PMID: 10452473Aug 19, 1999

Use of the laryngeal mask airway in air transport when intubation fails

The Journal of Trauma
S E MartinF E Davis

Abstract

A prospective, nonrandomized cohort study was conducted to determine the effectiveness of the laryngeal mask airway (LMA) for management of the difficult airway in patients requiring air transport. The LMA was inserted in those patients who could not be successfully intubated. Data were collected to evaluate the effectiveness of the LMA and to document any complications attributed to its use. Inclusion criteria were met in 17 of the 25 patients receiving an LMA. The device was inserted successfully in 16 of 17 of the patients (94%). In-flight oxygen saturation ranged from 97 to 100%, and end-tidal carbon dioxide ranged from 24 to 35 mm Hg. At arrival, initial arterial blood gas values indicated adequate oxygenation in all patients and adequate ventilation in 15 of 16 patients (94%). There was no evidence of complications. Our patient data show that when conventional methods have failed, the LMA can be safely, rapidly, and effectively used for temporary airway control.

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Citations

Oct 27, 2004·Der Anaesthesist·W KeulA Gries
Sep 2, 2008·Indian Journal of Pediatrics·Praveen Khilnani, Rajiv Chhabra
Nov 21, 2007·The Journal of Emergency Medicine·Grant D WilsonGregory J Schears
Jun 1, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Michael K Rollert
Dec 9, 2009·American Journal of Surgery·Ravi R RajaniDavid V Feliciano
Sep 29, 2006·Annales Françaises D'anesthèsie Et De Rèanimation·X CombesJ Marty
Mar 28, 2006·Resuscitation·T M Cook, C Hommers
Feb 6, 2002·Emergency Medicine Clinics of North America·Kathleen Brown, Jennifer Bocock
May 10, 2011·Air Medical Journal·Lawrence H BrownRandall W Benner
Jan 12, 2005·Air Medical Journal·Eric R SwansonErik D Barton
Aug 1, 2015·Emergency Medicine Clinics of North America·Francis X GuyettePost Cardiac Arrest Service
Jun 29, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Itai ShavitElon Glassberg
Oct 5, 2006·Current Opinion in Anaesthesiology·Peter Ford, Jerry Nolan
Jan 24, 2002·Current Opinion in Critical Care·J D Nolan
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Oct 4, 2006·Current Opinion in Anaesthesiology·C D Deakin, E Søreide
Sep 3, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael W HubbleRandall W Benner

Related Concepts

Blood Gas Analysis
Medical Device Design
Intubation, Intratracheal
Hospital Stay
Wounds and Injuries
Injury Severity Score
Laryngeal Masks
Emergency Helicopters

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