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Journal article 661 views

Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.

John Dingley

Anaesthesia, Volume: 52, Issue: 8, Pages: 756 - 760

Swansea University Author: John Dingley

Abstract

The Portex introducer for the laryngeal mask airway was designed as an aid to successful insertion, acting as an idealised 'artificial hard palate' to guide the tip of the laryngeal mask into the correct position. A number of authors have investigated laryngeal mask insertion by unskilled...

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Published in: Anaesthesia
Published: 1997
URI: https://cronfa.swan.ac.uk/Record/cronfa27509
first_indexed 2016-04-28T01:13:18Z
last_indexed 2018-02-09T05:10:40Z
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recordtype SURis
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spelling 2016-04-27T22:18:27.4187474 v2 27509 2016-04-27 Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer. 1283ffdd09b091ec57ec3e235a48cfcc John Dingley John Dingley true false 2016-04-27 MEDS The Portex introducer for the laryngeal mask airway was designed as an aid to successful insertion, acting as an idealised 'artificial hard palate' to guide the tip of the laryngeal mask into the correct position. A number of authors have investigated laryngeal mask insertion by unskilled personnel in certain situations, one example being nurses during in-hospital cardiopulmonary resuscitation. We investigated whether the introducer had any effect on the incidence of first-time successful LMA placement by unskilled personnel. These were nonanaesthetist doctors, randomly assigned to have one attempt at LMA insertion in an anaesthetised patient, with and without the introducer. In 44 patients with the LMA being inserted according to the manufacturer's instructions, there was a 68% success rate (14 failures). In 45 patients with the LMA being inserted with the aid of a Portex introducer, there was a 96% success rate (two failures). This was a highly significant improvement (p < 0.001). Journal Article Anaesthesia 52 8 756 760 31 8 1997 1997-08-31 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University 2016-04-27T22:18:27.4187474 2016-04-27T22:18:27.4343478 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine John Dingley 1
title Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.
spellingShingle Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.
John Dingley
title_short Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.
title_full Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.
title_fullStr Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.
title_full_unstemmed Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.
title_sort Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.
author_id_str_mv 1283ffdd09b091ec57ec3e235a48cfcc
author_id_fullname_str_mv 1283ffdd09b091ec57ec3e235a48cfcc_***_John Dingley
author John Dingley
author2 John Dingley
format Journal article
container_title Anaesthesia
container_volume 52
container_issue 8
container_start_page 756
publishDate 1997
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description The Portex introducer for the laryngeal mask airway was designed as an aid to successful insertion, acting as an idealised 'artificial hard palate' to guide the tip of the laryngeal mask into the correct position. A number of authors have investigated laryngeal mask insertion by unskilled personnel in certain situations, one example being nurses during in-hospital cardiopulmonary resuscitation. We investigated whether the introducer had any effect on the incidence of first-time successful LMA placement by unskilled personnel. These were nonanaesthetist doctors, randomly assigned to have one attempt at LMA insertion in an anaesthetised patient, with and without the introducer. In 44 patients with the LMA being inserted according to the manufacturer's instructions, there was a 68% success rate (14 failures). In 45 patients with the LMA being inserted with the aid of a Portex introducer, there was a 96% success rate (two failures). This was a highly significant improvement (p < 0.001).
published_date 1997-08-31T19:00:12Z
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score 11.048302

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