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Intubation through the LMA-Supreme™: A Pilot Study of Two Techniques in a Manikin

2010; SAGE Publishing; Volume: 38; Issue: 1 Linguagem: Inglês

10.1177/0310057x1003800107

1448-0271

Aaron M. Joffe, Elaine Chiew-Lin Liew,

Respiratory Support and Mechanisms

The LMA-Supreme™ is a single-use disposable laryngeal mask that combines features of several laryngeal mask air-ways in one device. The primary aim of our study was to compare ease of use and operator preference for fibreoptic-aided intubation through the LMA-Supreme™ using an Aintree Intubating Catheter™ or Arndt Airway Exchange Catheter Set. Twenty participants experienced in fibreoptic-aided intubation performed a total of 40 intubations on an AirSim™ airway manikin through a #4 LMA-Supreme™. Intubation using the Arndt Airway Exchange Catheter Set was easier than with the Aintree Intubating Catheter™. Half of the participants preferred Aintree Intubating Catheter™-assisted intubation, citing fewer steps and faster performance as the reasons. All 20 (100%) Arndt Airway Exchange Catheter Set-assisted intubations and 18120 (90%) of Aintree Intubating Catheter™-assisted intubations were successful. Aintree Intubating Catheter™ and Arndt Airway Exchange Catheter Set-assisted intubations can be performed quickly, successfully and with minimal difficulty through the LMA-Supreme™ by experienced operators. While the Arndt Airway Exchange Catheter may be easier, the Aintree Intubating Catheter™ is faster.