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One of the life-threatening situations during surgery is unintentional tracheal extubation of patient under general anaesthesia in position limiting face access and can cause serious complications if not followed by rapid reintubation [ 1 ]. Sudden extubation which may happen in patient in prone position for example during general anaesthesia for spine surgery may lead to serious complications. There is still no best method of management of these situation in clinical settings [ 1 ]. A securely fastened reinforced cuffed endotracheal tube is still considered the airway of choice for patients in the prone position [ 2 ]. Although some authors suggest that routine intubation using standard Macintosh blade laryngoscope in prone position is possible we think that it can be performed effectively and safely only by experienced anaesthesiologists, requires continuous training [ 3 ]. There are number of papers confirming successful use of supraglottic devices for airway management in anaesthesia patients in prone position. For exapmle Weksler et al. In the interesting brief review of Abrishami et al.
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Standard Delivery Options
Traditionally, general anaesthesia for surgical procedures requiring prone position consists of induction and tracheal intubation in supine position on a trolley, and then patient is turned prone on the operation table and positioned carefully. Even though this approach is familiar to most anaesthesiologists, it is time consuming and requires shift of manpower from other tasks to properly position the patient. In the present study as an alternative to the traditional approach, classic laryngeal mask airway has been used successfully in patients who need controlled ventilation during short, moderate and even long duration surgeries in prone position.
This item has been serviced and is in full working order. Generally very good cosmetic condition, some small signs of previous use, see pictures for more detail. As such, some small scuffs and marks are to be expected. We always aim to highlight any cosmetic issues in the images but if you would like any more information, please get in touch and we'll be happy to help. All delivery and installation charges are based on total order value. To select the best delivery option for you, please click 'change' next to the delivery section in the basket, click the 'estimate' button and select from the available options. The standard delivery options are:. Standard Kerbside Courier Delivery will be a kerbside courier drop only unless otherwise stated , the courier will not be able to enter your property and you will be responsible for moving, relocating and installing the goods. Most new items are delivered flat packed and will require some assembly where applicable. Please consider how you will handle your delivery once it arrives as the courier will be not be able to assist you with getting any items into your property.