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Canadian Journal of Anesthesia 50:718-720 (2003)
© Canadian Anesthesiologists' Society, 2003
Cardiothoracic Anesthesia, Respiration and Airway

Use of the Pro-Seal LMA facilitates percutaneous dilatational tracheostomy

[L’utilisation du masque laryngé Pro-Seal facilite la trachéotomie dilatatrice percutanée]

Rachael M. Craven, FRCA, Stephen R. Laver, MB CHB, Tim M. Cook, FRCA and Jerry P. Nolan, FRCA

From the Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, United Kingdom.

Address correspondence to: Dr. Jerry P. Nolan, Consultant in Anaesthesia and Intensive Care Medicine, Royal United Hospital, Combe Park Bath BA1 3NG, United Kingdom. Phone: +44-1225-825057; Fax: +44-1225-825061; E-mail: jerry.nolan{at}ruh-bath.swest.nhs.uk

Objectif : Étudier la faisabilité de l’utilisation du masque laryngé (ML) Pro-Seal pour maintenir la perméabilité des voies aériennes pendant la trachéotomie percutanée à guidage bronchoscopique.

Méthode : L’étude par observation comportait 23 patients d’une unité de soins intensifs généraux. Un ML Pro-Seal a remplacé le tube trachéal avant la trachéotomie percutanée.

Résultats : La pression inspiratoire et les volumes courants obtenus pendant l’intervention ont été notés. La moyenne de la pression inspiratoire maximale a été de 25 cm H2O (écart type de 4,2). Il n’y a pas eu de perte de volume courant chez 11 patients. Une perte de moins de 100 mL•respiration-1 a été notée chez 11 patients et une perte de plus de 100 mL chez un patient. Le ML Pro-Seal a maintenu avec succès la perméabilité des voies aériennes et permis une ventilation adéquate pendant la trachéotomie percutanée chez les 23 patients. Chez tous, la bronchoscopie réalisée en passant par le ML Pro-Seal a offert une vision claire des cordes vocales et de la trachée, sans contamination laryngée ou trachéale tout au long de l’intervention.

Conclusion : Le ML Pro-Seal assure la perméabilité des voies aé- riennes et permet une ventilation efficace pendant la trachéotomie percutanée. Le passage du fibroscope par le ML Pro-Seal et la glotte est facile et permet de visualiser clairement la trachée supérieure.




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This Article
Right arrow Abstract Freely available
Right arrow Full Text
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Right arrow Articles by Craven, R. M.
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Right arrow Articles by Craven, R. M.
Right arrow Articles by Nolan, J. P.

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