Circulatory Responses to Tracheal Intubation using the Intubating Laryngeal Mask Airway (LMA-Fastrach). A Comparison with Intubation following Laryngoscopy.

• NAKAHATA Katsutoshi

  Department of Anesthesiology, Wakayama Medical College

• IRANAMI Hiroshi

  Department of Anesthesia, Japanese Red Cross Society, Wakayama Medical Center

• HATANO Yoshio

  Department of Anesthesiology, Wakayama Medical College

• MINONISHI Toshiyuki

  Department of Anesthesia, Wakayama Rousai Hospital

• UENO Osamu

  Department of Anesthesia, Wakayama Rousai Hospital

Bibliographic Information

Other Title

• 挿管用ラリンジアルマスクを介する気管挿管時の循環反応　　喉頭鏡下挿管との比較
• A Comparison with Intubation following Laryngoscopy
• 喉頭鏡下挿管との比較

Abstract

The intubating laryngeal mask airway (ILMA; LMA-Fastrach^TM, Laryngeal Mask Company, Ltd., Henley on Thames, UK) has been shown to provide successful blind tracheal intubation through the airway. Laryngeal mask airway insertion is associated with fewer circulatory responses than tracheal intubation using a laryngoscope. We studied the circulatory responses to either endotracheal intubation performed through the ILMA or to those following laryngoscopy in 57 patients with ASA physical status I or II. In a randomized manner, endotracheal intubations using ILMA or a laryngoscope were performed after the induction of anesthesia with 2 mg•kg^-1 of propofol, followed by vecuronium (0.1-0.15mg•kg^-1) and a continuous infusion of propofol at a rate of 10mg•kg^-1•h^-1. Systolic arterial pressure and heart rate increased significantly (p<0.05) after tracheal intubation in both groups, and there was no difference in the magnitude of those increases between the groups. These results indicate that ILMA does not have an advantage over direct laryngoscopy in reducing the circulatory responses to tracheal intubation.

Journal

• THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA

  THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 21 (1), 42-45, 2001

  THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA

Keywords

• Intubating laryngeal mask airway, Tracheal intubation, Circulatory reaction

Details

• CRID: 1390282679735745408
• NII Article ID: 130003581778
• NII Article ID: 10010154351
• NII Book ID: AN00330159
• DOI: 10.2199/jjsca.21.42
• ISSN: 13499149
• ISSN: 02854945
• ISSN: http://id.crossref.org/issn/02854945
• Web Site: https://search.jamas.or.jp/link/ui/2001156132
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed