A DESCRIPTIVE STUDY ON USE OF FASTRACH INTUBATING LARYNGEAL MASK AIRWAY (ILMA) [PILOT STUDY]

Dr. Smita Joshi, Dr. Ankit Sawhney

Abstract


Introduction: Intubating Laryngeal Mask Airway (ILMA) is a newer supraglottic airway device for securing an airway, not requiring direct visualisation, offering an easier approach for blind intubation and having minimal ramifications on the vital haemodynamics. The purpose of this study was to assess its overall superiority, maintenance of haemodynamic stability and any repercussions with the use of Fastrach ILMA.

Methodology: This prospective study was conducted on 30 adult patients with ASA 1 & 2 status posted for elective surgeries. Patients received balanced general anaesthesia. Tracheal intubation was done using Fastrach ILMA. The number of attempts required for successful intubation, haemodynamic changes, intubating complications & any challenges faced during the procedure were noted.

Results: We were able to intubate successfully 29 out of 30 patients without any substantial hemodynamic changes as compared to their baseline.

Conclusions: In patients with normal airway, blind intubation with Fastrach ILMA is an easy and effictive method without any remarkable complications or changes to hemodynamics. ILMA can reasonably be used as a primary intubating device in patients with normal airways.


Keywords


Blind intubation, Haemodynamic stability, Intubating laryngeal mask airway (ILMA)

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References


Benumof JL. The Airway Techniques. 2nd edition. In: Airway Management : Principles and practice. Mosby Elsevier; 2007.p.490.

Brain AIJ et al. The intubating laryngeal mask I. Development of a new device for intubation of the trachea. Br J Anaesth 1997; 79: 710-713.

Dorsch Jerry A. Supreglottic Airway Devices. 5th edition. In: Understanding Anaesthesia Equipment. Lippincott Williams and Wilkins; 2008.p.470-474.

Ferson DZ et al. Use of the intubating LMA Fastrach in 254 patients with difficult to manage airways. Anaesthesiology. 2001;95(5):1175-1181.

Khan Rashid M.. Special Devices/Techniques for failed Conventional Laryngoscopy and Intubation. 5th edition. In: Airway Management. New Delhi: Paras Medical Publisher; 2015.p.141-146.

Van Zundert et al. Archie Brain: celebrating 30 years of development in laryngeal mask airways. Anaesthesia 2012, 67: 1375–1385.


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