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ORIGINAL ARTICLE
Year : 2011  |  Volume : 5  |  Issue : 1  |  Page : 48-56

Intubating condition, hemodynamic parameters and upper airway morbidity: A comparison of intubating laryngeal mask airway with standard direct laryngoscopy


1 Department of Anaesthesiology, Indira Gandhi Government General Hospital and Post Graduate Institute, Pondicherry, India
2 Department of Anaesthesiology, Indira Gandhi Government General Hospital and Post Graduate Institute, Pondicherry; Department of Anaesthesiology, Perunthalaivar Kamaraj Medical College & Research Institute, Pondicherry, India

Correspondence Address:
Sandeep Kumar Mishra
Department of Anaesthesiology & Critical Care, Jawaharlal Institute of Post-Graduate Medical Education & Research, Pondicherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0259-1162.84190

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Background: Intubating Laryngeal Mask Airway (ILMA) is a relatively new device designed to have better intubating characteristics than the standard Laryngeal Mask Airway. This study was designed to compare Intubating Laryngeal Mask with standard Direct Laryngoscopy (DLS), taking into account ease of intubation, time taken for intubation, success rate of intubation, hemodynamic responses and upper airway morbidity. Materials and Methods: Sixty patients, ASA I or II, of age between 20 and 60 years, were enrolled in this prospective and randomized study. They were randomly allocated to one of the two groups: group ILMA, Intubating Laryngeal Mask Airway; group DLS, Direct Laryngoscopy. The patients were intubated orally using either equipment after induction of general anesthesia. Results and Conclusions: DLS is comparatively a faster method to secure tracheal intubation than Intubating Laryngeal Mask. ILMA offers no advantage in attenuating the hemodynamic responses compared to direct laryngoscope. The success rate of intubation through Intubating Laryngeal Mask is comparable with that of DLS. The upper airway morbidity and mean oxygen saturation are comparable in both the groups.


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