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Feb 01 1997· Study Objective: To compare the incidence of adverse airway euents identified with removal of the laryngeal mask airway (LMA) f rom an awake child or from a child before his or her airway reflexes had returned. Design: Prospective randomized study. Setting: University-affiliated children hospital.
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The intubating laryngeal mask airway is a useful device in the management of patients with difficult airways and may be a valuable alternative to awake fiberoptic intubation (AFOI) when AFOI is contraindicated or in the patient with the unanticipated difficult airway. Publication types Clinical Trial Comparative Study
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laryngeal mask airway removed either on awaken- ing or while anaesthetized. Subsequent obser- vation of respiratory factors and oxygen saturation showed a significant difference between the groups for coughing ( 0.001) with a greater incidence P (17 of 33) in the awake group compared with those from whom the laryngeal mask airway was removed
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Supraglottic devices (including laryngeal mask airways) for airway management for anesthesia in adults INTRODUCTION The SGAs used most commonly in the operating room are the laryngeal mask airways (LMAs) and similar devices while other SGAs are used more commonly in the emergency department and for prehospital airway management (eg Combitube …
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The laryngeal mask airway as a ventilatory device and/or intubating conduit can be placed into the ASA difficult airway algorithm in five places (Figure 5; compare with Figure 1):(1) on the awake intubation limb of the algorithm as a conduit for fiberoptic tracheal intubation (2) on the nonemergency pathway of the anesthetized limb as a
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Purpose It has been suggested that it is safer to remove the Laryngeal Mask Airway (LM A) in paediatric patients when they are deeply anaesthetised than when they are awake. However the evidence regarding this recommendation is contradictory. The purpose of the study was to compare the incidence of complications (laryngeal spasm bronchospasm coughing retching …
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The intubating laryngeal mask airway is a new device that facilitates intubation of the trachea. We assessed its use in 15 awake patients in whom we anticipated difficulty with tracheal intubation; we would otherwise have secured the patients'' airways using a …
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In this report we describe the use of an intubating laryngeal mask airway (ILMA) to facilitate awake tracheal intubation in two patients with cervical spine disorders. After topical local analgesia the ILMA was inserted easily and a tracheal tube was passed through the glottic opening without complications.
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To the Editor:--It is occasionally difficult to insert a nasogastric tube in the anesthetized patient or a gastroscope in an awake patient. I report two cases that illustrate a potential application of the laryngeal mask airway (LMA) to improve access to the upper gastrointestinal tract.
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Sep 01 2016· Introduction. The Laryngeal Mask Airway is a well established airway device for most adult and pediatric patients and its use in day case anesthesia has become more and more common as a part of typical ambulatory surgical procedures. 1 The numbers of patients presenting for ambulatory surgery with predicted difficult airway is increasing. 2 In this specific …
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Laryngeal mask airway (LMA) is a common airway device used intraoperatively for anesthetic airway management. The insertion of LMA requires anesthesia and adequate suppression of and 4 = asleep or awake but co-operative accepting the mask. The minimum alveolar concentration for laryngeal mask airway insertion of
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Feb 01 2004· The anesthetic management of three pediatric patients who underwent awake craniotomy with a combined continuous intravenous infusion of propofol and alfentanil is described. The Laryngeal Mask Airway was effective in airway management during resection of epileptic foci with intraoperative cortical mapping and neuropsychological (speech
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Dec 20 2021· The laryngeal mask airway (LMA) was designed in 1981 by British anesthesiologist Archie Brain as a more practical tool compared to face mask ventilation and less invasive than ETT intubation
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Awake insertion of the laryngeal mask airway using topical lidocaine and intravenous remifentanil. We assessed the use of intravenous remifentanil for the insertion of the laryngeal mask airway in 10 healthy awake volunteers a technique primarily developed to facilitate functional magnetic resonance imaging studies of anaesthesia.
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Supraglottic devices (including laryngeal mask airways) for airway management for anesthesia in adults INTRODUCTION The SGAs used most commonly in the operating room are the laryngeal mask airways (LMAs) and similar devices while other SGAs are used more commonly in the emergency department and for prehospital airway management (eg Combitube …
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Dec 14 2012· All patients received scalp nerve block with 0.75% ropivacaine and 1 : 200000 epinephrine. Three of the patients underwent "asleep-awake" technique using a laryngeal mask airway (LMA). The other patients received moderate to mild sedation.
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RESPIRATION AND THE AIRWAY Deep or awake removal of laryngeal mask airway in children at risk of respiratory adverse events undergoing tonsillectomyda randomised controlled trial A. Ramgolam13 G. L. Hall345 G. Zhang678 M. Hegarty1 and B. …
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Anil Patel in Benumof and Hagberg''s Airway Management 2013. A Laryngeal Mask Airway. The LMA was first described in 1983. 137 It is used in routine anesthetic practice and for management of the difficult airway. 119 The LMA and reinforced flexible laryngeal mask airway (fLMA) have been used for awake and anesthetized patients undergoing fiberoptic …
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Awake endotracheal intubation can be achieved using a variety of equipment such as video laryngoscopes optical stylets and fiber-optic scopes. Appropriate anesthesia of the airway and sedation can enable any of these techniques to be used successfully.The commonest method used to perform an awake endotracheal intubation is with a flexible fiberscope and an awake …
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Special applications of the laryngeal mask airway. Opera singers/rock stars/public speakers ; Thyroid surgery (check recurrent laryngeal nerve function) Difficult airways (Brain 1995) "Second-last-ditch" airway (Benumof 1996) Awake procedures in the prone position
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