Fiberoptic intubation LMA in bronchoscopy diagnosis and treatment

Bronchoscopy is an important tool in the clinical diagnosis and treatment of respiratory diseases. In China, up to 5 million patients undergo bronchoscopy each year. In bronchoscopy operation, fiberoptic intubation through lma ventilation is currently the most popular airway management method, and its popularity is increasing.

Commonly ventilation methods in bronchoscopy

Except fiberoptic intubation lma, at present, there are the following commonly used ventilation methods in bronchoscopy. The are some advantages and disadvantages as below.

1. Mask oxygenation: a simple bronchoscopic operation with a short period of time.

2. High-frequency ventilation: suitable for (bronchoscopy) under deep sedation or intravenous anesthesia. It is more irritating to the patient’s airway and more difficult for the physician to operate.

3. tracheal intubation + Y-type connecting tube: the ventilation effect is reliable. However, the damage is big, the anesthesia dosage is big, and the recovery is slow. It’s too big to use.

However, fiberoptic intubation through lma is a preferable choice during bronchoscopy diagnosis and treatment.

1. It is convenient for the bronchoscopy operator to observe the lesions in the vocal folds and trachea;

2. There is high level of patient tolerance and comfort;

3. There is a high success rate as laryngeal mask is easier to insert. It aids in spontaneous and controlled ventilation, and avoids endotracheal mucosal injury;

4. It can be tolerated by patients under shallow anesthesia, and the incidence of coughing during recovery from anesthesia is low;

5. Suitable for more complicated and longer endobronchial diagnostic and therapeutic operations under general anesthesia.

Dami fiberoptic intubation lma

Dami laryngeal mask is an airway tool specially developed for bronchoscopic diagnostic and therapeutic operations. With years of clinical experience, Dr. Xia Min has designed a special laryngeal mask based on the innovative DM anesthesia laryngeal mask, which is more convenient for fiberoptic bronchoscopy and tracheal tube insertion. The laryngeal mask has a large-diameter inlet, which makes the operation more convenient.

Learn more about Dami laryngeal mask

REF: Eur J Anaesthesiol / 1993 Sep;10(5):363-5. / Fibreoptic bronchoscopy under general anaesthesia using the laryngeal mask airway