The intubating laryngeal mask - Results of a multicentre trial with experience of 500 cases

被引:156
作者
Baskett, PJF [1 ]
Parr, MJA
Nolan, JP
机构
[1] Frenchay Hosp, Dept Anaesthesia, Bristol BS16 1LE, Avon, England
[2] Royal United Hosp, Dept Anaesthesia, Bath BA1 3NG, Avon, England
关键词
intubation; tracheal; equipment; intubating laryngeal mask airway;
D O I
10.1046/j.1365-2044.1998.00614.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
A multicentre trial of the use of the intubating laryngeal mask nas carried out at seven centres in the United Kingdom using the same agreed protocol. Lung ventilation followed by blind tracheal intubation through the intubating laryngeal mask was attempted on 500 ASA grade I and 2 patients. It was possible to insert the intubating laryngeal mask in all 500 cases. Ventilation via the intubating laryngeal mask was described as satisfactory in 475 (95%) cases, difficult in 20 (4%) cases and unsatisfactory in 5 (1%) cases. Blind tracheal intubation through the intubating laryngeal mask was possible in 481 (96.2%) cases within three attempts. Intubation was successful at the first attempt in 399 (79.8%) cases, at the second attempt in 62 (12.4%) cases and at the third attempt in 20 (4%) cases. The tracheas of 19 (3.8%) patients were not successfully intubated within the three attempts. Ventilation via the intubating laryngeal mask was described as unsatisfactory during two of these cases but oxygenation remained satisfactory in spite of this. Seventeen of the 19 failures occurred during the individual operator's first 20 attempts. The intubating laryngeal mask provides a successful method for blind tracheal intubation in a large proportion of cases and appeals to be superior to the standard laryngeal mask airway for this purpose. The intubating laryngeal mask may be of use when tracheal intubation has failed using conventional methods.
引用
收藏
页码:1174 / 1179
页数:6
相关论文
共 18 条
[1]   The intubating laryngeal mask .1. Development of a new device for intubation of the trachea [J].
Brain, AIJ ;
Verghese, C ;
Addy, EV ;
Kapila, A .
BRITISH JOURNAL OF ANAESTHESIA, 1997, 79 (06) :699-703
[2]   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
[3]   Analysis of 1500 laryngeal mask uses by one anaesthetist in adults undergoing routine anaesthesia [J].
Brimacombe, J .
ANAESTHESIA, 1996, 51 (01) :76-80
[4]   MALLAMPATI CLASSIFICATION AND LARYNGEAL MASK AIRWAY INSERTION [J].
BRIMACOMBE, J ;
BERRY, A .
ANAESTHESIA, 1993, 48 (04) :347-347
[5]   DIFFICULT DIRECT LARYNGOSCOPY IN PATIENTS WITH CERVICAL-SPINE DISEASE [J].
CALDER, I ;
CALDER, J ;
CROCKARD, HA .
ANAESTHESIA, 1995, 50 (09) :756-763
[6]   ADVERSE RESPIRATORY EVENTS IN ANESTHESIA - A CLOSED CLAIMS ANALYSIS [J].
CAPLAN, RA ;
POSNER, KL ;
WARD, RJ ;
CHENEY, FW .
ANESTHESIOLOGY, 1990, 72 (05) :828-833
[7]   PREDICTING DIFFICULT INTUBATION [J].
FRERK, CM .
ANAESTHESIA, 1991, 46 (12) :1005-1008
[8]   INTUBATION THROUGH THE LARYNGEAL MASK - A TECHNIQUE FOR UNEXPECTED DIFFICULT INTUBATION [J].
HEATH, ML ;
ALLAGAIN, J .
ANAESTHESIA, 1991, 46 (07) :545-548
[9]   The intubating laryngeal mask airway: an initial assessment of performance [J].
Kapila, A ;
Addy, EV ;
Verghese, C ;
Brain, AIJ .
BRITISH JOURNAL OF ANAESTHESIA, 1997, 79 (06) :710-713
[10]  
LIM SL, 1994, ANAESTHESIA, V49, P255