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Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)
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Laryngeal tube suction II for difficult airway management in neonates and small infants

Bertram Scheller1, Richard Schalk, Christian Byhahn

  • 1Department of Anaesthesiology, Intensive Care Medicine and Pain Management, Goethe-University Medical School, Frankfurt/Main, Germany. scheller@em.uni-frankfurt.de

Resuscitation
|May 5, 2009
PubMed

Insights

The laryngeal tube suction II (LTS II) offers a 100% success rate for securing difficult pediatric airways when other methods fail. This device is recommended as a first-line option for emergency airway management in infants.

Area of Science:

  • Anesthesiology
  • Pediatric Emergency Medicine
  • Airway Management

Background:

  • Difficult pediatric airways pose significant challenges for clinicians.
  • Supraglottic airway devices, like the laryngeal mask, have improved management.
  • The laryngeal tube suction II (LTS II) is a newer supraglottic airway device.

Observation:

  • The LTS II was used in 10 cases of difficult airway management in infants under 6 months.
  • A modified insertion technique was employed for all cases.
  • Ease of placement was reported by all users.

Findings:

  • The LTS II demonstrated a 100% success rate in securing the airway.
  • It successfully rescued airways when other techniques failed.
  • All insertions were successful on the first attempt.

Implications:

  • The LTS II's suction port allows for gastric tube placement and management of gastric contents.
  • It is recommended as a first-line device for emergency airway management when direct laryngoscopy fails or is impractical.
  • Clinical experience and familiarity with the LTS II are crucial for safe and effective use.
Abstract

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