• Br J Anaesth · Nov 1994

    Comparative Study

    Use of the laryngeal mask airway after oesophageal intubation.

    • N A Pace, N M Gajraj, J H Pennant, R A Victory, E R Johnson, and P F White.
    • Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas 75235-9068.
    • Br J Anaesth. 1994 Nov 1; 73 (5): 688-9.

    AbstractWe have compared insertion of a tracheal tube and laryngeal mask airway (LMA) both with and without the presence of a tube in the oesophagus in 20 ASA I and II patients undergoing elective laparoscopy. After induction of anaesthesia and neuromuscular block, we measured the times for an experienced anaesthetist to correctly position both an LMA and a tracheal tube with and without a tube in the oesophagus. The time to intubation was significantly less with the LMA than with the tracheal tube, both with and without an oesophageal tube in place (P < 0.05). We conclude that if a tracheal tube is placed unintentionally in the oesophagus, an LMA may be used subsequently to provide rapid and effective oxygenation of the patient.

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