We have compared in 25 patients ease of placement of the conventional and intubating laryngeal masks while the patient's head and neck were stabilized by a manual in-line method, in a randomized, crossover study. After induction of anaesthesia and neuromuscular block, the masks were placed in turn. Adequacy of ventilation and ease of placement (using a 10-cm visual analogue scale (VAS)) were as...

The protocol dictated the use of a gum elastic bougie (GEB) for intubation difficulty, followed by insertion of an intubating laryngeal mask airway (ILMA) if intubation was still not successful. Intubation difficulty was defined as two failed laryngoscopy attempts by a senior physician using optimal laryngeal manipulation. For difficult ventilation, the protocol recommended ILMA insertion follo...

Airway management is a crucial skill for emergency physicians (EPs) and a defining element of the specialty of emergency medicine. With the addition to our practice of rapid sequence intubation, EPs successfully perform laryngoscopy and orotracheal intubation in 99 percent of cases. However, the remaining 1 percent of patients who may need alternative airway management poses a quandary for EPs....

Background: The bevel position of tracheal tube (TT) affects the success rate while using intubating laryngeal mask airway (ILMA). present study compared intubation on basis anterior and posterior conventional polyvinylchloride (PVC) through an ILMA. Methods: Two hundred adult ASA I or II patients, having Mallampati class 1 2 airway, undergoing elective surgery under general anesthesia were inc...

A case series of five patients is described demonstrating the utility of the intubating laryngeal mask airway in the prehospital setting, both as a primary airway rescue device and as a bridge to tracheal intubation. All patients were hypoxaemic, had sustained severe polytrauma and were trapped in their vehicles following road traffic collisions. A probability of survival study showed better-th...

OBJECTIVE To compare the haemodynamic response to tracheal intubation using either direct larygoscopy or Intubating Laryngeal Mask Airway. METHODS This was a prospective randomized controlled trial. One hundred adult ASA-I and ASA-II patients coming to the Anaesthesia Department of Aga Khan University Hospital were randomly divided into two groups. In group-I endotracheal intubation was done ...