Cargando…

Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit

PURPOSE: To study the feasibility of using the pro-seal laryngeal mask airway (LMA) for airway maintenance during bronchoscopic-guided percutaneous tracheostomy. MATERIALS AND METHODS: Observational study of 60 patients in a 16-bed intensive care unit. The patient’s tracheal tube was exchanged for a...

Descripción completa

Detalles Bibliográficos
Autores principales: Sarkar, Suman, Shashi, P, Paswan, Anil Kumar, Anupam, R.P., Suman, S., Dube, Surya Kumar
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085219/
https://www.ncbi.nlm.nih.gov/pubmed/21572749
http://dx.doi.org/10.4103/0972-5229.76082
_version_ 1782202605880999936
author Sarkar, Suman
Shashi, P
Paswan, Anil Kumar
Anupam, R.P.
Suman, S.
Dube, Surya Kumar
author_facet Sarkar, Suman
Shashi, P
Paswan, Anil Kumar
Anupam, R.P.
Suman, S.
Dube, Surya Kumar
author_sort Sarkar, Suman
collection PubMed
description PURPOSE: To study the feasibility of using the pro-seal laryngeal mask airway (LMA) for airway maintenance during bronchoscopic-guided percutaneous tracheostomy. MATERIALS AND METHODS: Observational study of 60 patients in a 16-bed intensive care unit. The patient’s tracheal tube was exchanged for a pro-seal LMA before undertaking percutaneous tracheostomy. RESULTS: Inspiratory pressure and tidal volumes achieved during the procedure were recorded. The median peak inspiratory pressure was 25 (standard deviation 4.4) cm H2O. There was no loss of tidal volume in 30 patients, a loss of less than 100 mL/breath in 27, and loss of more than 100 mL in 3 patients. A pro-seal LMA successfully maintained the airway and allowed adequate ventilation during per-cutaneous tracheostomy in all 60 patients. In all patients, fiber optic bronchoscopy through the pro-seal LMA provided a clear view of the cords and trachea and there was no laryngeal or tracheal soiling at any stage of the procedure. CONCLUSION: The pro-seal LMA provides a reliable airway and allows effective ventilation during percutaneous tracheostomy. The passage of a fiberscope through the pro-seal LMA and glottis is easy and provides a clear view of the upper trachea.
format Text
id pubmed-3085219
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher Medknow Publications
record_format MEDLINE/PubMed
spelling pubmed-30852192011-05-13 Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit Sarkar, Suman Shashi, P Paswan, Anil Kumar Anupam, R.P. Suman, S. Dube, Surya Kumar Indian J Crit Care Med Research Article PURPOSE: To study the feasibility of using the pro-seal laryngeal mask airway (LMA) for airway maintenance during bronchoscopic-guided percutaneous tracheostomy. MATERIALS AND METHODS: Observational study of 60 patients in a 16-bed intensive care unit. The patient’s tracheal tube was exchanged for a pro-seal LMA before undertaking percutaneous tracheostomy. RESULTS: Inspiratory pressure and tidal volumes achieved during the procedure were recorded. The median peak inspiratory pressure was 25 (standard deviation 4.4) cm H2O. There was no loss of tidal volume in 30 patients, a loss of less than 100 mL/breath in 27, and loss of more than 100 mL in 3 patients. A pro-seal LMA successfully maintained the airway and allowed adequate ventilation during per-cutaneous tracheostomy in all 60 patients. In all patients, fiber optic bronchoscopy through the pro-seal LMA provided a clear view of the cords and trachea and there was no laryngeal or tracheal soiling at any stage of the procedure. CONCLUSION: The pro-seal LMA provides a reliable airway and allows effective ventilation during percutaneous tracheostomy. The passage of a fiberscope through the pro-seal LMA and glottis is easy and provides a clear view of the upper trachea. Medknow Publications 2010 /pmc/articles/PMC3085219/ /pubmed/21572749 http://dx.doi.org/10.4103/0972-5229.76082 Text en © Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Sarkar, Suman
Shashi, P
Paswan, Anil Kumar
Anupam, R.P.
Suman, S.
Dube, Surya Kumar
Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit
title Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit
title_full Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit
title_fullStr Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit
title_full_unstemmed Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit
title_short Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit
title_sort use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085219/
https://www.ncbi.nlm.nih.gov/pubmed/21572749
http://dx.doi.org/10.4103/0972-5229.76082
work_keys_str_mv AT sarkarsuman useoftheproseallaryngealmaskairwayfacilitatespercutaneousdilatationaltracheostomyinanintensivecareunit
AT shaship useoftheproseallaryngealmaskairwayfacilitatespercutaneousdilatationaltracheostomyinanintensivecareunit
AT paswananilkumar useoftheproseallaryngealmaskairwayfacilitatespercutaneousdilatationaltracheostomyinanintensivecareunit
AT anupamrp useoftheproseallaryngealmaskairwayfacilitatespercutaneousdilatationaltracheostomyinanintensivecareunit
AT sumans useoftheproseallaryngealmaskairwayfacilitatespercutaneousdilatationaltracheostomyinanintensivecareunit
AT dubesuryakumar useoftheproseallaryngealmaskairwayfacilitatespercutaneousdilatationaltracheostomyinanintensivecareunit