The intubating laryngeal mask airway compared with direct laryngoscopy.

Abstract:

:We have compared the ability of naïve intubators to intubate the trachea using a laryngoscope and an intubating laryngeal mask airway (ILMA) after receiving basic training, in a randomized, prospective, crossover study in 60 patients. Ventilation of the lungs via the ILMA was also compared with ventilation with a face mask. There was no significant difference in successful intubation between the techniques (38 of 89 with the ILMA and 33 of 93 with direct laryngoscopy; ns). In patients in whom participants failed in their intubation attempts with the ILMA, investigators achieved success in 89% (16 of 18). Satisfactory ventilation was more common with the ILMA (50 of 51) than with the face mask (43 of 60) (P = 0.0001). A total of 98% (89 of 91) of ILMA were inserted successfully, with a mean insertion time of 19.6 s, and 78% (69/89) of these insertions were achieved in less than 26 s. The ILMA may be useful for emergency oxygenation and ventilation, but these results do not support its use for intubation by those not trained in advanced airway management and ILMA use.

journal_name

Br J Anaesth

authors

Avidan MS,Harvey A,Chitkara N,Ponte J

doi

10.1093/bja/83.4.615

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

615-7

issue

4

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)38300-9

journal_volume

83

pub_type

临床试验,杂志文章,随机对照试验
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    更新日期:2010-02-01 00:00:00

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    更新日期:2018-01-01 00:00:00

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    doi:10.1093/bja/55.2.113

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    更新日期:1983-02-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2006-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/bja/55.10.969

    authors: Vourc'h G,Fischler M,Michon F,Melchior JC,Seigneur F

    更新日期:1983-10-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1994-05-01 00:00:00

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    更新日期:2001-04-01 00:00:00

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    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1981-09-01 00:00:00

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    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/68.5.527

    authors: Cooper R,McCarthy G,Mirakhur RK,Maddineni VR

    更新日期:1992-05-01 00:00:00

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    doi:10.1093/bja/82.4.596

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    更新日期:1999-04-01 00:00:00

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    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/bja/aew321

    authors: Ekeloef S,Alamili M,Devereaux PJ,Gögenur I

    更新日期:2016-11-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/bja/aen166

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    pub_type: 杂志文章

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    doi:10.1093/bja/68.4.411

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    更新日期:1992-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/bja/aer371

    authors: Renner J,Broch O,Duetschke P,Scheewe J,Höcker J,Moseby M,Jung O,Bein B

    更新日期:2012-01-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aes266

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    pub_type: 杂志文章,随机对照试验

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    pub_type: 杂志文章

    doi:10.1093/bja/80.6.843

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    更新日期:1998-06-01 00:00:00

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    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1988-04-01 00:00:00

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    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/67.6.779

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    更新日期:1991-12-01 00:00:00

  • Treatment of pulmonary hypertension in the general adult intensive care unit: a role for oral sildenafil?

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    pub_type: 杂志文章

    doi:10.1093/bja/aei114

    authors: Ng J,Finney SJ,Shulman R,Bellingan GJ,Singer M,Glynne PA

    更新日期:2005-06-01 00:00:00

  • Paroxysmal electroencephalographic discharges during enflurane anaesthesia in patients with a history of cerebral convulsions.

    abstract::The electroencephalogram (EEG) was monitored through all phases of enflurane anaesthesia in dental outpatients with a history of cerebral convulsions which had been well controlled with anticonvulsant drugs. Abnormal EEG activity which differed from the background activity was observed in three patients. Their case re...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/57.10.1029

    authors: Yamashiro M,Sumitomo M,Furuya H

    更新日期:1985-10-01 00:00:00

  • Pharmacokinetics and haemodynamics of ketamine in intensive care patients with brain or spinal cord injury.

    abstract:BACKGROUND:Ketamine is used as an anaesthetic agent for short surgical procedures, and as a sedative and analgesic in intensive care patients. Intensive care patients with brain or spinal cord injury may have physiological changes that could alter the pharmacokinetics of ketamine. The pharmacokinetics of ketamine have ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeg028

    authors: Hijazi Y,Bodonian C,Bolon M,Salord F,Boulieu R

    更新日期:2003-02-01 00:00:00

  • Prolonged brachial plexus block with 0.42% bupivacaine.

    abstract::A 55-yr-old man received a left supraclavicular brachial plexus block with 0.42% bupivacaine; he had profound motor and sensory block 26 h after injection; complete recovery occurred at 40 h. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/63.5.604

    authors: Brockway MS,Winter AW,Wildsmith JA

    更新日期:1989-11-01 00:00:00

  • Insufficient venous drainage following axillary approach to brachial plexus blockade.

    abstract::Progressive obstruction of an axillary vein following an axillary approach to brachial plexus blockade is described. At surgical exploration, the axillary vein was narrowed with an aneurysm of its wall. It is likely that, during the performance of the block, the needle penetrated the adventitia of the vein, causing a ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/56.9.1051

    authors: Restelli L,Pinciroli D,Conoscente F,Cammelli F

    更新日期:1984-09-01 00:00:00

  • Effect of diazepam on pancuronium-induced neuromuscular blockade maintained by a feedback system.

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    pub_type: 杂志文章

    doi:10.1093/bja/53.8.859

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    更新日期:1981-08-01 00:00:00

  • Antinociceptive effects of tetrodotoxin (TTX) in rodents.

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    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/ael096

    authors: Marcil J,Walczak JS,Guindon J,Ngoc AH,Lu S,Beaulieu P

    更新日期:2006-06-01 00:00:00

  • Effect of heating on the osmotic fragility of stored blood.

    abstract::The effect of incubation at 37 degrees C, 46 degrees C, 47 degrees C and 48 degrees C for 1 h on the osmotic fragility of blood was determined. Blood taken from volunteers into ACD and CPD was examined after 1, 7, 14 and 21 days of storage. In addition, 22-day-old blood stored in CPD was examined. The osmotic fragilit...

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    pub_type: 杂志文章

    doi:10.1093/bja/50.8.815

    authors: Van der Walt JH,Russell WJ

    更新日期:1978-08-01 00:00:00

  • The auditory steady state response during sufentanil anaesthesia.

    abstract::The auditory steady state response (ASSR) is a sinusoidal evoked potential elicited by rapidly repeated auditory stimuli. The ASSR was recorded in eight patients during high-dose sufentanil anaesthesia for cardiac surgery in order to assess its usefulness as a measure of the level of consciousness. The electroencephal...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/66.6.683

    authors: Plourde G,Boylan JF

    更新日期:1991-06-01 00:00:00