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Canadian Journal of Anesthesia, Vol 43, 435-437, Copyright © 1996 by Canadian Anesthesiologists' Society

ARTICLES

Laryngeal mask insertion with a laryngoscope in paediatric patients

T Elwood and RG Cox
Department of Anaesthesia, Alberta Childrens Hospital, Calgary, Canada.

PURPOSE: To assess epiglottic position after laryngeal mask airway (LMA) insertion with or without the use of a laryngoscope. METHODS: A double-blind randomized study. In 48 children an LMA (#2 for 6-20 kg, #2.5 for 20-30 kg) was inserted either blindly or with the help of a laryngoscope and its position assessed using fibreoptic endoscopy. RESULTS: An unobstructed view of the glottis, as assessed by fibrescope, was observed in 10 of 25 patients in the laryngoscope group, but only in 1 of 22 patients in the blind insertion group (P = 0.005). CONCLUSION: This technique offers an alternative when the standard technique has failed, or when LMA insertion precedes bronchoscopy or intubation via the laryngeal mask.


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D. R. R. Lardner, R. G. Cox, A. Ewen, and D. Dickinson
Comparison of laryngeal mask airway (LMA)- ProsealTM and the LMA-ClassicTM in ventilated children receiving neuromuscular blockade: [Comparaison entre les masques larynges (LMA)-ProSealTM et LMA-ClassicTM chez les enfants ventiles lors d'un bloc neuromusculaire]
Can J Anesth, January 1, 2008; 55(1): 29 - 35.
[Abstract] [Full Text] [PDF]


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Copyright © 1996 by the Canadian Anesthesiologists' Society.