Clinical Evaluation of the Cricoid Pressure Effect on Bag Mask Ventilation, ProSeal Laryngeal Mask Airway Placement and Ventilation

Joshi, Shobha; Prakash, Smita; Mullick, Parul; Usha, G; Pawar, Mridula

doi:10.5152/tjar.2018.37539

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…• Release any applied cricoid pressure. 79 • Consider head-up patient positioning (hemodynamics permitting). • Consider gastric decompression via an orogastric tube if significant gastric distention is suspected.…”

Section: Response To Difficulty With Airway Management In the Unconscious Patientmentioning

confidence: 99%

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Law

Duggan

Asselin

et al. 2021

Can J Anesth/J Can Anesth

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Purpose Since the last Canadian Airway Focus Group (CAFG) guidelines were published in 2013, the literature on airway management has expanded substantially. The CAFG therefore re-convened to examine this literature and update practice recommendations. This first of two articles addresses difficulty encountered with airway management in an unconscious patient. Source Canadian Airway Focus Group members, including anesthesia, emergency medicine, and critical care physicians, were assigned topics to search. Searches were run in the Medline, EMBASE, Cochrane Central Register of Controlled Trials, and CINAHL databases. Results were presented to the group and discussed during video conferences every two weeks from April 2018 to July 2020. These CAFG recommendations are based on the best available published evidence. Where high-quality evidence was lacking, statements are based on group consensus. Findings and key recommendations Most studies comparing video laryngoscopy (VL) with direct laryngoscopy indicate a higher first attempt and overall success rate with VL, and lower complication rates. Thus, resources allowing, the CAFG now recommends use of VL with appropriately selected blade type to facilitate all tracheal intubations. If a first attempt at tracheal intubation or supraglottic airway (SGA) placement is unsuccessful, further attempts can be made as long as patient ventilation and oxygenation is maintained. Nevertheless, total attempts should be limited (to three or fewer) before declaring failure and pausing to consider “exit strategy” options. For failed intubation, exit strategy options in the still-oxygenated patient include awakening (if feasible), temporizing with an SGA, a single further attempt at tracheal intubation using a different technique, or front-of-neck airway access (FONA). Failure of tracheal intubation, face-mask ventilation, and SGA ventilation together with current or imminent hypoxemia defines a “cannot ventilate, cannot oxygenate” emergency. Neuromuscular blockade should be confirmed or established, and a single final attempt at face-mask ventilation, SGA placement, or tracheal intubation with hyper-angulated blade VL can be made, if it had not already been attempted. If ventilation remains impossible, emergency FONA should occur without delay using a scalpel-bougie-tube technique (in the adult patient). The CAFG recommends all institutions designate an individual as “airway lead” to help institute difficult airway protocols, ensure adequate training and equipment, and help with airway-related quality reviews.

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Section: Response To Difficulty With Airway Management In the Unconscious Patientmentioning

confidence: 99%

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Law

Duggan

Asselin

et al. 2021

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

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“…The supraglottis airway devices are now becoming famous for airway management and they are also very effective in difficult airway management 10,11 . Lma are of different types like lma (classic), lma (supreme), lma (proseal), lma (protector), lma (flexible / reinforced), intubating lma (ilma), disposable lma (romsons) 12,13,14,15 . I-gel ® is a another type of suprglottic device.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Laryngeal Mask Airway (Classic) and I-Gel; Ease of insertion

Iqbal¹,

Khan²,

Hanif³

et al. 2022

PJMHS

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Background: At the time of induction during general anaesthesia the different complication can occur with endotracheal tube. Supraglottic devices are alternative of endotracheal tube and it prevents such complications. Aim: To compare the frequency of ease of insertion with lma and i-gel® during general anaesthesia. Method: 270 patients of asa class p1 & p2 undergoing general anaesthesia for elective surgeries were included after taking informed consent. Patients were divided into two groups a (lma classic) & b (i-gel) by using random number table. Each group comprised of 135 patients. In both groups dose of propofol was 2.5mg /kg body weight was given intravenously within 30 sec along with nalbuphine 0.1 mg /kg body weight and midazolam 0.05mg / kg body weight. The study design was quasi experimental and sampling technique was purposive non probability convenience sampling. Chi square test was used and collected data was analysed with spss version 20. Result: The ease of insertion in the lma classic group was 82% while the ease of insertion in i-gel® was 84 %. Statistically there was no significant difference of ease of insertion between two groups (p value = 0.41). Conclusion: Both devices have same level of ease of insertion. Keywords: Lma (laryngeal mask airway classic), i-gel®, general anaesthesia, ease of insertion

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Clinical Evaluation of the Cricoid Pressure Effect on Bag Mask Ventilation, ProSeal Laryngeal Mask Airway Placement and Ventilation

Cited by 2 publications

References 22 publications

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Comparison of Laryngeal Mask Airway (Classic) and I-Gel; Ease of insertion

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