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The use of laryngeal mask airway SupremeTM in rescue airway situation in the critical care unit

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Singapore Med J 2014; 55(12): e205-e206; http://dx.doi.org/10.11622/smedj.2014187
The use of laryngeal mask airway SupremeTM in rescue airway situation in the critical care unit

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Siddiqui S, Seet E, Chan WY
Correspondence: Dr Edwin Seet, seetedwin@gmail.com

ABSTRACT
We herein report a witnessed cardiopulmonary collapse of a patient with difficult mask ventilation and near-impossible laryngoscopy-cum-intubation in the critical care unit. The airway was successfully rescued with a laryngeal mask airway SupremeTM, followed by an open, crash tracheostomy by the otolaryngologist.

Keywords: critical care unit, difficult airway, supraglottic airway, tracheostomy
Singapore Med J 2014; 55(12): e205-e206; http://dx.doi.org/10.11622/smedj.2014187

http://smj.org.sg/sites/default/files/5512/5512cr5.pdf

REFERENCES

1. Cook TM, Woodall N, Harper J, Benger J. Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth 2011; 106:632-42.
http://dx.doi.org/10.1093/bja/aer059
 
2. Apfelbaum JL, Hagberg CA, Caplan RA, et al. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118:251-70.
http://dx.doi.org/10.1097/ALN.0b013e31827773b2
 
3. Jaber S, Amraoui J, Lefrant JY, et al. Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med 2006; 34:2355?61.
http://dx.doi.org/10.1097/01.CCM.0000233879.58720.87
 
4. Seet E, Rajeev S, Firoz T, et al. Safety and efficacy of laryngeal mask airway Supreme versus laryngeal mask airway ProSeal: a randomized controlled trial. Eur J Anaesthesiol 2010; 27:602-7.
http://dx.doi.org/10.1097/EJA.0b013e32833679e3
 
5. Lavery GG, McCloskey BV. The difficult airway in adult critical care. Crit Care Med 2008; 36:2163-73.
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6. Lim MS, Hunt-Smith JJ. Difficult airway management in the intensive care unit: practical guidelines. Crit Care Resusc 2003; 5:43-52.
PMid:16573455
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