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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2017 Oct 12

DOI: 10.23736/S0375-9393.17.12112-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Supraglottic airway devices: indications, contraindications and management

Joanna GORDON, Richard M. COOPER, Matteo PAROTTO

Department of Anesthesia, University of Toronto and University Health Network, Toronto General Hospital, Toronto, ON, Canada


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Supraglottic airway devices (SADs) have become an essential tool in airway management. Over the past three decades, these devices have been increasingly adopted as an alternative to face mask ventilation and/or endotracheal intubation. The range of proposed uses and features have increased significantly. They are used in pre- and in-hospital settings, elective and emergency anesthesia, in spontaneously breathing and ventilated patients, as conduits for intubation, as a bridge to extubation and for airway rescue. With SADs, serious complications such as aspiration and loss of airway are rare and largely preventable. Adequate operator experience, familiarity with the selected device, attention to details and careful patient selection are fundamental to safety and proficiency. In this review, we explore the increasing proposed uses for SADs and discuss possible complications and the management of these.


KEY WORDS: Airway management - Supraglottic device - Endotracheal intubation

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Publication History

Article first published online: October 12, 2017
Manuscript accepted: October 10, 2017
Manuscript revised: September 11, 2017
Manuscript received: March 29, 2017

Cite this article as

Gordon J, Cooper RM, Parotto M. Supraglottic airway devices: indications, contraindications and management. Minerva Anestesiol 2017 Oct 12. DOI: 10.23736/S0375-9393.17.12112-7

Corresponding author e-mail

matteo.parotto@uhn.ca