program. Fifty-two emergency medical technicians agreed to participate. After a 2-hour training session, an arrest scenario was presented to each participant by using an infant-sized human patient simulator. The participants were randomly assigned first to use 1 of the 2 devices. Time to successful ventilation was recorded. Number of attempts and results were recorded. After the Airway was secured successfully, the scenario was repeated with the alternative device. RESULTS: The mean +/- SD length of time to effective ventilation was 46 seconds when using endotracheal tubes and 23 seconds when using Laryngeal Mask Airway, with a mean difference of 23 seconds. The mean number of attempts to achieve effective ventilation was 1.27 when using endotracheal tubes and 1.1 when using Laryngeal Mask Airway. There were 9 (17%) episodes of esophageal intubations and 14 (27%) episodes of right main-stem intubations in the endotracheal tube group, and there were 5 (9.5%) episodes of malposition in the Laryngeal Mask Airway group. CONCLUSIONS: In simulated pediatric arrests, the use of Laryngeal Mask Airway, compared with endotracheal tubes, led to more rapid establishment of effective ventilation and fewer complications when performed by prehospital providers.