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Journal of Clinical Monitoring and Computing

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01-10-2019 | Ultrasound | Commentary

Laryngeal mask airway and the enigma of anatomical sizing

Authors: Davide Cattano, Tom C. R. V. Van Zundert, Jacek Wojtczak

Published in: Journal of Clinical Monitoring and Computing | Issue 5/2019

Excerpt

The laryngeal mask airway (LMA, Teleflex Medical^®, Westmead, Ireland) is a device that has proved itself over the last 30 years in a large group of patients undergoing diagnostic procedures or interventional surgery. Laryngeal mask airways (LMAs) and more in general supraglottic airway devices or broadly defined as extraglottic airway devices (EADs), are safe and effective airway devices: designed with a specific purpose, being utilized to provide adequate gas exchange and prevent airway obstruction during general anesthesia without the use of an endotracheal tube. EADs are useful as primary (first airway), secondary (rescue of a difficult airway) and tertiary (as conduit for scopes) tools in airway management [1, 2]. …

van Zundert TC, Brimacombe JR, Ferson DZ, Bacon DR, Wilkinson DJ. Archie brain: celebrating 30 years of development in laryngeal mask airways. Anaesthesia. 2012;67:1375–85.CrossRefPubMed

Gordon J, Cooper RM, Parotto M. Supraglottic airway devices: indications, contraindications and management. Minerva Anestesiol. 2018;84:389–97.PubMed

Van Zundert TC, Hagberg CA, Cattano D. Inconsistent size nomenclature in extraglottic airway devices. Minerva Anestesiol. 2014;80:692–700.PubMed

van Zundert TC, Hagberg CA, Cattano D. Standardization of extraglottic airway devices, is it time yet? Anesth Analg. 2013;117:750–2.CrossRefPubMed

Katsiampoura AD, Killoran PV, Corso RM, Cai C, Hagberg CA, Cattano D. Laryngeal mask placement in a teaching institution: analysis of difficult placements. F1000Res. 2015;4:102.CrossRefPubMedPubMedCentral

Cattano D, Wojtczak JA, Callender R, Cai C, Tezino T, van Zundert TCRV, et al. External neck landmark identification and measurement correlation in a normal weight cohort. J Anesthesiol Clin Sci. 2014;3:1–6.CrossRef

Cattano D, Van Zundert Zundert TC, Wojtzack J, Cai C, Callender R, Marjiya SE, Hagberg C. A new method to test concordance between extraglottic airway device dimensions and patient anatomy. Anesthesiology. 2014;A3148.

Russo SG, Cremer S, Eich C, Jipp M, Cohnen J, Strack M, Quintel M, Mohr A. Magnetic resonance imaging study of the in vivo position of the extraglottic airway devices i-gel™ and LMA-Supreme™ in anaesthetized human volunteers. Br J Anaesth. 2012;109:996–1004.CrossRefPubMed

Ucisik-Keser FE, Chi TL, Hamid Y, Dinh A, Chang E, Ferson DZ. Impact of airway management strategies on magnetic resonance image quality. Br J Anaesth. 2016;117(Suppl 1):i97–102.CrossRefPubMed

10.

Cattano D, Lee S, Corso RM, Hagberg CA, Wojtczak JA. Comparison of internal neck anatomy with extraglottic airway device dimensions using radiographic imaging. Anesthesiology. 2016; A1141.

11.

Zhu Y, Shen W, Lin Y, Huang T, Xie L, et al. Cricoid-mental distance-based versus weight-based criteria for size selection of classic laryngeal mask airway in adults: A Randomized Controlled Study. J Clin Monit Comput. 2019. https://doi.org/10.1007/s10877-019-00308-w.CrossRefPubMed

12.

Lee SM, Wojtczak JA, Cattano D. Ultrasound comparison of external and internal neck anatomy with the LMA Unique. J Ultrason. 2017;17:229–34.CrossRefPubMedPubMedCentral

13.

Corso RM, Lee S, Wojtczak J, Cattano D. Extraglottic airway devices and ultrasound airway evaluation: are we on the right track? Minerva Anestesiol. 2017;83:1110–1.PubMed

14.

Wojtczak JA, Cattano D. Laryngo-tracheal ultrasonography to confirm correct endotracheal tube and laryngeal mask airway placement. J Ultrason. 2014;14:362–6.CrossRefPubMedPubMedCentral

15.

Kim J, Kim JY, Kim WO, Kil HK. An ultrasound evaluation of laryngeal mask airway position in pediatric patients: an observational study. Anesth Analg. 2015;120:427–32.CrossRefPubMed

Title: Laryngeal mask airway and the enigma of anatomical sizing
Authors: Davide Cattano
Tom C. R. V. Van Zundert
Jacek Wojtczak
Publication date: 01-10-2019
Publisher: Springer Netherlands
Keywords: Ultrasound
Ultrasound
Difficult Airway
Published in: Journal of Clinical Monitoring and Computing / Issue 5/2019
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-019-00315-x

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