PURPOSE To verify if correct ProSeal laryngeal mask airway (PLMA) placement may condition blind insertion of a gastric tube via the PLMA. METHODS The PLMA was studied in 150 anesthetized patients using a size #4 in (females) and #5 in (males). Its position was determined by inserting a fibrescope in the airway tube. A lubricated gastric tube was inserted through the PLMA drainage tube, record...

OBJECTIVES To evaluate experience with the flexible bronchoscopic management of tracheobronchial foreign bodies (TFBs) in children (age < or = 16 years). DESIGN All pediatric bronchoscopies performed by the bronchoscopy section at Mayo Clinic Rochester from 1990 through June 2001 for the suspicion of TFBs were reviewed. Information analyzed included the types of bronchoscope (rigid vs flexibl...

STUDY OBJECTIVE To quantify the impact on peak airway pressure of pressure-controlled and volume-controlled ventilation during Laryngeal Mask Airway (LMA) use. DESIGN Prospective, crossover clinical study. SETTING University-affiliated hospital. PATIENTS 32 ASA physical status I and II patients undergoing general anesthesia with the LMA. INTERVENTIONS Patients were ventilated for three ...

BACKGROUND Sudden loss of airway in patients in the lateral position has always been proven to be difficult to manage with conventional laryngoscopy. We performed a randomized controlled trial to prove the success rate of ventilation and intubation in the lateral position via intubating laryngeal mask airway (ILMA). METHODS Ninety patients were divided into three groups of 30 patients each, p...

OBJECTIVE To compare the ventilatory effects of the three-way laryngeal mask airway (TLMA) and tracheal tube (TT) on hemodynamics, respiratory function, and stress responses in a canine model during bronchoalveolar lavage (BAL). STUDY DESIGN Experimental study. PLACE AND DURATION OF STUDY The 303rd Hospital of the Chinese People&amp;#039;s Liberation Army in May 2013. METHODOLOGY Sixteen ...

BACKGROUND AND AIMS i-gel™ is a newer supraglottic airway device with a unique non-inflatable cuff. We aimed to compare i-gel™ with ProSeal™ laryngeal mask airway (PLMA™) in children scheduled for surgery under general anaesthesia (GA) with controlled ventilation. METHODS This prospective, randomised controlled study was conducted in 100 surgical patients, aged 2-6 years of American Society o...

The safety and efficacy of the laryngeal mask airway (LMA) has been reported by numerous large-scale studies. However, they do not address the issue of whether an intravenous (IV) is required for pediatric general anesthesia (GA) where access is challenging due to anatomical considerations and a lack of cooperation. The aims of this study are to determine whether pediatric GA by LMA without IV ...

PURPOSE This randomized, controlled, double-blind study was designed to determine the optimal dose of remifentanil for preventing complications associated with the removal of a laryngeal mask airway (LMA) without delaying emergence. MATERIALS AND METHODS This study randomly assigned 128 patients to remifentanil effect-site concentrations (Ce) of 0 ng/mL (group R0), 0.5 ng/mL (group R0.5), 1.0...

OUTCOMES The aim of this article is to review basic and advanced methods of opening and clearing an airway and to discuss effective means of ventilation and oxygenation in A&E. As an A&E nurse, you are encouraged to look at your practice and ask yourself: ‘Am I providing the best for my patient?’ After reading this article you should be able to: Describe and perform basic airway opening devices...