Comparison of the reinforced laryngeal mask airway and tracheal intubation for nasal surgery.

Abstract:

:Airway maintenance and protection during anaesthesia and recovery provided by the reinforced laryngeal mask airway was compared with the sequential use of a tracheal tube followed by the Guedel airway in 66 patients having anaesthesia for nasal surgery. One patient was withdrawn from the laryngeal mask group because the airway was difficult to position. All patients had an oropharyngeal pack inserted and Moffett's solution instilled into the nasal cavities. At the end of surgery the nasal cavities were packed. During operation airway maintenance was good and airway protection was equally effective in both groups. Contamination of the lower airway occurred in only five patients. During recovery from anaesthesia the laryngeal mask and Guedel airway were well tolerated by most patients, but only the mask laryngeal provided an unobstructed airway in all patients. The laryngeal mask protects the larynx from contamination during and after operation until the return of the patient's own protective reflexes.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Williams PJ,Thompsett C,Bailey PM

doi

10.1111/j.1365-2044.1995.tb05936.x

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

987-9

issue

11

eissn

0003-2409

issn

1365-2044

journal_volume

50

pub_type

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