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An evaluation of the modified Airway Management Device

Sivasankar, R., Bahlmann, U. B., Stacey, M. R., Sehgal, A., Hughes, R. C. and Hall, Judith Elizabeth 2003. An evaluation of the modified Airway Management Device. Anaesthesia -London- 58 (6) , pp. 558-561. 10.1046/j.1365-2044.2003.03185.x

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Abstract

We evaluated the modified Airway Management Device (AMDTM) in 60 spontaneously breathing anaesthetised patients. The insertion and removal of the device was very easy and atraumatic. The airway was secured on the first attempt in 41 patients (70%; 95% CI 57-80%). The most important problem was loss of airway, which occurred in 11 patients (19%; 11-30%) during maintenance of anaesthesia. The AMD was dislodged during maintenance in one patient. There was a loss of the airway in 12 patients (20%; 12-31%); in 10, it was maintained with simple airway manoeuvres or a laryngeal mask airway and tracheal intubation was required in two patients. Ten of these patients were male and two were female; the failure rate was 33% (12-31%) among the male patients and 6% (2-22%) among the female patients. The cuff volumes ranged from 4 ml to 80 ml and cuff pressures from 6 cm H2O to 92 cm H2O. Blood was seen on removal in three patients (6%; 2-16%) and nine patients (18%; 10-30%) experienced sore throat after removal of the device.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine
Publisher: Wiley-Blackwell
ISSN: 0003-2409
Last Modified: 04 Jun 2017 08:00
URI: http://orca.cf.ac.uk/id/eprint/71422

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