Use of Totaltrack VLM as a rescue device after failed ventilation and tracheal intubation with LMA Fastrach in emergent difficult airways

• Published in: Journal of clinical anesthesia Vol. 52; pp. 29 - 30
• Main Authors: Gómez-Ríos, Manuel Ángel, Freire-Vila, Enrique, Abad-Gurumeta, Alfredo, Barreto-Calvo, Purísima, Calvo-Vecino, José María
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2019; Elsevier Limited
• Subjects: Airway management; Intubation; Ventilators; California; Spain
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2018.08.020

The failure of one technique increases the risk of failure of successive techniques, which raises the number of attempts and the risk of progression to a “cannot intubate, cannot oxygenate” situation (CICO). [...]limiting the number of interventions and achieving a timely nontraumatic endotracheal intubation (ETI) are the main goals in airway management [2,3]. The intubating laryngeal mask airway (ILMA) plays an indispensable role as primary and rescue device in difficult airway by providing both a patent airway to establish ventilation in patients and acting as a conduit for ETI [2,3]. An adequate view of the glottis leads to a high first-attempt ETI rate. [...]this device simplifies plan A and plan B of the difficult airway algorithm facilitating progression through the airway pathway.