TherapeuticsThe intubating laryngeal-mask airway may be an ideal device for airway control in the rural trauma patient☆,☆☆,★
Section snippets
Background
The laryngeal mask airway (LMA) was first described in 1983 by Brain, and has been commercially available in the United Kingdom since 1988.6 In the years since its introduction, the LMA has gained wide acceptance throughout Europe and the United States. The LMA is a mask that fits over the larynx, in a way similar to the way in which a face-mask fits over the face. It is oval, with an inflatable balloon surrounding its periphery and a tube that serves as a conduit between the mask and the
Conclusion
The care given during the “golden hour” after trauma is the most crucial determinant of eventual outcome.17 Patient management during this critical period often lies in the hands of paramedical personnel or rural emergency physicians. The primary goal in resuscitation is to establish a patent airway to allow adequate oxygenation, yet prevent pulmonary aspiration of blood and vomitus. Difficulty arises in that the trauma patient who presents to a rural ED with the need for establishment of an
Acknowledgements
The author thanks Dr Matt Layman, MDA, of the Anesthesia Department of Regions Hospital, for his time and commitment in advising on writing this manuscript.
References (24)
- et al.
The intubating laryngeal mask: Use of a new ventilating intubating device in the emergency department
Ann Emerg Med
(1999) - et al.
The intubating laryngeal mask. II: a preliminary clinical report of a new means of intubating the trachea
Br J Anaesth
(1997) - et al.
The intubating laryngeal mask airway (ILMA): initial experience in Singapore
Br J Anaesth
(1998) - et al.
Malposition of the epiglottis after tracheal intubation via the intubating laryngeal mask
Br J Anaesth
(1999) Advanced Trauma Life Support For Doctors
- LMA-Fastrach. Instructional Manual. San Diego, CA, LMA North America,...
Course in Advanced Trauma Nursing: A Conceptual Approach
Oxygen and Other Types of Respiratory System Support
Adjuncts for Airway Control, Ventilation and Oxygenation. Advanced Cardiac Life Support
- et al.
The intubating laryngeal mask: Clinical appraisal of ventilation and blind tracheal intubation in 110 patients
Anaesthesia
(1998)
The intubating laryngeal mask: results of a multicentre trial with experience of 500 cases
Anaesthesia
Cited by (28)
Retrograde intubation with an extraglottic device in place
2015, Journal of Emergency MedicineCitation Excerpt :In addition to working as a ventilatory device, the ILMA also possesses an epiglottic-elevating bar to place the epiglottis in an anterior position to enable the device to be used as a conduit for endotracheal intubation. The standard method for this process is blind anterograde intubation of an endotracheal tube (ETT) through the ILMA (11). If blind intubation is unsuccessful, a bronchoscope can be used through the ILMA to place the ETT.
Critical Airway Skills and Procedures
2013, Emergency Medicine Clinics of North AmericaAdvanced Airway Techniques
2012, Emergency Medicine: Clinical Essentials, SECOND EDITIONOut-of-hospital airway management with the LMA CTrach™-A prospective evaluation
2008, ResuscitationCitation Excerpt :In a number of patients with difficult airways, including morbid obesity and immobile cervical spine, the ILMA was shown to be effective when used by experienced anaesthetists and by emergency physicians.9,10 These encouraging results have reinforced the notion that the ILMA may be an ideal device for advanced out-of-hospital and emergency department airway management.11–13 The use of the ILMA for airway management in the out-of-hospital setting has been described in case reports as well as in a prospective study and has demonstrated its feasibility in this setting.14–18
Use of the intubating laryngeal mask airway in emergency pre-hospital difficult intubation
2008, ResuscitationCitation Excerpt :The incidence of difficult intubation (DI) varies from 4 to 11% in pre-hospital emergencies when TI is performed by emergency physicians and from 0.4 to 4% in the operating room (OR).1–5 In emergency situations, the main aim is to maintain oxygenation and ensure efficient ventilation because airway control and ventilation support influence patient outcome.6 The intubating laryngeal mask airway (ILMA) was designed to perform blind tracheal intubation.
Intubating laryngeal mask airway for difficult out-of-hospital airway management: A prospective evaluation
2007, British Journal of Anaesthesia
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Manuscript returned August 1, 2001.
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