Airway management using the intubating laryngeal mask airway for the morbidly obese patient

被引：63

作者：

Frappier, J ^{[1
]}

Guenoun, T ^{[1
]}

Journois, D ^{[1
]}

Philippe, H ^{[1
]}

Aka, E ^{[1
]}

Cadi, P ^{[1
]}

Silleran-Chassany, J ^{[1
]}

Safran, D ^{[1
]}

机构：

[1] Hop Europeen Georges Pompidou, Dept Anesthesiol & Intens Care, Paris, France

来源：

ANESTHESIA AND ANALGESIA | 2003年 / 96卷 / 05期

关键词：

D O I：

10.1213/01.ANE.0000057003.91393.3C

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We studied the effectiveness of the intubating laryngeal mask airway (ILMA) in morbidly obese patients scheduled for bariatric surgery. We included 118 consecutive morbidly obese patients (body mass index, 45 +/- 5 kg/m(2)). After the induction of general anesthesia, the laryngeal view was classified by the first observer according to the method of Cormack and Lehane. The ILMA was then inserted, and the trachea was intubated through the ILMA by a second observer. The rate of successful tracheal intubation with ILMA was 96.3%. The success rate, the number of attempts, and the total duration of the procedure were not different among patients with low-grade (Cormack 1-2) and patients with high-grade (Cormack 3-4) laryngeal views. The time required for insertion of the ILMA was slightly longer in patients with high-grade laryngeal views. Failures of the technique were not explained by the experience of the practitioner or airway characteristics. No adverse effect related to the technique was reported. Results of this study suggest that using the ILMA provides an additional technique for airway management of morbidly obese patients.

引用

页码：1510 / 1515

页数：6

共 16 条

[1] The intubating laryngeal mask - Results of a multicentre trial with experience of 500 cases [J].

Baskett, PJF ;

Parr, MJA ;

Nolan, JP .

ANAESTHESIA, 1998, 53 (12) :1174-1179

[2] A new technique of fiberoptic intubation through a standard LMA™ [J].

Benumof, JL .

ANESTHESIOLOGY, 2001, 95 (06) :1541-1541

[3]

BoissonBertrand D, 1996, ANN FR ANESTH, V15, P207

[4] The intubating laryngeal mask .2. a preliminary clinical report of a new means of intubating the trachea [J].

Brain, AIJ ;

Verghese, C ;

Addy, EV ;

Kapila, A ;

Brimacombe, J .

BRITISH JOURNAL OF ANAESTHESIA, 1997, 79 (06) :704-709

[5] DIFFICULT TRACHEAL INTUBATION IN OBSTETRICS [J].

CORMACK, RS ;

LEHANE, J .

ANAESTHESIA, 1984, 39 (11) :1105-1111

[6] Preoperative airway assessment: Predictive value of a multivariate risk index [J].

ElGanzouri, AR ;

McCarthy, RJ ;

Tuman, KJ ;

Tanck, EN ;

Ivankovich, AD .

ANESTHESIA AND ANALGESIA, 1996, 82 (06) :1197-1204

[7] PREDICTING DIFFICULT INTUBATION [J].

FRERK, CM .

ANAESTHESIA, 1991, 46 (12) :1005-1008

[8] Comparison of the intubating laryngeal mask airway with the fiberoptic intubation in anticipated difficult airway management [J].

Langeron, O ;

Semjen, F ;

Bourgain, JL ;

Marsac, A ;

Cros, AM .

ANESTHESIOLOGY, 2001, 94 (06) :968-972

[9] Prediction of difficult mask ventilation [J].

Langeron, O ;

Masso, E ;

Huraux, C ;

Guggiari, M ;

Bianchi, A ;

Coriat, P ;

Riou, B .

ANESTHESIOLOGY, 2000, 92 (05) :1229-1236

[10] A CLINICAL SIGN TO PREDICT DIFFICULT TRACHEAL INTUBATION - A PROSPECTIVE-STUDY [J].

MALLAMPATI, SR ;

GATT, SP ;

GUGINO, LD ;

DESAI, SP ;

WARAKSA, B ;

FREIBERGER, D ;

LIU, PL .

CANADIAN ANAESTHETISTS SOCIETY JOURNAL, 1985, 32 (04) :429-434

← 1 2 →