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The Western Journal of Medicine Mar 1997
Topics: Adult; Anesthesiology; Child; Humans; Laryngeal Masks
PubMed: 9143196
DOI: No ID Found -
Anesthesiology Mar 1996
Review
Topics: Anesthesia; Humans; Intubation, Intratracheal; Laryngeal Masks
PubMed: 8659797
DOI: 10.1097/00000542-199603000-00024 -
Minerva Anestesiologica Mar 2010
Topics: Critical Care; Humans; Laryngeal Masks; Minimally Invasive Surgical Procedures; Time Factors; Tracheostomy
PubMed: 20203541
DOI: No ID Found -
Journal of Clinical Anesthesia Jun 2022This study aimed to investigate the overall success of tracheal intubation using the intubating Laryngeal Tube Suction-Disposable (iLTS-D™, VBM, Sulz a. N., Germany)... (Randomized Controlled Trial)
Randomized Controlled Trial
STUDY OBJECTIVE
This study aimed to investigate the overall success of tracheal intubation using the intubating Laryngeal Tube Suction-Disposable (iLTS-D™, VBM, Sulz a. N., Germany) compared to the Laryngeal Mask Airway (LMA) Fastrach™ (Teleflex, Athlone, Ireland). We hypothesised that the iLTS-D™ would be non-inferior to the LMA Fastrach™ for tracheal intubation and ventilation.
DESIGN
Multicentric, non-inferiority, randomised controlled study.
SETTING
Operating rooms from two tertiary and one secondary centre in Switzerland from January 2017 to July 2019. The investigators were trained anaesthetists with extensive experience with laryngeal masks but limited to laryngeal tubes. The study was discontinued after the planned interim analysis.
PATIENTS
Ninety-nine adult patients were included after randomisation. The inclusion criteria were American Society of Anesthesiologists physical status 1 to 3 in patients scheduled for elective surgery requiring tracheal intubation. Patients with a history of difficult intubation were excluded.
INTERVENTION(S)
After anaesthesia induction and once neuromuscular blockade was obtained, ventilation was initiated, and tracheal intubation was performed through the randomised device with the flexible endoscope tip placed proximally to the tip of the tracheal tube (visualised blind intubation).
MEASUREMENTS
The primary outcome was the intubation success rate after two attempts. The secondary outcomes were time to intubation, successful ventilation rate, time to achieve ventilation, and gastric access success rate.
MAIN RESULTS
The overall intubation success rate was significantly higher in the Fastrach™ group than in the iLTS-D™ group (91.8% vs 70.0%, p = 0.006). No difference was found in the ventilation success rate (94% for iLTS-D™ and 100% for LMA Fastrach™ [p = 0.829]). The time to achieve ventilation and intubation were similar between the groups. No major airway complications were noted.
CONCLUSIONS
Although both supraglottic devices provided the same effective ventilation rate, the LMA Fastrach™ was superior to the iLTS-D™ as a conduit for intubation in 99 adult patients without a known difficult intubation. These preliminary results need to be confirmed in studies that include a larger population.
TRIAL REGISTRATION
Clinicaltrials.gov, 21.09.2016, Identification Number NCT02922595.
Topics: Adult; Anesthesia, General; Humans; Intubation, Intratracheal; Laryngeal Masks; Prospective Studies; Respiration, Artificial
PubMed: 35151143
DOI: 10.1016/j.jclinane.2022.110671 -
Minerva Anestesiologica Nov 2018
Topics: Anesthesia; Anesthetics, Inhalation; Desflurane; Isoflurane; Laryngeal Masks
PubMed: 29945439
DOI: 10.23736/S0375-9393.18.13036-7 -
Journal of Anesthesia Feb 2022
Topics: Laryngeal Masks; Resuscitation
PubMed: 33893840
DOI: 10.1007/s00540-021-02935-7 -
BMC Anesthesiology Jan 2022To preliminary evaluate the application of SaCoVLM™ video laryngeal mask airway in airway management of general anesthesia. (Observational Study)
Observational Study
BACKGROUND
To preliminary evaluate the application of SaCoVLM™ video laryngeal mask airway in airway management of general anesthesia.
METHODS
We recruited 100 adult patients (ages 18-78 years, male 19, female 81, weight 48-90 kg) with normal predicted airway (Mallampati I ~ II, unrestricted mouth opening, normal head and neck mobility) and ASA I-II who required general anaesthesia. The SaCoVLM™ was inserted after anesthesia induction and connected with the anesthesia machine for ventilation. Our primary outcome was glottic visualization grades. Secondary outcomes included seal pressure, success rate of insertion, intraoperative findings (gastric reflux and contraposition), gastric drainage and 24-h complications after operation.
RESULTS
The laryngeal inlet was exposed in all the patients and shown on the video after SaCoVLM™ insertion. The status of glottic visualization was classified: grade 1 in 55 cases, grade 2 in 23 cases, grade 3 in 14 cases and grade 4 in 8 cases. The first-time success rate of SaCoVLM™ insertion was 95% (95% CI = 0.887 to 0.984), and the total success rate was 96% (95% CI = 0.901 to 0.989). The sealing pressure of SaCoVLM™ was 34.1 ± 6.2 cmHO and the gastric drainage were smooth. Only a small number of patients developed mild complications after SaCoVLM™ was removed (such as blood stains on SaCoVLM™ and sore throat).
CONCLUSIONS
The SaCoVLM™ can visualize partial or whole laryngeal inlets during the surgery, with a high success rate, a high sealing pressure and smooth gastroesophageal drainage. SaCoVLM™ could be a promise new effective supraglottic device to airway management during general anesthesia.
TRIAL REGISTRATION
ChiCTR, ChiCTR2000028802 .Registered 4 January 2020.
Topics: Adolescent; Adult; Aged; Airway Management; Anesthesia, General; Equipment Design; Female; Humans; Laryngeal Masks; Male; Middle Aged; Prospective Studies; Young Adult
PubMed: 34979936
DOI: 10.1186/s12871-021-01541-0 -
Anaesthesia Dec 2012
Topics: Humans; Laryngeal Masks; Male
PubMed: 23130722
DOI: 10.1111/anae.12084 -
British Journal of Anaesthesia Jun 2009
Topics: Equipment Design; Equipment Safety; Humans; Intubation, Intratracheal; Laryngeal Masks; Laryngoscopes
PubMed: 19451154
DOI: 10.1093/bja/aep104 -
BMJ Case Reports Sep 2014Uvular necrosis following endotracheal general anaesthesia is a rare complication. We report two cases of uvular and soft palate necrosis after atraumatic intubation...
Uvular necrosis following endotracheal general anaesthesia is a rare complication. We report two cases of uvular and soft palate necrosis after atraumatic intubation with endotracheal tube and, in the second case, laryngeal mask airway.
Topics: Adult; Anesthesia, General; Humans; Laryngeal Masks; Male; Middle Aged; Mouth Diseases; Pharyngitis; Uvula
PubMed: 25249220
DOI: 10.1136/bcr-2014-205038