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The Intubating Laryngeal Mask Airway: Suggestions for Use in the Emergency Department
Author(s) -
Reardon Robert F.,
Martel Marc
Publication year - 2001
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/j.1553-2712.2001.tb00217.x
Subject(s) - medicine , emergency department , laryngeal masks , medical emergency , airway , intubation , emergency medicine , aeronautics , anesthesia , laryngeal mask airway , psychiatry , engineering
With the increased use of rapid‐sequence induction and its potential complications, emergency physicians need a rescue device for unexpected difficult intubations. The intubating laryngeal mask airway (ILMA) is an ideal rescue airway since it can be placed quickly and can provide adequate ventilation in nearly all patients. It can then be used as conduit for endotracheal intubation, while ventilation is ongoing. The authors review the current literature on the ILMA. In conjunction with their experience using the ILMA in the emergency department (ED), a modification of the American Society of Anesthesiologists difficult airway algorithm was derived for use in the ED. The ILMA appears to be valuable for managing difficult airways.