TotalTrack video intubating laryngeal mask in super-obese patients – series of cases
Tomasz Gaszynski Department of Emergency and Disaster Medicine, Medical University of Lodz, Lodz, Poland Background: Super-obese patients are at increased risk of difficult mask ventilation and difficult intubation. Therefore, devices that allow for simultaneous ventilation/oxygenation during atte...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-03-01
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| Series: | Therapeutics and Clinical Risk Management |
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| Online Access: | https://www.dovepress.com/totaltrack-video-intubating-laryngeal-mask-in-super-obese-patients-nda-peer-reviewed-article-TCRM |
| _version_ | 1818734107698397184 |
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| author | Gaszynski T |
| author_facet | Gaszynski T |
| author_sort | Gaszynski T |
| collection | DOAJ |
| description | Tomasz Gaszynski Department of Emergency and Disaster Medicine, Medical University of Lodz, Lodz, Poland Background: Super-obese patients are at increased risk of difficult mask ventilation and difficult intubation. Therefore, devices that allow for simultaneous ventilation/oxygenation during attempts to visualize the entrance to the larynx, increase patient safety. TotalTrack video intubating laryngeal mask is a new device that allows for ventilation during intubation efforts. Patients and methods: Twenty-four super-obese patients (body mass index >50 kg/m2) were divided into two subgroups: intubation efforts using 1) TotalTrack and 2) Macintosh blade standard laryngoscope in induction of general anesthesia. Visualization and successful intubation was evaluated for both groups with ventilation and post-mask complications additionally evaluated for TotalTrack. Results: In all cases in the TotalTrack group, the Cormack-Lehane score was 1, ventilation and intubation was successful in 11/12 patients. No hypoxia during intubation efforts was recorded. No serious complications of use of TotalTrack were observed. In the Macintosh blade laryngoscope group, all patients were intubated, but the Cormack-Lehane score was 2 in four cases, and 3 in three cases. Conclusion: TotalTrack video intubating laryngeal mask is a device that allows for better visualization of the larynx compared to the standard Macintosh blade laryngoscope, it provides effective ventilation/oxygenation and intubation in super-obese patients. Keywords: super-obese, intubation, ventilation, laryngeal mask, standard laryngoscope, video laryngoscope |
| first_indexed | 2024-12-18T00:00:06Z |
| format | Article |
| id | doaj.art-7527b6fa4bf14f0e88b1b085fa8b071b |
| institution | Directory Open Access Journal |
| issn | 1178-203X |
| language | English |
| last_indexed | 2024-12-18T00:00:06Z |
| publishDate | 2016-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Therapeutics and Clinical Risk Management |
| spelling | doaj.art-7527b6fa4bf14f0e88b1b085fa8b071b2022-12-21T21:27:58ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2016-03-012016Issue 133533825809TotalTrack video intubating laryngeal mask in super-obese patients – series of casesGaszynski TTomasz Gaszynski Department of Emergency and Disaster Medicine, Medical University of Lodz, Lodz, Poland Background: Super-obese patients are at increased risk of difficult mask ventilation and difficult intubation. Therefore, devices that allow for simultaneous ventilation/oxygenation during attempts to visualize the entrance to the larynx, increase patient safety. TotalTrack video intubating laryngeal mask is a new device that allows for ventilation during intubation efforts. Patients and methods: Twenty-four super-obese patients (body mass index >50 kg/m2) were divided into two subgroups: intubation efforts using 1) TotalTrack and 2) Macintosh blade standard laryngoscope in induction of general anesthesia. Visualization and successful intubation was evaluated for both groups with ventilation and post-mask complications additionally evaluated for TotalTrack. Results: In all cases in the TotalTrack group, the Cormack-Lehane score was 1, ventilation and intubation was successful in 11/12 patients. No hypoxia during intubation efforts was recorded. No serious complications of use of TotalTrack were observed. In the Macintosh blade laryngoscope group, all patients were intubated, but the Cormack-Lehane score was 2 in four cases, and 3 in three cases. Conclusion: TotalTrack video intubating laryngeal mask is a device that allows for better visualization of the larynx compared to the standard Macintosh blade laryngoscope, it provides effective ventilation/oxygenation and intubation in super-obese patients. Keywords: super-obese, intubation, ventilation, laryngeal mask, standard laryngoscope, video laryngoscope https://www.dovepress.com/totaltrack-video-intubating-laryngeal-mask-in-super-obese-patients-nda-peer-reviewed-article-TCRMsuperobeseintubationventilationlaryngeal maskstandard laryngoscopevideo laryngoscope |
| spellingShingle | Gaszynski T TotalTrack video intubating laryngeal mask in super-obese patients – series of cases Therapeutics and Clinical Risk Management superobese intubation ventilation laryngeal mask standard laryngoscope video laryngoscope |
| title | TotalTrack video intubating laryngeal mask in super-obese patients – series of cases |
| title_full | TotalTrack video intubating laryngeal mask in super-obese patients – series of cases |
| title_fullStr | TotalTrack video intubating laryngeal mask in super-obese patients – series of cases |
| title_full_unstemmed | TotalTrack video intubating laryngeal mask in super-obese patients – series of cases |
| title_short | TotalTrack video intubating laryngeal mask in super-obese patients – series of cases |
| title_sort | totaltrack video intubating laryngeal mask in super obese patients ndash series of cases |
| topic | superobese intubation ventilation laryngeal mask standard laryngoscope video laryngoscope |
| url | https://www.dovepress.com/totaltrack-video-intubating-laryngeal-mask-in-super-obese-patients-nda-peer-reviewed-article-TCRM |
| work_keys_str_mv | AT gaszynskit totaltrackvideointubatinglaryngealmaskinsuperobesepatientsndashseriesofcases |