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The patient's airway was successfully managed using a supraglottic device with aspiration prophylaxis.
Of 41 patients whom non-anesthesiologist emergency physicians were unable to intubate, 32 were ventilated successfully using a supraglottic device and 8 via BMV, and crico-thyrotomy was needed in a single case only (0.12%).
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The authors' center developed a nonintubated technique with spontaneous ventilation with the patient under general anesthesia using a supraglottic airway device.
No laryngoscopic findings were documented in cases with general anesthesia using a supraglottic airway device (LMA ProSeal®, n = 24), in face mask ventilation (n = 2), in infants already endotracheally intubated (n = 174), with tracheostomy (n = 18).
In total, 5377 cases received advanced airway management following cardiac arrest (31.2% using tracheal intubation, 68.9% using a supraglottic airway device).
Generally, the use of a supraglottic device (SGD) and bronchial fiberscope have been shown to be effective for airway maintenance in pediatric anesthesia when there is concern for difficult airway [8].
Glottic narrowing associated with the use of a supraglottic device is an interesting phenomenon, the cause of which is not fully understood.
The laryngeal mask airway (LMA) is a supraglottic device used to administer non-invasive pressure ventilation to adult, paediatric and neonatal patients.
The laryngeal tube (VBM Medizintechnic GmbH, Sulz, Germany) is a supraglottic device designed for airway management in spontaneous or positive-pressure ventilation during anesthesia or in cardiopulmonary resuscitation.
A supraglottic device minimizes airway injury, but it does not completely protect the airway from aspiration.
The three options considered for airway management were tracheal intubation, a supraglottic device, and surgical tracheotomy.
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