The Fastrach Intubating Laryngeal Mask Airway: an overview and update

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Neal S GersteinMichael F Murphy

Abstract

To provide an evidence-based overview and update on the use of the Fastrach Intubating Laryngeal Mask Airway (FT-LMA) when used within operative and non-operative settings. The FT-LMA is available in three sizes to provide ventilation and the ability to pass an endotracheal tube (ETT) into the trachea blindly, semi-blindly, or with indirect visualization for patients over 30 kg. The Chandy maneuver is recommended routinely; the first maneuver optimizes ventilation, and the second maneuver increases success at endotracheal intubation (ETI). The manufacturer's reinforced tube or a pre-warmed or reversed standard ETT may be utilized. Insertion and ventilation are successful in almost all patients. Blind ETI is highly successful; adjuncts are generally not necessary. The FT-LMA has a proven role in the airway management of anticipated difficult operating room (OR) intubations, unanticipated OR intubations, cervical spine injuries, and limited airway access situations. Literature in the pre-hospital and emergency department settings is limited but favourable. The FT-LMA has compared favourably with fibreoptic intubation, the LMA-Classic, the laryngeal tube, and the CobraPLA. Initially, the more expensive LMA CTrach appeared to be mo...Continue Reading

References

May 1, 1987·Anaesthesia·G L Samsoon, J R Young
Mar 1, 1995·Journal of Clinical Anesthesia·B F MattaM Nevin
Apr 1, 1995·Journal of Neurosurgical Anesthesiology·P HarrisonM J Lema
Feb 1, 1993·Anaesthesia and Intensive Care·J Brimacombe, A Berry
Oct 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·K AoyamaA Shigematsu
Sep 20, 1997·Anesthesia and Analgesia·H G WakelingP J Baxter
Mar 13, 1998·British Journal of Anaesthesia·A I BrainA Kapila
Jul 14, 1998·Anesthesia and Analgesia·W H RosenblattZ N Kain
Mar 11, 1999·Anesthesia and Analgesia·H S Joo, D K Rose
Apr 24, 1999·Anaesthesia·M A Branthwaite
Jun 12, 1999·Anaesthesia·H G Wakeling, A Bagwell
Jul 27, 1999·Anaesthesia·R M Harry, J P Nolan
Aug 6, 1999·European Journal of Anaesthesiology·V Dimitriou, G S Voyagis
Feb 16, 2000·The American Journal of Emergency Medicine·R M LevitanJ E Hollander
Mar 31, 2000·British Journal of Anaesthesia·A ChoyceE Glucksman
Jul 15, 2000·British Journal of Anaesthesia·S I Jaggar, C P Walker
Jul 26, 2000·Anesthesiology·J M van VlymenP F White
Aug 5, 2000·Anaesthesia·P D Barnardo, J G Jenkins
Sep 16, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C PreisM Zimpfer
Nov 30, 2000·Anesthesia and Analgesia·I P Osborn
Jul 11, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S KiharaN Taguchi
Aug 29, 2001·Anesthesia and Analgesia·M M Todd, V C Traynelis
Sep 12, 2001·Air Medical Journal·D DriesR Reardon
Jun 18, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Elif Bengi SenerAyla Tur
Aug 14, 2002·British Journal of Anaesthesia·N G SmartP Jacobs
Oct 11, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kathryn JenkinsRobin Correa
Apr 30, 2003·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Management of the Difficult Airway

❮ Previous
Next ❯

Citations

Sep 10, 2010·Der Anaesthesist·S G RussoC H R Wiese
Jun 2, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·David T WongNarasimhan Jagannathan
Sep 6, 2012·Revista española de anestesiología y reanimación·R BorràsR Valero
Mar 7, 2014·The Annals of Otology, Rhinology, and Laryngology·Patricia A LoftusBradley A Schiff
Apr 2, 2019·Anaesthesia·M Á Gómez-RíosS Pita-Fernández
Jan 3, 2014·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Dong YangXiao-ming Deng
Apr 25, 2012·Acta Anaesthesiologica Scandinavica·M YdemannK S Olsen
Mar 24, 2021·The Journal of International Medical Research·Xiaomei LingJinfang Xiao
Apr 4, 2021·Diagnostics·Jan MatekTomas Vymazal

❮ 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.