LMA CTrach™—Results of our first experience with the fiberoptic intubating laryngeal mask airway in 80 patients

Abstract

We report on our initial clinical experience with the new LMA CTrach™. The intention was to evaluate its suitability in the routine anaesthetic working environment. Method: After inducing general anesthesia and muscle relaxation, the CTrach™ was used in elective patients, and its functionality was tested. We attempted to visualize the level of the vocal cords via the fiberoptic, and to subsequently carry out optically controlled endotracheal intubation. Results: The CTrach™ was used in 80 ASA I-III patients, 10 patients of which had been identified with difficult-to-manage airways. Ventilation via the laryngeal mask and thus securing the airway was possible in all patients. Larynx visualization was achieved in 85% of all cases. Intubation suc-ceeded in 95% at an average of 1.34 intubation attempts per patient. Tracheal intubation failed in 4 patients. Conclusion: LMA CTrach™ allows optically controlled intubation in a large number of patients.