2020, Number 1
Use of Totaltrack®, new device for airway in Mexico
Herbas‑Bravo DV, Núñez‑Bacarreza JJ, Ruiz‑López E
Full text
10.35366/CMA201D
Language: Spanish
References: 10
Page: 23-28
PDF size: 309.26 Kb.
ABSTRACT
Introduction: Complications related to airway management represent from 1 to 18%. Totaltrack® is a laryngeal video-mask device with, that allows intubate and ventilate patients with indirect vision through a camera, also have a port to introduce an esophagogastric aspiration probe. Material and methods: The device was evaluated in 57 ASA I-III patients from 18 to 65 years of age undergoing balanced general anesthesia, with and without predictors of difficult airway, without neuromuscular block, it has been made the difficult intubation predictor index before each procedure. During the direct laryngoscopy due to incidental extubation, the Cormack-Lehane assessment was performed. Once the results were obtained, an analysis was made of the use of Totaltrack® in the sealing pressures of the laryngeal mask and the success of tracheal intubation through the device. Results: Of the total number of patients analyzed. The insertion and ventilation were successful in all cases, the static leak and the maximum inflation pressures of the laryngeal mask component were 30 cm of air respectively. The tracheal intubation through the device was successful in all cases, with a mean intubation time of 4.5 ± 0.58 seconds. Gastric insufflation was not observed. The hemodynamic variability was not clinically significant. No significant side effects were reported, the Cormack-Lehane of the two patients incidentally extubated was III in both cases. Conclusions: Yes, the use of Totaltrack® was found useful in all cases. The use of Totaltrack® allows an optimal visualization of the airway, the intubation is not complicated and can be performed with rapid sequence, independently of the difficult intubation predictor index and the Cormack Lehane.REFERENCES
Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database. Anaesthesia. 2015;70:272-281.