The LMA-Supreme as an intubation conduit in patients with known difficult airway - a prospective evaluation study

van Zundert, T. C. R. V., Wong, D. T. and van Zundert, A. A. J. (2013) The LMA-Supreme as an intubation conduit in patients with known difficult airway - a prospective evaluation study. Acta Anaesthesiologica Scandinavica, 57 1: 77-81. doi:10.1111/aas.12011


Author van Zundert, T. C. R. V.
Wong, D. T.
van Zundert, A. A. J.
Title The LMA-Supreme as an intubation conduit in patients with known difficult airway - a prospective evaluation study
Journal name Acta Anaesthesiologica Scandinavica   Check publisher's open access policy
ISSN 0001-5172
1399-6576
Publication date 2013-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/aas.12011
Open Access Status Not yet assessed
Volume 57
Issue 1
Start page 77
End page 81
Total pages 5
Place of publication Hoboken, NJ United States
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Background
Many extraglottic airway devices allow the direct passage of an adult-sized tracheal tube, but this is not possible with the LMA-SupremeTM. We evaluated the feasibility of using the LMA-SupremeTM as a conduit for intubation in patients with known difficult airways.

Methods
Sixty-eight adult patients, with preoperative predictors of difficult intubation, were scheduled for elective surgery under general anaesthesia. After assessing the direct laryngoscopy view, 23 patients with Cormack–Lehane III/IV were included in the study. An LMA-SupremeTM was inserted, followed by the passage of a flexible bronchoscope loaded with an Aintree Intubation Catheter into the trachea. The bronchoscope and LMA-SupremeTM were removed, and a tracheal tube was railroaded over the Aintree Intubation Catheter into the trachea.

Results
Tracheal intubation was successful in all patients using the above technique. SpO2 was >95% during the intubation procedure.

Conclusions
We conclude that the LMA-SupremeTM is a successful conduit for bronchoscopic/Aintree Intubation Catheter-guided intubation in patients with known difficult airway.
Keyword Anesthesiology
Anesthesiology
ANESTHESIOLOGY
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Thu, 07 May 2015, 19:29:49 EST by Andre Van Zundert on behalf of Anaesthesiology and Critical Care - RBWH