Abstract
LMA CTrach TM , a newer airway conduit, with its ability to ventilate and intubate is the ideal device for airway management for difficult airways. A retrospective study was conducted to evaluate the efficacy of this airway device in patients with anticipated difficult airway. 250 patients in whom LMA CTrach TM was used for endotracheal intubation was analyzed. These patients were analyzed for anticipated difficult airway, success rate of intubation with LMA CTrach TM , difficulties encountered and corrective measures applied. Fifty five patients had predictors of difficult airway and LMA CTrach TM was successful in all but one. Although successful intubation was achieved with LMA CTrach TM , difficulty in intubation was encountered in six patients. This could be overcome with excessive pressure, correctional manoeuvers or a larger size LMA CTrach TM . The most common predictors of difficult airway encountered were Modified Mallampati class 3, restricted extension, restricted mouth opening of two finger breadths and retrognathia. LMA CTrach TM is a useful airway device in a difficult airway scenario with the ability to ventilate and intubate the patient.
Highlights
LMA CTrachTM(The Laryngeal Mask Company, Singapore) is a newer generation intubation conduit
During the study period, LMA CTrachTM was used for endotracheal intubation in two hundred and fifty patients undergoing various elective surgical procedures
Direct laryngoscopy was used for intubation in this patient. This patient had retrognathia and the best view of the glottis obtained through the LMA CTrachTM was grade 4 view even after multiple manoeuvers and changing to a larger size LMA CTrachTM
Summary
LMA CTrachTM(The Laryngeal Mask Company, Singapore) is a newer generation intubation conduit. Successful intubation and better quality oxygenation should be much higher in LMA CTrachTM with its ability to ventilate along with assisting in intubation.[1] the design which involves the utilization of an airway device certified for difficult airway management as a conduit for endotracheal intubation makes it an ideal device for difficult airway management. The benefit of LMA CTrachTM as a backup device for difficult airway is an area that still needs to be explored. In this retrospective study, we analyzed the data of 250 patients for whom LMA CTrachTM was used for airway management and determined how successful it was in patients with anticipated difficult airway
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