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Lim Y, Goel S, Brimacombe JR. The ProSeal laryngeal mask airway is an effective alternative to laryngoscope-guided tracheal intubation for gynaecological laparoscopy. Anaesth Intensive Care 2007; 35:52-56. The authors compared the ETT and the PLMA for elective gynaecological laparoscopy. For the PLMA, no adverse events such hypoxia, failed ventilation, or gastric extension were noted. The PLMA therefore seemed superior regarding insertion time and haemodynamic stress responses compared with the ETT.
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Johnston BD, Seitz SR, Wang HE. Limited opportunities for paramedic student endotracheal intubation training in the operating room. Acad Emerg Med 2006; 13:1051-1055. This interesting study reported only 6-10 endotracheal intubation attempts during training of US paramedics in the operating room. Reasons for these limited attempts were reported as competition with other healthcare students, the increasing operating room use of laryngeal mask airways, and physicians' medicolegal concerns.
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Kurola J, Pere P, Niemi-Murola L, et al. Comparison of airway management with the intubating laryngeal mask, laryngeal tube and CobraPLA by paramedical students in anaesthetized patients. Acta Anaesthesiol Scand 2006; 50:40-44. The authors compared the success of insertion, oxygenation, and ventilation of the intubating laryngeal mask, laryngeal tube, and CobraPLA in anaesthetized patients when used by paramedical students. Successful ventilation was possible in 75%, 44% and 22% of patients, respectively.
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Dimitriou V, Voyagis GS, Grosomanidis V, Brimacombe J. Feasibility of flexible lightwand-guided tracheal intubation with the intubating laryngeal mask during out-of-hospital cardiopulmonary resuscitation by an emergency physician. Eur J Anaesthesiol 2006; 23:76-79. This study evaluated the feasibility of the ILMA as a ventilatory device and flexible lightwand-guided tracheal intubation for out-of-hospital cardiopulmonary resuscitation by an emergency physician. The tracheal tube was successfully inserted via the ILMA in all patients. The authors describe this technique as particularly useful when there is limited access to the head and neck.
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Dimitriou V, Voyagis GS, Grosomanidis V, Brimacombe J. Feasibility of flexible lightwand-guided tracheal intubation with the intubating laryngeal mask during out-of-hospital cardiopulmonary resuscitation by an emergency physician. Eur J Anaesthesiol 2006; 23:76-79. This study evaluated the feasibility of the ILMA as a ventilatory device and flexible lightwand-guided tracheal intubation for out-of-hospital cardiopulmonary resuscitation by an emergency physician. The tracheal tube was successfully inserted via the ILMA in all patients. The authors describe this technique as particularly useful when there is limited access to the head and neck.
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Timmermann A, Russo SG, Crozier TA, et al. Novices ventilate and intubate quicker and safer via intubating laryngeal mask than by conventional bag mask ventilation and laryngoscopy. Anesthesiology 2007; 107:570-576. Novices ventilate and intubate patients with no anticipated difficult airways more quickly and safely via the ILMA than by conventional bag mask ventilation and laryngoscopy. In addition, ILMA-guided ETI is usually successful in patients in whom laryngoscopic guided ETI had failed. The authors conclude that training programmes should be extended to include the ILMA for ventilation and intubation.
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Timmermann A, Russo SG, Crozier TA, et al. Novices ventilate and intubate quicker and safer via intubating laryngeal mask than by conventional bag mask ventilation and laryngoscopy. Anesthesiology 2007; 107:570-576. Novices ventilate and intubate patients with no anticipated difficult airways more quickly and safely via the ILMA than by conventional bag mask ventilation and laryngoscopy. In addition, ILMA-guided ETI is usually successful in patients in whom laryngoscopic guided ETI had failed. The authors conclude that training programmes should be extended to include the ILMA for ventilation and intubation.
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Medical students performed ILMA-guided tracheal intubation in mannequins significantly more successfully than laryngoscopic guided tracheal intubation
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