The laryngeal mask airway and the tracheal route for drug administration

Br J Anaesth. 1997 Feb;78(2):220-1. doi: 10.1093/bja/78.2.220.

Abstract

We undertook a study to observe if a preformed curved plastic cannula, the Trachojet, could be passed blindly down a laryngeal mask airway into the trachea in 100 anaesthetized patients. Using air aspiration and a fibreoptic scope to confirm placement of the cannula, it passed into the trachea in only 27% of patients. The air aspiration technique used for detecting tracheal cannulation was 100% successful when the cannula was inserted fully. We conclude that it may not be possible to gain access to the trachea with a Trachojet for drug administration if a laryngeal mask airway is used to maintain the patient's airway.

Publication types

  • Clinical Trial

MeSH terms

  • Administration, Oral
  • Adult
  • Aged
  • Aged, 80 and over
  • Anesthesia, General
  • Cardiopulmonary Resuscitation*
  • Catheterization, Peripheral / instrumentation
  • Catheterization, Peripheral / methods*
  • Humans
  • Intubation, Intratracheal
  • Laryngeal Masks*
  • Middle Aged