THE ROLE OF LARYNGEAL MASK AIRWAY IN CARDIOPULMONARY-RESUSCITATION

The laryngeal mask airway (LMA) has been newly introduced to anaesthes ia practice as an alternative to the endotracheal tube (ETT) or face m ask for airway management. It is capable of providing a rapid and easi ly achieved patent airway that permits positive pressure ventilation w ithin confined limits. In this study, we aim to evaluate the role of t he LMA in cardiopulmonary resuscitation (CPR) in 20 patients as an alt ernative to tracheal intubation. Study parameters included measurement of oxygen saturation by a pulse oximeter and end-tidal carbon dioxide level (ETCO2) using the Fenem CO2 analyser. Five of these 20 cases we re resuscitated using endotracheal tubes as a control group. Seven cas es were resuscitated using LMA only and eight cases were resuscitated using LMA initially followed by ETT for long term ventilation. In the LMA groups I and III, 12 patients had LMA inserted at the first attemp t and three at a second attempt. We concluded that LMA is a good alter native to ETT, although it may not protect against aspiration. We reco mmend it to be included in CPR chart cards and all medical doctors, nu rses and paramedical staff should learn how to use it.