<b>Room A, 10/17/2000 9: 00 AM - 11: 00 AM (PS) The Intubating Laryngeal Mask Provides a Better Airway than the LMA for the Novice during Resuscitation</b>

Choyce, Andrew; Avidan, Michael M.S.; Shariff, Amina; Águila, María del Mar Rodríguez-Medel del; Chan, T.

doi:10.1097/00000542-200009001-00552

Cited by 1 publication

(2 citation statements)

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“…The male:female ratio was: 31:29. The median (range) for the number of patients per nurse was 7 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). The first attempt success rate, overall success rate and effective airway time were similar (Table 1).…”

Section: Resultsmentioning

confidence: 92%

“…We inserted the PLMA using digital manipulation to standardize the insertion technique with the LMA, but the PLMA can also be inserted using an introducer tool that makes PLMA insertion technique similar to the intubating laryngeal mask airway™ (ILMA). Interestingly, insertion of the ILMA by inexperienced personnel is easier than the LMA 12,13 and insertion of the PLMA is similarly easier than the LMA by experienced personnel if the introducer tool is used 6 . We speculate that PLMA insertion may be easier for inexperienced personnel with the introducer tool.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Comparison of the ProSeal and Classic Laryngeal Mask Airways for Airway Management by Inexperienced Personnel after Manikin-only Training

Coulson

Brimacombe

Keller

et al. 2003

Anaesth Intensive Care

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We compared the ProSeal™ (PLMA) and Classic™ (LMA) laryngeal mask airway for airway management by inexperienced personnel. Nine nurses from the post-anaesthesia care unit, with no prior experience of LMA or PLMA insertion, were observed inserting the LMA and PLMA in 60 ASA 1 to 2 anaesthetized, paralysed adults following manikin-only training. The time to achieve an effective airway (2 consecutive expired tidal volumes (6 ml/kg; maximum 2 minutes allowed), the number of insertion attempts and the reasons for failure (inability to insert into pharynx or inadequate ventilation) were determined by analysis of digital video recordings. The first attempt success rate (LMA, 85%; PLMA, 83%), overall success rate (LMA, 88%; PLMA, 90%) and effective airway time (LMA, 39±13 s; PLMA, 43±19 s) were similar. Failure was from an inability to insert into the pharynx in five with the LMA and three with the PLMA, and inadequate ventilation with two from the LMA and three from the PLMA. Effective airway time and the number of failures were similar for the first and second device. Failure of both devices occurred in four patients. We conclude that airway management in anaesthetized, paralysed adults is equally successful for the LMA and PLMA by inexperienced personnel following manikin-only training. The PLMA is worthy of consideration as a tool for emergency airway management by inexperienced personnel.

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