Survey of laryngeal mask airway usage in 11,910 patients: safety and efficacy for conventional and nonconventional usage

Anesthesia and Analgesia
C Verghese, J Brimacombe

Abstract

A survey of laryngeal mask airway (LMA) usage was conducted to provide general information about safety and efficacy with special emphasis on controversial issues such as positive pressure ventilation (PPV), prolonged anesthesia, and laparoscopic and nonlaparoscopic intraabdominal surgery. During the 2-yr study period, of the 39,824 patients who underwent general anesthesia, 11,910 (29.9%) patient airways were managed with the LMA. Forty-four percent underwent PPV. Placement was successful in 99.81%, and in 23 patients the LMA was abandoned in favor of the tracheal tube (TT). Use of the LMA for any intraabdominal procedure was considered nonconventional and occurred in 2222 (18.7%) patients. On 579 occasions procedures lasted > 2 h. A total of 44 critical incidents were documented. Eighteen (0.15%) were related to the airway and none required intensive care management. There were 26 critical incidents not related to the airway which resulted in two admissions to the intensive care unit and one death. There were three cases of failed tracheal intubation managed with the LMA. This survey demonstrates that the LMA technique is safe and effective for both spontaneous and controlled ventilation. Use of the LMA for gynecologic laparo...Continue Reading

References

Dec 1, 1978·Anesthesiology·J B CooperB McPeek
Jun 1, 1992·Anesthesiology·A I Brain
Nov 1, 1991·Anesthesiology·J L Benumof
Aug 1, 1994·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·E Van Damme
Aug 1, 1994·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·U Braun, U Fritz
Aug 1, 1994·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·E Van Damme
Oct 1, 1994·British Journal of Anaesthesia·J ValentineM C Bellamy
Oct 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T Asai, S Morris
Jun 1, 1994·Anaesthesia·T Asai, R S Vaughan
May 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D K Rose, M M Cohen
Apr 1, 1994·British Journal of Anaesthesia·J Bricombe, A Berry
Jul 1, 1993·Anesthesiology·J H Pennant, P F White
Nov 1, 1993·British Journal of Anaesthesia·A I Brain
Nov 1, 1993·British Journal of Anaesthesia·R M HadenR L Campbell
May 1, 1993·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·A LangerW Heipertz
Jul 1, 1993·British Journal of Anaesthesia·S L Moylan, M A Luce

❮ Previous
Next ❯

Citations

Nov 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Brimacombe
Oct 30, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·E T CrosbyL Roy
Jul 21, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C KellerJ Brimacombe
Jan 16, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M T Beriault, J R Maltby
May 14, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·L M Ho-TaiM P O'Donnell
Dec 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Brimacombe, J Archdeacon
Mar 9, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Rashid M KhanDivya Jain
Mar 4, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Hedieh Hooshangi, David T Wong
Jul 11, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S KiharaN Taguchi
Nov 7, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Fred J Spielman
Oct 11, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Roger MaltbyGordon H Fick
Aug 18, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Thomas M HemmerlingJoachim Schmidt
Aug 10, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J R MaltbyG H Fick
Jan 7, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Roger MaltbyGordon H Fick
Dec 18, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·R Preston
Oct 16, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kai GoldmannMarion Roessler
May 24, 2007·Der Anaesthesist·H Hillebrand, J Motsch
Aug 28, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Pierre Drolet
Feb 10, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·David T WongNarasimhan Jagannathan
Aug 20, 1997·International Journal of Pediatric Otorhinolaryngology·M A Rothschild, E H Kavee
Feb 13, 2001·The Journal of Emergency Medicine·C V Pollack
Mar 14, 2001·Anesthesiology Clinics of North America·I Smith
Mar 14, 2001·Anesthesiology Clinics of North America·J H Pennant
Mar 1, 1997·Journal of Clinical Anesthesia·J R Brimacombe
Dec 21, 2000·Anaesthesia·T Asai, J Brimacombe
Jul 5, 2001·Anaesthesia·T M CookJ P Nolan
Jan 10, 2003·Paediatric Anaesthesia·Fabienne BordetDominique Chassard
Jan 4, 2013·British Journal of Anaesthesia·T M Cook, S R MacDougall-Davis
Mar 15, 2002·Anaesthesia·T M Cook, J P Nolan
Feb 1, 1996·Acta Anaesthesiologica Scandinavica·J Brimacombe, A Berry
Nov 1, 1996·Acta Anaesthesiologica Scandinavica·J Brimacombe, A Berry
Aug 26, 2014·Annales Françaises D'anesthèsie Et De Rèanimation·G WeilJ-L Bourgain
Oct 23, 2004·Archives of Disease in Childhood. Fetal and Neonatal Edition·D TrevisanutoV Zanardo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.