Difficulty in use and device failure with the intubating laryngeal mask airway®

Caponas, G.; Popat, M.

doi:10.1017/s0265021502251236

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Mesa and Miguel 50 also described indentation of the reinforced ILM-TT, hidden by the cuff of the TT, leading to failure to ventilate a patient post intubation. The avulsion of the pilot tube from the ILM-TT, possibly due to a poor fit of the 8.0 mm ID ILM-TT as it passed through the ILMA, has also been described 110 .…”

Section: Problems and Complications Associated With The Ilmamentioning

confidence: 98%

Intubating Laryngeal Mask Airway

Caponas

2002

Anaesth Intensive Care

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The Intubating Laryngeal Mask Airway (ILMA) was introduced into clinical practice in 1997 following numerous clinical trials involving 1110 patients. The success rate of blind intubation via the device after two attempts is 88% in "routine" cases. Successful intubation in a variety of difficult airway scenarios, including awake intubation, has been described, with the overall success rate in the 377 patients reported being approximately 98%. The use of the ILMA by the novice operator has also been investigated with conflicting reports as to its suitability for emergency intubation in this setting. Blind versus visualized intubation techniques have also been investigated. These techniques may provide some benefits in improved safety and success rates, although the evidence is not definitive. The use of a visualizing technique is recommended, especially whilst experience with intubation via the ILMA is being gained. The risk of oesophageal intubation is reported as 5% and one death has been described secondary to the complications of oesophageal perforation during blind intubation. Morbidity described with the use of the ILMA includes sore throat, hoarse voice and epiglottic oedema. Haemodynamic changes associated with intubation via the ILMA are of minimal clinical consequence. The ILMA is a valuable adjunct to the airway management armamentarium, especially in cases of difficult airway management. Success with the device is more likely if the head of the patient is maintained in the neutral position, when the operator has practised at least 20 previous insertions and when the accompanying lubricated armoured tube is used.

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Section: Problems and Complications Associated With The Ilmamentioning

confidence: 98%

Intubating Laryngeal Mask Airway

Caponas

2002

Anaesth Intensive Care

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A comparison of the I-gel supraglottic airway as a conduit for tracheal intubation with the intubating laryngeal mask airway: A manikin study

et al. 2010

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Fiberoptic Intubation Through an I-Gel Supraglottic Airway in Two Patients with Predicted Difficult Airway and Intellectual Disability

Michálek

Hodgkinson

Donaldson

2008

Anesthesia &Amp; Analgesia

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We describe successful fiberoptic-guided tracheal intubation through the novel supraglottic "I-gel" airway in two uncooperative adult patients with genetic syndromes, learning disability, and predicted difficult airway, scheduled for complex dental treatment under general anesthesia. The I-gel maintained the airway immediately after induction, allowing oxygenation and ventilation. Location of the laryngeal inlet was successful on the first attempt with a fiberscope, and the tracheal tube was inserted into the trachea over the endoscope without complication in both patients. This report suggests another option for management of predicted difficult airways.

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Difficulty in use and device failure with the intubating laryngeal mask airway®

Cited by 4 publications

References 6 publications

Intubating Laryngeal Mask Airway

Intubating Laryngeal Mask Airway

A comparison of the I-gel supraglottic airway as a conduit for tracheal intubation with the intubating laryngeal mask airway: A manikin study

Fiberoptic Intubation Through an I-Gel Supraglottic Airway in Two Patients with Predicted Difficult Airway and Intellectual Disability

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