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A Comparison of Blind and Lightwand-guided Tracheal Intubation Through the Intubating Laryngeal Mask by S. Kihara; S. Watanabe; N. Taguchi; A. Suga; J. R. Brimacombe is a Medicine article available to read on EtoBox.

What is A Comparison of Blind and Lightwand-guided Tracheal Intubation Through the Intubating Laryngeal Mask about?

We have tested the hypothesis that intubation success rates, haemodynamic changes, airway complications and postoperative pharyngolaryngeal morbidity differ between blind and lightwand-guided intubation through the intubating laryngeal mask airway. One hundred and twenty paralysed anasthetised adult patients (ASA I-II, no known or predicted difficult airways) were assigned in a random manner to one of two equal-sized groups. In the blind group, patients were intubated blindly through the intubating laryngeal mask airway. In the lightwand group, patients were intubated through the intubating laryngeal mask airway assisted by transillumination of the neck with a lightwand. A standard sequence of adjusting manoeuvres was followed if resistance occurred during intubation or if transillumination was incorrect. The number of adjusting manoeuvres, time to intubation, intubation success rates, haemodynamic changes (pre-induction, pre-intubation, postintubation), oesophageal intubation, mucosal trauma (blood detected), hypoxia (oxygen saturation < 95%) and postoperative pharyngolaryngeal morbidity (double-blinded) were documented. Overall intubation success was similar (blind, 93%; lightwan

Who reads A Comparison of Blind and Lightwand-guided Tracheal Intubation Through the Intubating Laryngeal Mask?

Author

S. Kihara; S. Watanabe; N. Taguchi; A. Suga; J. R. Brimacombe

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 0003-2409)

Published

2000

Language

EN

Field

Medicine (Health Sciences)