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Published on: February 28, 2012
An evaluation of the modified Airway Management Device
R Sivasankar1, U B Bahlmann, M R Stacey
1Department of Anaesthetics, University Hospital of Wales, Cardiff CF14 4XW, UK. rs_sankar123@hotmail.com
Anaesthesia
|July 9, 2003
Summary
The modified Airway Management Device (AMD) demonstrated easy insertion and removal in anesthetized patients. However, airway loss occurred in 20% of patients, particularly males, necessitating alternative airway management.
Area of Science:
- Anesthesiology
- Airway Management
Background:
- Securing a patient's airway is critical during anesthesia.
- Existing devices may present challenges in insertion, maintenance, or patient comfort.
Purpose of the Study:
- To evaluate the safety and efficacy of a modified Airway Management Device (AMD) in spontaneously breathing anesthetized patients.
Main Methods:
- Prospective evaluation of the modified AMD in 60 spontaneously breathing anesthetized patients.
- Assessed ease of insertion/removal, first-attempt success rate, and incidence of airway loss.
- Monitored device dislodgement, need for adjuncts or tracheal intubation, and patient-reported outcomes (sore throat, bleeding).
Main Results:
- Device insertion and removal were easy and atraumatic.
- Successful airway secured on the first attempt in 70% of patients.
- Airway loss occurred in 20% of patients, with a higher failure rate in males (33%) versus females (6%).
- Three patients (6%) had blood on removal; 18% reported sore throat post-removal.
Conclusions:
- The modified AMD is easy to use but has a significant risk of airway loss, especially in male patients.
- Further research is needed to improve airway stability and reduce adverse events associated with the AMD.
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