Prague Med. Rep. 2014, 115, 87-103

https://doi.org/10.14712/23362936.2014.40

Airway Management Evolution – In a Search for an Ideal Extraglottic Airway Device

Pavel Michálek1,2, Donald M. Miller3

1Department of Anaesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic
2University of East Anglia, Norwich, United Kingdom
3Department of Anaesthetics, Guys Hospital, London, United Kingdom

Received June 19, 2014
Accepted November 18, 2014

References

1. Alexiev, V., Salim, A., Kevin, L. G., Laffey, J. G. (2012) An observational study of the Baska® mask: a novel supraglottic airway. Anaesthesia 67, 640–645. <https://doi.org/10.1111/j.1365-2044.2012.07140.x>
2. Alexiev, V., Ochana, A., Abdelrahman, D., Coyne, J., McDonnell, J. G., O’Toole, D. P., Neligan, P., Laffey, J. G. (2013) Comparison of the Baska® mask with the single-use laryngeal mask airway in low-risk female patients undergoing ambulatory surgery. Anaesthesia 68, 1026–1032. <https://doi.org/10.1111/anae.12356>
3. Arslan, Z. Y., Ozdamar, D., Yildiz, T. S., Solak, Z. M., Toker, K. (2012) Tracheal intubation in morbidly obese patients: a comparison of the Intubating Laryngeal Mask AirwayTM and Laryngeal Mask Airway CTrachTM. Anaesthesia 67, 261–265. <https://doi.org/10.1111/j.1365-2044.2011.06991.x>
4. Asai, T., Shingu, T. (2005) The laryngeal tube. Br. J. Anaesth. 95, 729–736. <https://doi.org/10.1093/bja/aei269>
5. Asai, T., Goy, R. W., Liu, E. H. (2007) Cricoid pressure prevents placement of the laryngeal tube and laryngeal tube-suction II. Br. J. Anaesth. 99, 282–285. <https://doi.org/10.1093/bja/aem159>
6. Bakker, J., Valkenburg, M., Galvin, E. M. (2010) Pilot study of the air-Q intubating laryngeal airway in clinical use. Anaesth. Intensive Care 38, 346–348. <https://doi.org/10.1177/0310057X1003800217>
7. Baskett, P. J., Parr, M. J., Nolan, J. P. (1998) The intubating laryngeal mask. Results of a multicentre trial with experience of 500 cases. Anaesthesia 53, 1174–1179. <https://doi.org/10.1046/j.1365-2044.1998.00614.x>
8. Bernardini, A., Natalini, G. (2009) Risk of pulmonary aspiration with laryngeal mask airway and tracheal tube: analysis on 65 712 procedures with positive pressure ventilation. Anaesthesia 64, 1289–1294. <https://doi.org/10.1111/j.1365-2044.2009.06140.x>
9. Brain, A. I. J. (1983) The laryngeal mask – a new concept in airway management. Br. J. Anaesth. 55, 801–805. <https://doi.org/10.1093/bja/55.8.801>
10. Brain, A. I. J, Verghese, C., Strube, P., Brimacombe, J. (1995) A new laryngeal mask prototype – preliminary evaluation of seal pressures and glottic isolation. Anaesthesia 50, 42–48. <https://doi.org/10.1111/j.1365-2044.1995.tb04513.x>
11. Brain, A. I., Verghese, C., Strube, P. J. (2000) The LMA ProSeal – a laryngeal mask with an oesophageal vent. Br. J. Anaesth. 84, 650–654. <https://doi.org/10.1093/bja/84.5.650>
12. Brimacombe, J. (1995) The advantages of the LMA over the tracheal tube or facemask: a meta-analysis. Can. J. Anaesth. 42, 1017–1023. <https://doi.org/10.1007/BF03011075>
13. Brimacombe, J. (2004) A proposed classification system for extraglottic airway devices. Anesthesiology 101, 559. <https://doi.org/10.1097/00000542-200408000-00054>
14. Brimacombe, J. R., Berry, A. (1995) The incidence of aspiration associated with the laryngeal mask airway: a meta-analysis of published literature. J. Clin. Anesth. 7, 297–305. <https://doi.org/10.1016/0952-8180(95)00026-E>
15. Brimacombe, J., Keller, C. (1999) A comparison of the flexible and standard laryngeal mask airways. Can. J. Anaesth. 46, 558–563. <https://doi.org/10.1007/BF03013546>
16. Brimacombe, J. R., Wenzel, V., Keller, C. (2007) The ProSeal laryngeal mask airway in prone patients: a retrospective audit of 245 patients. Anaesth. Intensive Care 35, 222–225. <https://doi.org/10.1177/0310057X0703500211>
17. Campbell, J., Michalek, P., Deighan, M. (2009) I-gel supraglottic airway for rescue airway management and as a conduit for tracheal intubation in a patient with acute respiratory failure. Resuscitation 80, 963. <https://doi.org/10.1016/j.resuscitation.2009.04.037>
18. Cha, S. M., Park, S., Kang, H., Baek, C. W., Jung, Y. H., Cha, Y. J., In, J. (2014) Gastric distension with SLIPA versus LMA ProSeal during laparoscopic cholecystectomy: a randomized trial. Surg. Laparosc. Endosc. Percutan. Tech. 24, 216–220. <https://doi.org/10.1097/SLE.0b013e3182905bb6>
19. Chen, X., Jiao, J., Cong, X., Liu, L., Wu, X. (2013) A comparison of the performance of the i-gelTM vs. the LMA-STM during anesthesia: a meta-analysis of randomized controlled trials. PLoS One 8, e71910. <https://doi.org/10.1371/journal.pone.0071910> <PubMed>
20. Clery, G., Brimacombe, J., Stone, T., Keller, C., Curtis, S. (2003) Routine cleaning and autoclaving does not remove protein deposits from reusable laryngeal mask devices. Anesth. Analg. 97, 1189–1191. <https://doi.org/10.1213/01.ANE.0000080154.76349.5B>
21. Cook, T., Howes, B. (2011) Supraglottic airway devices: recent advances. Contin. Educ. Anaesth. Crit. Care Pain 11, 56–61. <https://doi.org/10.1093/bjaceaccp/mkq058>
22. Cook, T. M., Woodall, N., Frerk, C.; Fourth National Audit Project (2011) 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 1: anaesthesia. Br. J. Anaesth. 106, 617–631. <https://doi.org/10.1093/bja/aer058>
23. Deakin, C. D., Clarke, T., Nolan, J., Zideman, D. A., Gwinnutt, C., Moore, F., Ward, M., Keeble, C., Blancke, W. (2010) A critical reassessment of ambulance service airway management in prehospital care: Joint Royal Colleges Ambulance Liason Committee Airway Working Group, June 2008. Emerg. Med. J. 27, 226–233. <https://doi.org/10.1136/emj.2009.082115>
24. Demaegd, J., Soetens, F., Herregods, L. (2006) Latex allergy: a challenge for anaesthetists. Acta Anaesthesiol. Belg. 57, 127–135.
25. Donaldson, W., Abraham, A., Deighan, M., Michalek, P. (2011) i-gelTM vs. AuraOnceTM laryngeal mask for general anaesthesia with controlled ventilation in paralyzed patients. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc Czech Repub. 155, 155–163. <https://doi.org/10.5507/bp.2011.023>
26. Drolet, P. (2009) Supraglottic airways and pulmonary aspiration: the role of the drain tube. Can. J. Anaesth. 56, 715–720. <https://doi.org/10.1007/s12630-009-9156-0>
27. Frass, M., Frenzer, R., Zdrahal, F., Hoflehner, G., Porges, P., Lackner, F. (1987) The esophageal tracheal combitube: preliminary results with a new airway for CPR. Ann. Emerg. Med. 16, 768–772. <https://doi.org/10.1016/S0196-0644(87)80571-1>
28. Genzwuerker, H. V., Altmayer, S., Hinkelbein, J., Gernoth, C., Viergutz, T., Ocker, H. (2007) Prospective randomized comparison of the new Laryngeal Tube Suction LTS II and the LMA-ProSeal for elective surgical interventions. Acta Anaesthesiol. Scand. 51, 1373–1377. <https://doi.org/10.1111/j.1399-6576.2007.01440.x>
29. Greenwood, J., Green, N., Power, G. (2006) Protein contamination of the laryngeal mask airway and its relationship to re-use. Anaesth. Intensive Care 34, 343–346. <https://doi.org/10.1177/0310057X0603400312>
30. Hamaguchi, T., Noguchi-Shinohara, M., Nozaki, I., Nakamura, Y., Sato, T., Kitamoto, T., Mizusawa, H., Yamada, M. (2009) Medical procedures and risk for sporadic Creutzfeldt-Jakob disease, Japan, 1999–2008. Emerg. Infect. Dis. 15, 265–271. <https://doi.org/10.3201/eid1502.080749> <PubMed>
31. Haridas, R. P. (2011) The Leech airway or pharyngeal bulb gasway. Anaesth. Intensive Care 39, S5–S10.
32. Henderson, J. J., Popat, M. T., Latto, I. P., Pearce, A. C. (2004) Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 59, 675–694. <https://doi.org/10.1111/j.1365-2044.2004.03831.x>
33. Hernandez, M. R., Klock, P. A. Jr., Ovassapian, A. (2012) Evolution of extraglottic airway: a review of its history, applications, and practical tips for success. Anesth. Analg. 114, 349–368. <https://doi.org/10.1213/ANE.0b013e31823b6748>
34. Hooshangi, H., Wong, D. T. (2008) Brief review: the Cobra Peri-laryngeal Airway (Cobra PLA®) and Streamlined Liner of the Pharyngeal Airway (SLIPATM) supraglottic airways. Can. J. Anaesth. 55, 177–185. <https://doi.org/10.1007/BF03016093>
35. Keller, C., Brimacombe, J., Bittersohl, J., Lirk, P., von Goedecke, A. (2004) Aspiration and the laryngeal mask airway: three cases and a review of the literature. Br. J. Anaesth. 93, 579–582. <https://doi.org/10.1093/bja/aeh228>
36. Khazin, V., Ezri, T., Yishai, R., Sessler, D. I., Serour, F., Szmuk, P., Evron, S. (2008) Gastroesophageal regurgitation during anesthesia and controlled ventilation with six airway devices. J. Clin. Anesth. 20, 508–513. <https://doi.org/10.1016/j.jclinane.2008.05.014>
37. Lange, M., Smul, T., Zimmermann, P., Kohlenberger, R., Roewer, N., Kehl, F. (2007) Effectiveness and patient comfort of the novel Streamlined Pharynx Airway Liner (SLIPA) compared with the conventional Laryngeal Mask Airway in opthalmic surgery. Anesth. Analg. 104, 431–434. <https://doi.org/10.1213/01.ane.0000252460.94046.7c>
38. Laurenson, I. F., Whyte, A. S., Fox, C., Babb, J. R. (1999) Contaminated surgical instruments and variant Creutzfeldt-Jakob disease. Lancet 354, 1823–1824. <https://doi.org/10.1016/S0140-6736(05)70594-8>
39. Leech, B. C. (1937) The pharyngeal bulb gasway: a new aid in cyclopropane anesthesia. Curr. Res. Anesth. Analg. 16, 22–25. <https://doi.org/10.1213/00000539-193701000-00008>
40. Levitan, R. M., Kinkle, W. C. (2005) Initial anatomic investigation of the i-gel airway: a novel supraglottic airway without inflatable cuff. Anaesthesia 60, 1022–1026. <https://doi.org/10.1111/j.1365-2044.2005.04258.x>
41. Lim, B. G., Kim, K. J., Kong, M. H., Kim, N. S., Lim, S. H., Lee, M. K., Lee, I. O. (2012) SLIPATM may be more useful than other LMADs for difficult airway management. Can. J. Anesth. 59, 120–121. <https://doi.org/10.1007/s12630-011-9605-4>
42. McAleavey, F., Michalek, P. (2010) Aura-i laryngeal mask as a conduit for elective fibreoptic intubation. Anaesthesia 65, 1151. <https://doi.org/10.1111/j.1365-2044.2010.06528.x>
43. Michalek, P., Donaldson, W., Theiler, L. (2013) The use of the i-gel in anaesthesia – Facts and fiction in 2013. Trends in Anaesthesia and Critical Care 3, 246–251. <https://doi.org/10.1016/j.tacc.2013.06.002>
44. Miller, D. M. (2004) A proposed classification and scoring system for supraglottic sealing airways: a brief review. Anesth. Analg. 99, 1553–1559. <https://doi.org/10.1213/01.ANE.0000134798.00069.2B>
45. Miller, D. M. (2011) A conceptual ideal supraglottic airway. Anest. Intenziv. Med. 22, 149–152.
46. Miller, D. M. (2013) Re-classification of extraglottic/supralaryngeal airway devices. In: The i-gel Supraglottic Airway, eds. Michalek, P., Donaldson, W., pp. 15–28, Nova Biomedical, New York.
47. Miller, D. M., Lavelle, M. (2002) A Streamlined Pharynx Airway Liner: pilot study in 22 patients in controlled and spontaneous ventilation. Anesth. Analg. 94, 759–761. <https://doi.org/10.1097/00000539-200203000-00052>
48. Miller, D. M., Light, D. (2003) Laboratory and clinical comparisons of the Streamlined Liner of the Pharynx Airway (SLIPA) with the laryngeal mask airway. Anaesthesia 58, 136–142. <https://doi.org/10.1046/j.1365-2044.2003.02962.x>
49. Miller, D. M., Camporota, L. (2006) Advantages of ProSeal and SLIPA airways over tracheal tubes for gynecological laparoscopies. Can. J. Anaesth. 53, 188–193. <https://doi.org/10.1007/BF03021826>
50. Miller, D. M., Youkhana, I., Karunaratne, W. U., Pearce, A. (2001) Presence of protein deposits on cleaned re-usable anaesthetic equipment. Anaesthesia 56, 1069–1072. <https://doi.org/10.1046/j.1365-2044.2001.02277.x>
51. Natalini, G., Franceschetti, M. E., Pantelidi, M. T., Rosano, A., Lanza, G., Bernardini, A. (2003) Comparison of the standard laryngeal mask airway and the ProSeal laryngeal mask airway in obese patients. Br. J. Anaesth. 90, 323–326. <https://doi.org/10.1093/bja/aeg060>
52. Nicholson, A., Cook, T. M., Smith, A. F., Lewis, S. R., Reed, S. S. (2013) Supraglottic airway devices versus tracheal intubation for airway management during general anaesthesia in obese patients. Cochrane Database Syst. Rev. 9, CD010105.
53. Niemann, J. T., Rosborough, J. P., Myers, R., Scarberry, E. N. (1984) The pharyngo-tracheal lumen airway: preliminary investigation of a new adjunct. Ann. Emerg. Med. 13, 591–596. <https://doi.org/10.1016/S0196-0644(84)80280-2>
54. Nishiyama, T., Kohno, Y., Kim, H. J., Shin, W. J., Yang, H. S. (2012) The effects of pre-warming the i-gel on fitting to laryngeal structure. Am. J. Emerg. Med. 30, 1756–1759. <https://doi.org/10.1016/j.ajem.2012.02.009>
55. Ostermayer, D. G., Gausche-Hill, M. (2014) Supraglottic airways: the history and current state of prehospital airway adjuncts. Prehosp. Emerg. Care 18, 106–115. <https://doi.org/10.3109/10903127.2013.825351>
56. Patki, A. (2011) Laryngeal mask airway vs. the endotracheal tube in paediatric airway management: a meta-analysis of prospective randomised controlled trials. Indian J. Anaesth. 55, 537–541. <https://doi.org/10.4103/0019-5049.89900> <PubMed>
57. Pollart, S. M., Warniment, C., Mori, T. (2009) Latex allergy. Am. Fam. Physician 80, 1413–1418.
58. Renes, S. H., Zwart, R., Scheffer, G. J., Renes, S. (2011) Lingual nerve injury following the use of an i-gel laryngeal mask. Anaesthesia 66, 226–227. <https://doi.org/10.1111/j.1365-2044.2011.06636.x>
59. Richards, E., Brimacombe, J., Laupau, W., Keller, C. (2006) Protein cross-contamination during batch-cleaning and autoclaving of the ProSealTM laryngeal mask airway. Anaesthesia 61, 431–433. <https://doi.org/10.1111/j.1365-2044.2006.04550.x>
60. Richez, B., Saltel, L., Banchereau, F., Torrielli, R., Cros, A. M. (2008) A new single use supraglottic airway device with a non-inflatable cuff and an esophageal vent: an observational study of the i-gel. Anesth. Analg. 106, 1137–1139. <https://doi.org/10.1213/ane.0b013e318164f062>
61. Russo, S. G., Cremer, S., Mühlhäuser, U., Eich, C., Quintel, M., Bauer, M. (2012) Investigating the fluid seal of supraglottic airway devices in humans using indicator dye via the drainage tube: a potential roadmap for future studies. Open Journal of Anesthesiology 2, 18–22. <https://doi.org/10.4236/ojanes.2012.22006>
62. Schmidbauer, W., Bercker, S., Volk, T., Bogusch, G., Mager, G., Kemer, T. (2009) Oesophageal seal of the novel supralaryngeal device i-gel in comparison with the laryngeal mask airways Classic and ProSeal using a cadaver model. Br. J. Anaesth. 102, 135–139. <https://doi.org/10.1093/bja/aen319>
63. Shafei, H., el-Kholy, A., Azmy, S., Ebrahim, M., al-Ebrahim, K. (1997) Vocal cord dysfunction after cardiac surgery: an overlooked complication. Eur. J. Cardiothorac. Surg. 11, 564–566. <https://doi.org/10.1016/S1010-7940(96)01068-8>
64. Shipway, F. (1935) Airway for intranasal operations. Br. Med. J. 1, 767.
65. Tanabe, S., Ogawa, T., Akahane, M., Koike, S., Horiguchi, H., Yasunaga, H., Mizoguchi, T., Hatanaka, T., Yokota, H., Imamura, T. (2013) Comparison of neurological outcome between tracheal intubation and supraglottic airway device insertion of out-of-hospital cardiac arrest patients: a nationwide, population-based, observational study. J. Emerg. Med. 44, 389–397. <https://doi.org/10.1016/j.jemermed.2012.02.026>
66. Tanaka, A., Isono, S., Ishikawa, T., Sato, J., Nishino, T. (2003) Laryngeal resistance before and after minor surgery: endotracheal tube versus Laryngeal Mask Airway. Anesthesiology 99, 252–258. <https://doi.org/10.1097/00000542-200308000-00005>
67. Theiler, L., Kleine-Brueggeney, M., Urwyler, N., Graf, T., Luyet, C., Greif, R. (2011) Randomized clinical trial of the i-gelTM and Magill tracheal tube or single-use ILMATM and ILMATM tracheal tube for blind intubation in anaesthetised patients with a predicted difficult airway. Br. J. Anaesth. 107, 243–250. <https://doi.org/10.1093/bja/aer102>
68. Timmermann, A. (2011) Supraglottic airways in difficult airway management: successes, failures, use and misuse. Anaesthesia 66, S45–S56. <https://doi.org/10.1111/j.1365-2044.2011.06934.x>
69. van Zundert, T., Gatt, S. (2012) The Baska Mask® – a new concept in self-sealing membrane cuff extraglottic airway devices, using a sump and two gastric drains: a critical evaluation. J. Obstet. Anaesth. Crit. Care 2, 23–30.
70. Verghese, C., Ramaswamy, B. (2008) LMA Supreme – a new single-use LMA with gastric access: a report on its clinical efficacy. Br. J. Anaesth. 101, 405–410. <https://doi.org/10.1093/bja/aen174>
71. Verghese, C., Berlet, J., Kapila, A., Pollard, R. (1998) A clinical assessment of the single use laryngeal mask airway the LMA-UniqueTM. Br. J. Anaesth. 80, 677–679. <https://doi.org/10.1093/bja/80.5.677>
72. Weber, U., Oguz, R., Potura, L. A., Kimberger, O., Kober, A., Tschernko, E. (2011) Comparison of the i-gel and LMA-Unique laryngeal mask airway in patients with mild to moderate obesity during elective short-term surgery. Anaesthesia 66, 481–487. <https://doi.org/10.1111/j.1365-2044.2011.06682.x>
73. Woodall, N. M., Cook, T. M. (2011) National census of airway management techniques used for anaesthesia in the UK: first phase of the Fourth National Audit Project at the Royal College of Anaesthetists. Br. J. Anaesth. 106, 266–271. <https://doi.org/10.1093/bja/aeq339>
74. Yamanaka, H., Hayashi, Y., Watanabe, Y., Uematu, H., Mashimo, T. (2009) Prolonged hoarseness and arytenoid cartilage dislocation after tracheal intubation. Br. J. Anaesth. 103, 452–455. <https://doi.org/10.1093/bja/aep169>
75. Yu, S. H., Beirne, O. R. (2010) Laryngeal mask airways have a lower risk of airway complications compared with endotracheal intubation: a systematic review. J. Oral Maxillofac. Surg. 68, 2359–2376. <https://doi.org/10.1016/j.joms.2010.04.017>
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