Indian Journal of Anaesthesia

CLINICAL COMMUNICATION
Year
: 2020  |  Volume : 64  |  Issue : 12  |  Page : 1064--1066

Two manoeuvres to facilitate the oral insertion of LMA CTrach™


Handattu Mahabaleswara Krishna1, Nandhini Joseph2, Karri Pavani3 
1 Department of Anaesthesiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, India
2 Department of Anaesthesiology and Critical Care, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
3 Department of Anaesthesiology, Mamata Academy of Medical Sciences, Bachupally, Hyderabad, Telangana, India

Correspondence Address:
Dr. Handattu Mahabaleswara Krishna
Department of Anesthesiology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal - 576 104, Karnataka
India

Background and Aims: LMA CTrachTM, a new intubating conduit, has a thicker shaft compared to that of the intubating laryngeal mask airway (ILMA) due to the embedded optical fibres of the system. This causes difficulty during insertion despite normal mouth opening. Utility of two manoeuvres to overcome this was evaluated. Methods: From our experience with LMA CTrachTM we found that two manoeuvres can be helpful to facilitate the insertion of LMA (a) dorsal and downward pressure over the shaft at the point where it hinges against the incisors while continuing the one handed rotational insertion of LMA (b) Lateral insertion of the LMA till the cuff is inside the oral cavity and then rotation of the LMA by 90° and then complete the insertion. A retrospective analysis of 200 insertions of LMA CTrachTM was done to evaluate the utility of these manoeuvres. Results: Out of 200 insertions, 15 were found to be difficult. Manoeuvre “a” was applied in 13 cases to facilitate the insertion and manoeuvre “b” was applied in 2 cases where insertion was not possible despite manoeuvre “a'. Insertion was successful in these cases after the application of the described manoeuvres. Conclusion: The two manoeuvres described above can be useful when LMA CTrachTM insertion into the oral cavity is obstructed by the incisor teeth.


How to cite this article:
Krishna HM, Joseph N, Pavani K. Two manoeuvres to facilitate the oral insertion of LMA CTrach™.Indian J Anaesth 2020;64:1064-1066


How to cite this URL:
Krishna HM, Joseph N, Pavani K. Two manoeuvres to facilitate the oral insertion of LMA CTrach™. Indian J Anaesth [serial online] 2020 [cited 2021 Feb 27 ];64:1064-1066
Available from: https://www.ijaweb.org/article.asp?issn=0019-5049;year=2020;volume=64;issue=12;spage=1064;epage=1066;aulast=Krishna;type=0