Airway Management in Hypoxemic Patient using Modified Intubating Laryngeal Mask Airway Technique
UL01-UL02
Correspondence
Dr. Mohd Mustahsin,
FFF2, Doctor's Residence, Era Medical College, Lucknow, Uttar Pradesh, India.
E-mail: mustahsin.malik@gmail.com
Dear Editor, The Intubating Laryngeal Mask Airway (ILMA) is useful to facilitate blind oral tracheal intubation (1). Both the recommended silicon wire reinforced tubes and the less expensive conventional Polyvinylchloride (PVC) tubes have been used with ILMA with comparable success rates (2). After tracheal intubation, the ILMA is removed over the stabiliser rod engaged into the proximal end of the Tracheal Tube (TT). The 20 cm stabiliser rod that is supplied with the ILMA does not fit properly in the conventional PVC tube (Table/Fig 1) and hence it is prone to disconnection and tube migration while removing the ILMA. The ventilation of the patient is also compromised during ILMA removal which can be dangerous in hypoxemic and critically ill patients. Previous attempts of using smaller TT as an alternative to stabiliser rod have similar difficulties during ILMA removal (3).
Dear Editor, The Intubating Laryngeal Mask Airway (ILMA) is useful to facilitate blind oral tracheal intubation (1). Both the recommended silicon wire reinforced tubes and the less expensive conventional Polyvinylchloride (PVC) tubes have been used with ILMA with comparable success rates (2). After tracheal intubation, the ILMA is removed over the stabiliser rod engaged into the proximal end of the Tracheal Tube (TT). The 20 cm stabiliser rod that is supplied with the ILMA does not fit properly in the conventional PVC tube (Table/Fig 1) and hence it is prone to disconnection and tube migration while removing the ILMA. The ventilation of the patient is also compromised during ILMA removal which can be dangerous in hypoxemic and critically ill patients. Previous attempts of using smaller TT as an alternative to stabiliser rod have similar difficulties during ILMA removal (3).
which is another advantage of the stabilising rod over conventional stabilising rod. The authors have successfully used this device in many hypoxemic patients requiring intubation and mechanical ventilation.