Abstract
The potential role of the laryngeal mask airway (LMA) in airway management outside the operating room has been a subject of persistent debate over the past few years [1–7]. The LMA has potential in a variety of non-anesthesia settings such as emergency medicine and intensive care. Though the evidence supporting the use of the LMA in these settings is less than for anesthesia, it has been substantial enough for the LMA to be included in cardiopulmonary resuscitation (CPR) guidelines [8] and difficult airway algorithms [9, 10].
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References
McEwan AI, Mason DG (1992) The laryngeal mask airway. J Clin Anesth 4:252–257.
Pennant JH, Walker MB (1992) A comparison of the endotracheal tube and laryngeal mask in airway management by paramedical personnel. Anesth Analg 74:531–534.
Pennant JH, Gajraj NM, Pace NA, Hastings RH (1992) Laryngeal mask airway in cervical spine injuries. Anesth Analg 75:1074–1075.
McHale SP, Brydon CW, Wood MLB, Liban JB (1994) A survey of nasotracheal intubating skills among Advanced Trauma Life Support course graduates. Br J Anaesth 72:195–197.
Baskett PJF (1994) The laryngeal mask in resuscitation. Resuscitation 28:93–95.
Devitt JH (1995) Does the laryngeal mask airway have a role outside the operating theatre? Can J Anaesth 42:259.
Curry P (1994) The laryngeal mask in pre-hospital care. J Br Assoc Immediate Care 17:55–57.
Baskett PJF, Bossaert L, Carli P, et al (1996) Guidelines for the advanced management of the airway and ventilation during resuscitation. Resuscitation 31:201–230.
The American Society of Anesthesiologists Task Force on Management of the Difficult Airway (1993) Practice guidelines for management of the difficult airway. Anesthesiology 78:597–602.
Benumof J (1996) The laryngeal mask airway and the ASA difficult airway algorithm. Anesthesiology 84:686–699.
Vertesi L (1978) The paramedic ambulance. A Canadian experience. Can Med Assoc J 119:25.
Stewart RD, Paris PM, Pelton GH, Cannon GM (1984) Field endotracheal intubation by paramedical personnel. Chest 85:341.
Brimacombe J (1995) Does the laryngeal mask airway have a role outside the operating theatre? Can J Anaesth 42:258–259.
Davies PRF, Tighe SQ, Greenslade GL, Evans GH (1990) Laryngeal mask airway and tracheal tube insertion by unskilled personnel. Lancet 336:977–979.
Reinhart DJ, Simmons G (1994) Comparison of placement of the laryngeal mask airway with endotracheal tube by paramedics and respiratory therapists. Ann Emerg Med 24:260–263.
Hayes A, McCarrol SM (1995) Airway management in unskilled personnel — a comparison of laryngeal mask airway, pocket mask and bag-valve-mask techniques. Anesthesiology 83: A223 (Abst).
Alexander R, Hodgson P, Lomax D, Bullen C (1993) A comparison of the laryngeal mask airway and Guedel airway, bag and facemask for manual ventilation following formal training. Anaesthesia 48:231–234.
Tolley PM, Watts DJ, Hickman JA (1992) Comparison of the use of the laryngeal mask and face mask by inexperienced personnel. Br J Anaesth 69:320–321.
Walker MB, Goodwin APL, Verghese C, et al (1993) Use of the laryngeal mask and face mask by inexperienced personnel. Br J Anaesth 70:114–115.
Matta BF, Marsh DS, Nevin M (1995) Laryngeal mask airway: a more successful method of insertion. J Clin Anesth 7:132–135.
Wakeling HG, Butler PJ, Baxter PJC (1997) The laryngeal mask airway: a comparison between two insertion techniques. Anesth Analg 85:687–690.
Amos M, Navaratnam S, Biswas TK (1994) Insertion of laryngeal mask airway (LMA) by non-anaesthetic personnel. Anaesth Intensive Care 22:97 (Abst).
Dingley J, Baynham P, Swart M, Vaughan RS (1997) Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer. Anaesthesia 52:756–760.
Omi A, Fukuhara T, Isshiki A, Benson KT, Ogihara H (1997) The effectiveness of the Fukuhara laryngeal mask airway holding forceps (F Forceps). Anesth Analg 85:697–700.
Brimacombe J, Berry A (1993) Insertion of the laryngeal mask airway — a prospective study of four techniques. Anaesth Intensive Care 21:89–92.
Brimacombe J (1996) Analysis of 1500 laryngeal mask uses by one anaesthetist in adults undergoing routine anaesthesia. Anaesthesia 51:76–80.
Pace NA, Gajraj NM, Pennant JH, Victory RA, Johnson ER, White PF (1994) Use of the laryngeal mask airway after oesophageal intubation. Br J Anaesth 73:688–689.
Elwood T, Cox RG (1996) Laryngeal mask insertion with a laryngoscope in paediatric patients. Can J Anaesth 43:435–437.
Baskett PJF, Brain AIJ (1994) The use of the LMA in cardiopulmonary resuscitation. Intavent, Henley-on-Thames.
Ishimura H, Minami K, Sata T, Shigematsu A, Kadoya T (1995) Impossible insertion of the laryngeal mask air way and oropharyngeal axes. Anesthesiology 83:867–869.
Brimacombe J, Berry A (1993) Laryngeal mask airway insertion. A comparison of the standard verses neutral position in normal patients with a view to its use in cervical spine instability. Anaesthesia 48:670–671.
Pennant JH, Pace NA, Gajraj NM (1993) Role of the laryngeal mask airway in the immobile cervical spine. J Clin Anesth 5:226–230.
Lee JJ, Yau K, Barcroft J (1993) LMA and respiratory arrest after anterior cervical fusion. Can J Anaesth 40:395–396.
Milligan KA (1994) Laryngeal mask in the prone position. Anaesthesia 49:449.
Chen CH, Lin CC, Tan PP (1995) Clinical experience of laryngeal mask airway in lateral position during anesthesia. Acta Anaesthesiol Sin 33:31–34.
Verghese C, Beriet J, Kapila A, Pollard R (1998) A clinical assessment of the single use laryngeal mask airway the LMA-UNIQUE™. Br J Anaesth 80:677–679.
Snow RG (1963) The muscle relaxants and the cardia, including the clinical management of patients likely to vomit and regurgitate. Br J Anaesth 35:541–545.
Brock Utne JG, Moynihan RJ (1992) Patient draping contributing to a near disaster (Desaturation during endoscopy in a two year old). Paediatr Anaesth 2:333–334.
Morch-Siddal J, Hall IA (1995) Cricoid pressure during resuscitation. Anaesthesia 50:568.
Gwinnutt CL (1995) Cricoid pressure and advanced life support. Anaesthesia 50:912.
Smurthwaite GJ (1995) Cricoid pressure and advanced life support. Anaesthesia 50:912.
Elcock DH (1995) Cricoid pressure and advanced life support. Anaesthesia 50:912–913.
Brimacombe J (1996) The laryngeal mask airway for access to the upper gastrointestinal tract. Anesthesiology 84:1009–1010.
Cork RC, Depa RM, Standen JR (1994) Prospective comparison of use of the laryngeal mask and endotracheal tube for ambulatory surgery. Anesth Analg 79:719–727.
Weiler N, Latorre F, Eberle B, Goedecke R, Heinrichs W (1997) Respiratory mechanics, gastric insufflation pressure, and air leakage of the laryngeal mask airway. Anesth Analg 84: 1025–1028.
Berry A, Brimacombe J, McManus KF, Goldblatt M (1998) An evaluation of the factors influencing selection of the optimal size of laryngeal mask airway in normal adults. Anaesthesia 53: 565–570.
Brimacombe J (1997) Positive pressure ventilation with the size 5 LMA. J Clin Anesth 9: 113–117.
Keller C, Sparr HJ, Brimacombe J (1998) Positive pressure ventilation in non-paralysed adult patients with the laryngeal mask airway: a comparison of sevoflurane and propofol maintenance techniques. Br J Anaesth 80:332–336.
Brimacombe J, Brain AIJ, Berry A (1997) The laryngeal mask airway: review and practical guide. WB Saunders Co Ltd, London.
Lawes EG, Baskett PJF (1987) Pulmonary aspiration during unsuccessful cardiopulmonary resuscitation. Intensive Care Med 13:379–382.
Lawes EG, Campbell I, Mercer D (1987) Inflation pressure, gastric insufflation and rapid sequence induction. Br J Anaesth 59:315–318.
Asai T, Barclay K, McBeth C, Vaughan RS (1996) Cricoid pressure applied after placement of the laryngeal mask prevents gastric insufflation but inhibits ventilation. Br J Anaesth 76:772–776.
Ansermino JM, Blogg CE (1992) Cricoid pressure may prevent insertion of the laryngeal mask airway. Br J Anaesth 69:465–467.
Brimacombe J, Berry A, Heath ML, Allagain J, Blogg CE, Ansermino JM (1993) Cricoid pressure and the laryngeal mask airway. Br J Anaesth 70:596.
Brimacombe J, Berry A, White A (1994) Single-compared to double-handed cricoid pressure for LMA insertion. Br J Anaesth 72:732–734.
Asai T, Barclay K, Power I, Vaughan RS (1994) Single-compared to double-handed cricoid pressure for insertion of an LMA. Br J Anaesth 72:733–734.
Brimacombe J, Berry A (1994) Cricoid pressure and the LMA: efficacy and interpretation. Br J Anaesth 49:862–863.
Asai T, Barclay K, Power I, Vaughan RS (1994) Cricoid pressure and the LMA: efficacy and interpretation. Br J Anaesth 73:863–865.
Brimacombe J, Berry A (1997) Cricoid pressure. Can J Anaesth 44:414–425.
Gabbott DA, Sasada MP (1995) Laryngeal mask airway insertion using cricoid pressure and manual in-line neck stabilisation. Anaesthesia 50:674–676.
Gabbott DA, Sasada MP (1996) Tracheal intubation through the laryngeal mask using a gum elastic bougie in the presence of cricoid pressure and manual in line stabilisation of the neck. Anaesthesia 51:389–390.
Aoyama K, Takenaka I, Sata T, Shigematsu A (1996) Cricoid pressure impedes positioning and ventilation through the laryngeal mask airway. Can J Anaesth 43:1035–1040.
Brimacombe J, De Maio B (1995) Emergency use of the laryngeal mask airway during helicopter transfer of a neonate. J Clin Anesth 7:689–690.
Stone BJ, Leach AB, Alexander CA, et al (1994) The use of the laryngeal mask airway by nurses during cardiopulmonary resuscitation — results of a multicentre trial. Anaesthesia 49:3–7.
Leach A, Alexander CA, Stone B (1993) The laryngeal mask in cardiopulmonary resuscitation in a district general hospital: a preliminary communication. Resuscitation 25:245–248.
Roberts I, Allsop P, Dickinson M, Curry P, Eastwick-Field P, Eyre G (1997) Airway management training using the laryngeal mask airway: a comparison of two different training programs. Resuscitation 33:211–214.
Kokkinis K (1994) The use of the laryngeal mask airway in CPR. Resuscitation 27:9–12.
Pellanda A, Ruffini C, Conti L, Fagnoni L, Avanzi GL (1995) Usefulness and limits of the laryngeal mask in extra-hospital resuscitation. Minerva Anestesiol 61:51–52.
Verghese C, Prior-Willeard PFS, Baskett PJF (1994) Immediate management of the airway during cardopulmonary resuscitation in a hospital without a resident anaesthesiologist. Eur J Emer Med 1:123–125.
Nagel EL, Fine EG, Krischer JP, Davis JH (1981) Complications of CPR. Crit Care Med 9:424.
Gataure PS, Hughes JA (1995) The laryngeal mask airway in obstetrical anaesthesia. Can J Anaesth 42:130–133.
Aye T, Milne B (1995) Use of the laryngeal mask prior to definitive intubation in a difficult airway: a case report. J Emerg Med 13:711–714.
Weinberger J, Tanna N (1994) Use of Intavent laryngeal mask airway. J Otolaryngol 23:73–73.
Dalmeida RE, Mayhew J, Gallagher T, Herring LE (1999) The laryngeal mask airway: a must in the obstetric suite. J Clin Anesth (in press).
Myles PS, Venema HR, Lindholm DE (1994) Trauma patient managed with the laryngeal mask airway and percutaneous tracheostomy after failed intubation. Med J Aust 161:640–640.
O’Kelly SW, Reynolds PI, Collito M (1995) The use of fibreoptic endoscopy and laryngeal mask airway in securing the traumatized airway in the paediatric patient. Am J Anesthesiol 22: 152–153.
Greene MK, Roden R, Hinchley G (1992) The laryngeal mask airway. Two cases of prehospital trauma care. Anaesthesia 47:688–689.
Brimacombe J, Berry A, Brain A (1995) The laryngeal mask airway. In: Sandler AN, Doyle DJ (eds) The difficult airway. WB Saunders, Philadelphia, pp 411–437.
James Kao Y (1995) Spoons to assist the insertion of the laryngeal mask airway. Anesthesiology 83:1381.
Brimacombe J (1995) Emergency cricothyrotomy. J Trauma, 39:359.
Smith WB, Schaer WB, Pfaeffle J (1975) Percutaneous transtracheal ventilation for anaesthesia and resuscitation: A review and report of complications. Can Anaesth Soc J 22:607.
Toye FJ, Weinstein JD (1986) Clinical experience with percutaneous tracheostomy and cri-cothyrotomy in 100 patients. J Trauma 26:1034–1040.
Nugent WL, Rhee KJ, Wisner DH (1991) Can nurses perform surgical cricothyrotomy with acceptable success and complication rates? Ann Emerg Med 20:367–370.
Logan S, Charters P (1994) Laryngeal mask and fibreoptic intubation. Anaesthesia 49:543–544.
Maroof M, Khan RM, Bonsu A, Raza HS (1995) A new solution to fibreoptic intubation in the presence of blood and secretions. Can J Anaesth 42:177.
Maltby JR, Loken RG, Beriault MT, Archer DP (1995) Laryngeal mask airway with mouth opening less than 20 mm. Can J Anaesth 42:1140–1142.
Lim SL, Tay DHB, Thomas E (1994) A comparison of three types of tracheal tube for use in laryngeal mask assisted blind orotracheal intubation. Anaesthesia 49:255–257.
Langenstein H (1995) The laryngeal mask for difficult intubation. Der Anästhesist 44:712–718.
Allison A, McCrory J (1990) Tracheal placement of a gum elastic bougie using the laryngeal mask airway. Anaesthesia 45:419–420.
White AP, Billingham IM (1992) Laryngeal mask guided tracheal intubation in paediatric anaesthesia. Paediatr Anaesth 2:265.
Dean VS, Jurai SA, Bethelmy L (1996) Gum elastic bougies and the laryngeal mask. Anaesthesia 51:1078.
Wafai Y, Knoll W, Salem MR (1995) Facilitation of blind intubation through the laryngeal mask airway. Anesthesiology 83: A19 (Abst).
Knoll W, Wafai Y, Salem MR, Joseph NJ (1994) Facilitation of blind intubation through the laryngeal mask airway by the use of the self-inflating bulb. Mid-west Anesthesiology Resident’s Conference, Cleveland, Ohio, March 26-27 (Abst).
Brimacombe J, Berry A (1993) Placement of the Cook Airway Exchange Catheter via the laryngeal mask airway. Anaesthesia 48:351–352.
Asai T, Oldham T, Latto IP (1997) Unexpected difficulty in the lighted stylet-aided tracheal intubation via the laryngeal mask. Br J Anaesth 78:111–112.
Agro F, Brimacombe J, Carassiti M, Morelli A, Giampalmo M, Cataldo R (1998) Lighted stylet as an aid to blind tracheal intubation via the LMA. J Clin Anesth 10:263–264.
Brimacombe J (1997) Difficult airway management with the intubating laryngeal mask. Anesth Analg 85:1173–1175.
Brain AIJ, Verghese C, Addy EV, Kapila A, Brimacombe J (1997) The intubating laryngeal mask. II: a preliminary clinical report of a new means of intubating the trachea. Br J Anaesth 79: 704–709.
Mansfield MD, Miller CD (1993) The laryngeal mask airway and resuscitation. Anaesthesia 48:637–638.
Brain AIJ, Verghese C, Strube P, Brimacombe J (1995) A new laryngeal mask prototype — preliminary evaluation of seal pressures and glottic isolation. Anaesthesia 50:42–48.
Denman WT, Goudsouzian NG, Chadd GD, Crane DL (1992) Position of the laryngeal mask airway. Anesthesiology 77:401–402.
Ebata T, Nishiki S, Masuda A, Amaha K (1991) Anaesthesia for Treacher Collins syndrome using a laryngeal mask airway. Can J Anaesth 38:1043–1045.
Inada T, Fujise K, Tachibana K, Shingu K (1995) Orotracheal intubation through the laryngeal mask airway in paediatric patients with Treacher Collins syndrome. Paediatr Anaesth 5:129–132.
Johnson CM, Sims C (1994) Awake fibreoptic intubation via a laryngeal mask in an infant with Goldenhar’s syndrome. Anaesth Intensive Care 22:194–197.
Smith BL (1988) Brain airway in anaesthesia for patients with juvenile chronic arthritis. Anaesthesia 43:421–422.
Denny NM, Desilva KD, Webber PA (1990) Laryngeal mask airway for emergency tracheostomy in a neonate. Anaesthesia 45:895.
Arosio EM, Conci F (1995) Use of the laryngeal mask airway for respiratory distress in the intensive care unit. Anaesthesia 50:635–636.
Groudine SB, Lumb PD, Sandison MR (1995) Pressure support ventilation with the laryngeal mask airway: a method to manage severe reactive airway disease postoperatively. Can J Anaesth 42:341–343.
Capdevila X, Biboulet P, Vallee M, Drissi S, D’Athis F (1995) Pressure support ventilation with a laryngeal mask during general anesthesia. Anesthesiology 83: A1226 (Abst).
Groudine SB, Lumb PD (1996) Noninvasive ventilatory support with the laryngeal mask airway. Am J Anesthesiol 124-128.
Lim W (1992) Yet another use for the laryngeal mask. Anaesthesia 47:175–176.
Aoyagi M (1993) Application of the laryngeal mask airway in ICU. 40th Meeting of the Japanese Society of Anesthesiology, Iwate Prefectual Hall, Japan. April 22, 6–7 (Abst).
Ito N, Aikawa N, Hori S, et al (1992) Laryngeal mask airway in acute cerebrovascular disease. Lancet 339:69.
Yamauchi M (1993) Use of the LM in patients with pneumothorax. J Clin Anesth (Rinsho-Masui) 17:239–240.
Dexter TJ (1994) The laryngeal mask airway: a method to improve visualisation of the trachea and larynx during fibreoptic assisted percutaneous tracheostomy. Anaesth Intensive Care 22: 35–39.
Brimacombe J, Gandini D (1995) Paediatric airway management. Br J Hosp Med 53:175.
Albertsen P, Eschen C, Verder H (1993) Laryngeal mask used as a guideway for brief access to the intratracheal space in premature infants. 8th International Workshop on Surfactant Replacement, Oslo, 20–22 May (Abst).
Smith TGC, Whittet H, Heyworth T (1992) Laryngomalacia — a specific indication for the laryngeal mask. Anaesthesia 47:910.
Lawson R, Lloyd-Thomas AR (1993) Three diagnostic conundrums solved using the laryngeal mask airway. Anaesthesia 48:790–791.
Asai T, Morris S (1994) The laryngeal mask and patients with ‘collapsible’ airways. Anaesthesia 49:169–170.
Yahagi N, Kumon K, Tanigami H (1994) Bronchial lavage with a fibreoptic bronchoscope via a laryngeal mask airway in an infant. Anaesthesia 49:450.
Brimacombe J, Berry A (1993) The laryngeal mask airway. Br Med J 306:580.
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Keller, C., Brimacombe, J., Lindner, K. (1999). The Laryngeal Mask in Emergency Medicine and Intensive Care Medicine. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1999. Yearbook of Intensive Care and Emergency Medicine, vol 1999. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13453-5_21
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