Malpositioning of supraglottic airway devices: preventive and corrective strategies

Zundert, André van; Kumar, Chandra M.; Zundert, Tom C. R. V. Van

doi:10.1093/bja/aew104

Cited by 70 publications

(75 citation statements)

References 14 publications

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“…60% vs 35% for ETTs [6,7]. SADs are very forgiving devices as even when not positioned optimally, they often still function satisfactorily.…”

Section: Supraglottic Airway Devices (Sads)mentioning

confidence: 99%

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Postoperative sore throat: The importance of the position of the airway device

Zundert¹,

Wyssusek²

2018

Otorhinolaryngol Head Neck Sur

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“…60% vs 35% for ETTs [6,7]. SADs are very forgiving devices as even when not positioned optimally, they often still function satisfactorily.…”

Section: Supraglottic Airway Devices (Sads)mentioning

confidence: 99%

“…A vision-guided insertion of SADs, using an "insert-detect-correctas-you-go technique" resolves virtually all problems of malpositioning during insertion of the airway device [6,7]. Malpositioned SADs result in increased postoperative sore throat, something we all wish to avoid in the patients under our care.…”

Section: Supraglottic Airway Devices (Sads)mentioning

confidence: 99%

Postoperative sore throat: The importance of the position of the airway device

Zundert¹,

Wyssusek²

2018

Otorhinolaryngol Head Neck Sur

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“…Idealnya epiglotis akan tertekan oleh balon cuff di bagian posterior CLMA yang berbatasan dengan dasar lidah sehingga bila dilihat dengan fiberoptik hanya terlihat pita suara (skor 4). 1,13,15 Pada penelitian ini didapatkan metode lebar lidah memiliki rerata skor fiberoptik yang lebih baik dibanding dengan metode berat badan (Tabel 4).…”

Section: Subjek Dan Metodeunclassified

Perbandingan Ketepatan Ukuran Classic Laryngeal Mask Airway antara Metode Berat Badan dan Lebar Lidah

Rahman¹,

Fuadi

Rachman

2018

jap

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Classic laryngeal mask airway (CLMA) merupakan alat yang digunakan untuk manajemen jalan napas, baik untuk pengganti ventilasi sungkup wajah maupun intubasi endotrakeal. Pemilihan ukuran yang tepat penting untuk efektivitas penggunaan CLMA. Saat ini pemilihan ukuran berdasar atas metode berat badan. Menurut sebuah studi terbaru metode pengukuran lebar lidah lebik baik daripada metode berat badan. Tujuan penelitian ini adalah mengetahui ketepatan ukuran CLMA antara metode berat badan dan lebar lidah yang dinilai dengan skor fiberoptik dan oropharyngeal leak pressure di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini dilakukan pada bulan Februari 2018 menggunakan uji eksperimental analitik crossection setiap subjek mendapat dua perlakuan yang berbeda antara kedua metode. Uji statistik menggunakan uji chi-square untuk skor fiberoptik dan uji t berpasangan untuk oropharyngeal leak pressure. Hasil penelitian skor fiberoptik lebih optimal daripada metode lebar lidah. Oropharyngeal leak pressure pada metode berat badan rerata 23,00±1,732 CmH 2 0 sedangkan metode lebar lidah rerata 19,13±1,684 CmH 2 0. Secara statistik diperoleh nilai p<0,05. Simpulan, metode pengukuran lebar lidah adalah alternatif yang mudah dan baik dalam pemilihan ukuran CLMA pasien dewasa.

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“…Compared with a manikin model, a cadaver with lifelike conditions (Thiel embalming technique) [49,50] or a porcine model of an obese neck or a neck with a burn [43] has been shown to be a better model for training. A new visually based cognitive aid ('Vortex') [51], which is designed to be used in real-time during emergency airway management, has been devised to support team function and target recognized failings in airway crisis management.…”

Section: Trainingmentioning

confidence: 99%

Progress in difficult airway management

Asai

2017

J Anesth

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Malpositioning of supraglottic airway devices: preventive and corrective strategies

Cited by 70 publications

References 14 publications

Postoperative sore throat: The importance of the position of the airway device

Postoperative sore throat: The importance of the position of the airway device

Perbandingan Ketepatan Ukuran Classic Laryngeal Mask Airway antara Metode Berat Badan dan Lebar Lidah

Progress in difficult airway management

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