Laryngeal mask airway versus endotracheal tube intubation for. Close reduction nasal fracture is a common and well established procedure in the otolaryngology literature 1. Pdf the study was conducted to compare laryngeal mask airway. Endotracheal intubation eti and laryngeal mask airway lma in terms of hemodynamics. Presented in part at the 50th german congress of anesthesiology, munich, april 9th to 12th, 2003. Some severe complications during percutaneous dilatational tracheostomy pdt may be related to poor visualization of tracheal structures. To test the hypothesis that laryngeal mask airway lma insertion is associated with less pressor response as compared to endotracheal intubation. One such attempt is the use of laryngeal mask airway. The development of the lma has been hailed as one of the most significant advances in airway management since the endotracheal et tube.
Subjectively, the bronchoscopical view obtained via a laryngeal mask airway lma seems to be better than that obtained with an endotracheal tube ett. A comparative study of the effects of placement of laryngeal. The lma gained wide acceptance as an alternative to traditional tracheal tube tt intubation due to ease of insertion and a possible lower risk of trauma to the trachea. Wei fu1, hong wang 2, congli zhang 1, xiaohong li1 1department of anaesthesiology, the first affiliated hospital of bengbu medical college, bengbu, pr china. Laryngeal mask airway or endotracheal tube for percutaneous. How is intubation performed following insertion of a laryngeal mask airway lma or intubating laryngeal mask airway ilma. The effect of endotracheal tubes versus laryngeal mask airways on. This randomized clinical trial compares the effectiveness of a strategy of initial laryngeal tube insertion vs initial endotracheal intubation performed by emergency medical services in adults with outofhospital cardiac arrest.
Placement of different laryngeal mask airways lmas under topical anaesthesia without sedation. Application comparison of laryngeal mask airway and. Comparison of laryngeal mask airway and endotracheal. An endotracheal tube, placed into the windpipe, has been the most widely used device for this function. The laryngeal mask airway was designed as a new concept in airway management and has been gaining a firm position in anesthetic. Laryngeal mask airway versus endotracheal tube for outpatient. The most common adverse event reported by patients postoperatively after use of an et tube or lma is a sore throat and hoarseness.
Survey of the use of laryngeal mask airway vs endotracheal. Comparison of laryngeal mask airway vs tracheal intubation. In this randomized controlled equivalence trial, we compared the supreme lma slma with endotracheal intubation ett in managing the. Laryngeal mask airway versus bagmask ventilation or. Comparison of the effects of endotracheal tube and laryngeal.
Endotracheal intubation is considered the standard of care but the laryngeal mask airway lma has gained acceptance as a rescue airway and has been incorporated into the obstetric airway management guidelines. Many articles compared the use of the laryngeal mask airway to that of the endotracheal tube in children. Thames, uk is a relatively new extraglottic airway device with a modified cuff to increase the seal and a drain tube to provide a channel for regurgitated fluid, prevention of gastric insufflation and insertion of a gastric tube 7, 8. Perfusion index versus noninvasive hemodynamic parameters during insertion of igel, classic laryngeal mask airway and endotracheal tube. Laryngeal mask airway versus endotracheal tube intubation. A metaanalysis was performed on prospective randomised controlled trials to assess whether the laryngeal mask airway lma offered any advantage over the conventional endotracheal tube in the. The lma is shaped like a large endotracheal tube on the proximal end that connects to an elliptical mask on the distal end. Patients receiving longterm ventilation may require a tracheostomy with the breathing tube placed directly into the trachea to avoid damage to. Laryngeal mask airway versus endotracheal tube for. All articles comparing each device in children with an upper respiratory infection concluded that the laryngeal mask airway was the best choice for decreasing adverse respiratory events.
A study of airway management using the proseal lma laryngeal. Cases of nausea, vomiting and sore throat in lma group were less than ett group. Laryngeal mask airways have a lower risk of airway complications compared with endotracheal intubation. Although considered a safe alternative to tracheal. Endotracheal intubation, but not laryngeal mask airway insertion, produces reversible bronchoconstriction you will receive an email whenever this article is corrected, updated, or cited in the literature. Jan 28, 2012 helpful in anticipated difficult airway management safely. Laryngeal mask airway vs endotracheal tube for airway management in syringing and probing article pdf available in journal of anaesthesiology clinical pharmacology 251. How is intubation performed following insertion of a. Effectiveness of interventions to increase provider. Several studies suggest that placement of an endotracheal tube ett in a child with an upper respiratory infection uri increases the risk of complications. Laryngeal mask airway vs the endotracheal tube in paediatric airway management. A comparison of pressor responses following laryngeal mask.
Comparison of laryngeal mask airway and endotracheal intubation. Laryngeal mask airway versus endotracheal tube for outpatient surgery. However, during neonatal resuscitation, achieving an effective seal with a face mask may be difficult, and providers frequently have difficulty acquiring and maintaining endotracheal intubation eti skills. Endotracheal tube versus laryngeal mask airway for. The laryngeal mask airway was designed as a new concept in airway management and.
Comparison of supreme laryngeal mask airway versus. Use of the laryngeal mask airway in children with upper resp. Key words searching from databases such as medline, embase, and. Time taken from beginning of the procedure to ventilation of the patient was recorded.
However, the development of the laryngeal mask airway lma has provided anesthesiologists with an alternative means of airway management. If breathing remains depressed after using the manual resuscitation bag, a tube is placed directly into the infants large airway endotracheal intubation. Advantages, disadvantages, indications, contraindications and. A metaanalysis was performed on prospective randomised controlled trials to assess whether the laryngeal mask airway lma offered any advantage over the conventional endotracheal tube in the paediatric age group. Application comparison of laryngeal mask airway and endotracheal intubation in infant anaesthesia. Aug 29, 2018 among adults with outofhospital cardiac arrest ohca, a strategy of initial laryngeal tube lt insertion, compared with endotracheal intubation eti, was associated with greater likelihood of 72hour survival, according to a new randomised clinical t. Laryngeal tube vs laryngeal mask airway full text view. The obstetric airway is a significant cause of maternal morbidity and mortality. The laryngeal mask airway lma was introduced in 1988 in the united states. Laryngeal mask airway lma on postoperative nausea and vomiting ponv in patients undergoing surgery with general anesthesia. To compare the effectiveness of surfactant delivery via endotracheal tube ett using an intubationsurfactantrapid extubation approach with premedication vs laryngeal mask airway lma in.
Laryngeal mask airway versus endotracheal tube intubation for repairing of nasal bone fracture. Laryngeal mask airway versus endotracheal tube for percutaneous. A comparison of pressor responses following laryngeal mask airway vs laryngoscopy and endotracheal tube insertion abstract objective. The laryngeal mask airway lma is used as the primary airway by paramedics in singapore civil defense forces emergency ambulance service scdfs eas in the management of outofhospital cardiac arrest, because endotracheal intubation requires skilled and experienced personnel, and local paramedics are not trained to this level of skill and competency. A laryngeal mask is composed of an airway tube that connects to an elliptical mask with a cuff which is inserted through the patients mouth, down the windpipe, and once deployed forms an airtight seal on top the glottis unlike tracheal tubes which pass through the glottis allowing a secure airway to be managed by a health care provider.
Indication for its use includes any procedure that would normally involve the use of a face mask. Initial laryngeal tube insertion vs endotracheal intubation. The laryngeal mask lm is a supraglottic airway device that is inserted without. A metaanalysis of prospective randomized controlled trials. Study was to evaluate and compare the use of classical laryngeal mask airway, proseal laryngeal mask airway, and endotracheal tube with controlled ventilation in patients undergoing gynecological. Dec 07, 2018 endotracheal intubation eti and laryngeal mask airway lma in terms of hemodynamics and reaction were compared. With approval of the local ethics committee 52 adult patients undergoing elective anesthesia were randomly assigned to a supraglottic airway device laryngeal tube, laryngeal mask airway. Laryngeal mask insertion and endotracheal intubation was attempted on 52 patients.
The laryngeal tube also known as the king lt is an airway management device designed as an alternative to other airway management techniques such as mask ventilation, laryngeal mask airway, and tracheal intubation. To compare the effects of placement of laryngeal mask airway with endotracheal tube on hemodynamic parameters in children. Randomized, controlled trial comparing laryngeal mask versus. Jan 29, 20 basic inserton of a lma by cape town emergency medicine. Pdf comparison of laryngeal mask airway and endotracheal. Laryngeal mask airwaylma was used in one group and endo tracheal tubeettin the other one. The laryngeal mask airway, described below, is a newer and less invasive method of securing the airway and delivering oxygen and gas anesthesia during a general. Laryngeal mask airways have a lower risk of airway. In this randomized controlled equivalence trial, we compared the supreme lma slma with endotracheal. The endotracheal tube ett and the laryngeal mask airway. Because of this, recent editions of the american heart associations guidelines for cardiopulmonary resuscitation have deemphasized the role of tracheal intubation in favor of other airway management techniques such as bagvalve mask ventilation, the laryngeal mask airway and the combitube. Endotracheal intubation, but not laryngeal mask airway.
A total of 54 general anesthesia patients were randomized into two groups with 27 cases in each group. Pdf the comparison of proseal laryngeal mask airway and. A portex disposable laryngeal mask was inserted and removed, followed by a portex endotracheal tube. To investigate the impact of endotracheal tube ett vs. Pdf laryngeal mask airway vs endotracheal tube for. Evaluation of safety and postoperative outcomes of the laryngeal mask airway lma during pediatric tonsil surgery compared to use of the endotracheal tube ett.
Laryngeal mask airway lma is an alternative to intubation, which permits removal before full awakening. Comparative study of the ambu auraonce laryngeal mask and. Effect of a strategy of a supraglottic airway device vs. Endotracheal intubation eti and laryngeal mask airway lma in terms of hemodynamics and reaction were compared. Postoperative complications including nausea, vomiting, coughing and sore throat were assessed in all patients during the first 24 hours. Dec 23, 2017 the goal of its development was to create an intermediate form of airway management face mask and endotracheal tube. Basic inserton of a lma by cape town emergency medicine. Laryngeal mask airway versus endotracheal tube in pediatric.
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