Update on the Use of the Laryngeal Mask

  • F. Agrò
  • M. Carassiti
  • L. Marchionni
  • R. Cataldo
Conference paper


Since 1992 up to the beginning of 1997 international literature about LMA has widely spread, counting over 480 publications. As far as its use is concerned, we can say that while some points have been clarified - being most accredited Authors in accordance - other particular ones are still being discussed [1]. Particularly, prospective randomized studies proved that LMA was better than endotracheal tube and facial mask on many situations concerning airway control (Tables 1, 2, 3).


Laryngeal Mask Airway Difficult Intubation Awaken Patient Esophageal Intubation Airway Control 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Brimacombe J. Does the laryngeal mask airway offer any real advantages over the tracheal tube or facemask? A meta-analysis of randomized comparative studies. Can J Anaesth (in press)Google Scholar
  2. 2.
    Brimacombe J, Berry A (1995) The laryngeal mask airway-anatomical and physiological implications. Acta Anesthesiol Scand 40: 201–209CrossRefGoogle Scholar
  3. 3.
    Nandwani N, Fairfield MC, Krarup K, Thompson J (1997) The effect of laryngeal mask insertion on the position of the internal jugular vein. Anaesth 52(1): 77–79CrossRefGoogle Scholar
  4. 4.
    Owens TM, Robertson P, Iwomey C et al (1995) The incidence of gastroesophageal reflux with the laryngeal mask: a comparison with the face mask using esophageal lumen ph electrodes. Anesth Analg 80: 980–984PubMedGoogle Scholar
  5. 5.
    Pennat JH, White PF (1993) The laryngeal mask airway: its uses in anesthesiology. Anesth 79: 144–163CrossRefGoogle Scholar
  6. 6.
    Dingley J, Wareham K (1994) A comparative study of the incidence of sore throat with the laryngeal mask airway. Anesth 49: 251–254Google Scholar
  7. 7.
    Burgard G, Molloff T, Prien T (1996) The effect of laryngeal mask cuff pressure on postoperative sore throat incidence. J Clin Anesth 8: 198–201PubMedCrossRefGoogle Scholar
  8. 8.
    Carassiti M, Cataldo R, Marchionni L et al. Pulsossimetria faringea: nuovo prototipo di LMA. Dati preliminari. Minerva Anestesiologica (in press)Google Scholar
  9. 9.
    Lumb AB, Wrigley MW (1992) The effect of nitrous oxide on laryngeal mask cuff pressure. Anesthesia 47: 320–323CrossRefGoogle Scholar
  10. 10.
    Brimacombe J, Berry A (1994) Laryngeal mask airway cuff pressure and position during anesthesia lasting one to two hours. Can J Anaesth 41: 589–593PubMedCrossRefGoogle Scholar
  11. 11.
    Marchionni L, Cataldo R, Baldelli L et al. Monitoraggio on-line della pressione della cuffia della LMA. Minerva Anestesiologica (in press)Google Scholar
  12. 12.
    Brimacombe J, Berry A, Brain AIJ (1996) Optimal intracuff pressures with the laryngeal mask. Br J Anaesth 77: 295–296PubMedCrossRefGoogle Scholar
  13. 13.
    Maltby JR, Loisen RG, Wasson NC (1990) The laryngeal mask airway clinical appraisal in 250 patients. Can J Anaesth 37: 509–513PubMedCrossRefGoogle Scholar
  14. 14.
    Cros AM, Pitti R, Conil C et al. (1997) Severe dysphonia after use of laryngeal mask airway. Anesthesiology 86: 498–500PubMedCrossRefGoogle Scholar
  15. 15.
    Lloyd J, Hegab A (1996) Recurrent laryngeal nerve palsy after laryngeal mask insertion. Anesthesia 51: 171–172CrossRefGoogle Scholar
  16. 16.
    Brimacombe J (1997) Laryngeal mask airway insertion. In: Intubation and upper airway. Bordeaux 163-173, by Cros AMGoogle Scholar
  17. 17.
    Brimacombe J, Berry A, Brain AIJ, Verghese C (1997) The laryngeal mask airway-literature update. Anesthesia Review 13: 121–138Google Scholar
  18. 18.
    Agrò F, Carassiti M, Cataldo R, Pellegrino P (1996) Uso della maschera laringea in posizione prona (dati preliminari). Minerva Anestesiologica Sett 62 [Suppl 2-9]Google Scholar
  19. 19.
    Cataldo R, Villa G, Modesti C, Agrò F. Use of a standard LMA in long duration ophthalmic surgery. Minerva Anestesiologica (in press)Google Scholar
  20. 20.
    Marchionni L, Cataldo R, Carassiti M, Agrò F. Ventilazione naso-laringea con ML flessibile. Minerva Anestesiologica (in press)Google Scholar
  21. 21.
    Marchionni L, Agrò F, Favaro R et al. The flexible laryngeal mask as a nasal airway. Anaesth Analg (in press)Google Scholar
  22. 22.
    Agrò F, Brimacombe J et al (1997) Retrograde blind nasal intubation via the intubating laryngeal mask using a new flexible tracheal tube with detachable pilot balloon. Anaesthesia (in press)Google Scholar
  23. 23.
    Cros AM (1997) Complications with laryngeal mask airway. In: Intubation and the upper airway. Bordeaux, pp 175-182Google Scholar
  24. 24.
    Verghese C (1997) Use of the laryngeal mask airway with positive pressure ventilation. In: Intubation and the upper airway. Bordeaux, pp 183-187, by Cros AMGoogle Scholar
  25. 25.
    Verghese C, Brimacombe JR (1996) Survey of laryngeal mask usage in 11, 910 patients: safety and efficacy for conventional and non-conventional usage. Anesth Analg 82: 129–133PubMedGoogle Scholar
  26. 26.
    Brain AIJ, Verghese C, Strube P, Brimacombe J (1995) A new laryngeal mask prototype-preliminary evaluation of seal, pressures and glottic isolation. Anaesthesia 50: 42–48PubMedCrossRefGoogle Scholar
  27. 27.
    Brimacombe J (1996) Airway protection with the new laryngeal mask prototype. Anaesthesia 51: 602–603PubMedCrossRefGoogle Scholar
  28. 28.
    Agrò F, Cataldo R, Carassiti M, Pellegrino P (1996) Dati preliminari sull’uso del prototipo’ GLM’ (Gastric Laryngeal Mask) in chirurgia generale elettiva. Minerva Anestesiologica, Sett 62 [Suppl 2-9]Google Scholar
  29. 29.
    Morelli A, Cataldo R, Carassiti M et al. Uso del prototipo GLM in chirurgia addominale alta. Minerva Anestesiologica (in press)Google Scholar
  30. 30.
    Agrò F, Brain AIJ, Gabbrielli A et al (1997) Prevention of tracheal aspiration in a patient with a high risk of regurgitation using a new double-lumen gastric laryngeal mask airway. Gastr End vol 40 (in press)Google Scholar
  31. 31.
    Brimacombe J, Berry (1993) The reinforced laryngeal mask in dental day surgery. Ambulatory Surgery 1: 216CrossRefGoogle Scholar
  32. 32.
    Morelli A, Cataldo R, Marchionni L et al. Trachlight senza guida metallica per l’IOT attraverso LMA: dati preliminari. Minerva Anestesiologica (in press)Google Scholar
  33. 33.
    Kapila A, Addy EV, Verghese C, Brain AIJ (1995) Intubating laryngeal mask airway: preliminary assessment of performance. Br J Anaesth 75: 228–229Google Scholar
  34. 34.
    Agrò F, Brimacombe J, Carassiti M et al. The intubating laryngeal mask-clinical appraisal of ventilation and blind tracheal intubation in 110 patients. Anaesthesia (in press)Google Scholar
  35. 35.
    Agrò F, Favaro R, Carassiti M et al. Tecnica CBM per l’intubazione naso-tracheale con LMA-FT in un caso di vie aeree difficili. Minerva Anestesiologica (in press)Google Scholar
  36. 36.
    Brain AIJ (1991) Prehospital and disaster medicine. Abstracts of 7th World Congress on Emergency & Disaster Medicine, May, p 254Google Scholar
  37. 37.
    Arosio EM, Conci F. Use of the laryngeal mask airway for respiratory distress in the intensive care unit. Anesthesia 50(7): 635–636Google Scholar
  38. 38.
    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 Anaest 42(4): 341–343CrossRefGoogle Scholar
  39. 39.
    Boisson-Bertrand D, Bourgain JL et al (1996) Intubation difficile. Ann Fr Anesth Réanim 15: 207–214PubMedCrossRefGoogle Scholar
  40. 40.
    Benumof JL (1996) Laryngeal mask airways and the ASA difficult airways algorithms. Anesthesiology 84(3): 686–694PubMedCrossRefGoogle Scholar
  41. 41.
    Agrò F (1996) Maschera laringea: indicazioni e prospettive di applicazione. Minerva Anestesiologica 62 [Suppl 1]: 699–706Google Scholar

Copyright information

© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • F. Agrò
  • M. Carassiti
  • L. Marchionni
  • R. Cataldo

There are no affiliations available

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