TY - JOUR
T1 - The intubating laryngeal mask airway compared with direct laryngoscopy
AU - Avidan, M. S.
AU - Harvey, A.
AU - Chitkara, N.
AU - Ponte, J.
PY - 1999/10
Y1 - 1999/10
N2 - We have compared the ability of naive intubators to intubate the trachea using a laryngoscope and an intubating laryngeal mask airway (ILMA) after receiving basic training, in a randomized, prospective, crossover study in 60 patients. Ventilation of the lungs via the ILMA was also compared with ventilation with a face mask. There was no significant difference in successful intubation between the techniques (38 of 89 with the ILMA and 33 of 93 with direct laryngoscopy; ns). In patients in whom participants failed in their intubation attempts with the ILMA, investigators achieved success in 89% (16 of 18). Satisfactory ventilation was more common with the ILMA (50 of 51) than with the face mask (43 of 60) (P = 0.0001). A total of 98% (89 of 91) of ILMA were inserted successfully, with a mean insertion time of 19.6 s, and 78% (69/89) of these insertions were achieved in less than 26 s. The ILMA may be useful for emergency oxygenation and ventilation, but these results do not support its use for intubation by those not trained in advanced airway management and ILMA use.
AB - We have compared the ability of naive intubators to intubate the trachea using a laryngoscope and an intubating laryngeal mask airway (ILMA) after receiving basic training, in a randomized, prospective, crossover study in 60 patients. Ventilation of the lungs via the ILMA was also compared with ventilation with a face mask. There was no significant difference in successful intubation between the techniques (38 of 89 with the ILMA and 33 of 93 with direct laryngoscopy; ns). In patients in whom participants failed in their intubation attempts with the ILMA, investigators achieved success in 89% (16 of 18). Satisfactory ventilation was more common with the ILMA (50 of 51) than with the face mask (43 of 60) (P = 0.0001). A total of 98% (89 of 91) of ILMA were inserted successfully, with a mean insertion time of 19.6 s, and 78% (69/89) of these insertions were achieved in less than 26 s. The ILMA may be useful for emergency oxygenation and ventilation, but these results do not support its use for intubation by those not trained in advanced airway management and ILMA use.
KW - Equipment, masks anaesthesia
KW - Heart, resuscitation
KW - Intubation tracheal
KW - Intubation tracheal, technique
KW - Ventilation, mechanical
UR - http://www.scopus.com/inward/record.url?scp=0032863860&partnerID=8YFLogxK
U2 - 10.1093/bja/83.4.615
DO - 10.1093/bja/83.4.615
M3 - Article
C2 - 10673880
AN - SCOPUS:0032863860
SN - 0007-0912
VL - 83
SP - 615
EP - 617
JO - British journal of anaesthesia
JF - British journal of anaesthesia
IS - 4
ER -