Role of the intubating laryngeal mask in airway management

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


With the development of the ILMA, the difficulties with tracheal intubation through the standard LMA are overcome, making it a better, more user-friendly airway management tool. In addition, it is an excellent guide and conduit for fiberoptic intubations. The ILMA has several advantages over the standard LMA when used for tracheal intubation. The rigid, large bore, anatomically curved airway tube allows for insertion of the device without moving the head and neck from a neutral position. In addition, placement of fingers into the oral cavity is not necessary for proper insertion, making one-handed placement possible. The handle also allows for manipulation and stabilization of the ILMA, making it easier to bring the mask into alignment with the glottic opening during tracheal intubation. The ILMA is indicated for securing the airway and for use as a guide for tracheal intubation in anticipated or unanticipated difficult airway situations. Importantly, the ILMA is not suitable for use as a routine airway device and therefore should not be used as an alternative to the standard LMA or the tracheal tube. Furthermore, it should be removed after its use as an airway intubator. Similar to standard LMA, the ILMA does not protect the airway against aspiration and therefore should not be used in elective situations in patients 'at risk' of regurgitation and aspiration. Finally, if used properly, the ILMA should have a positive impact on airway management in the new millennium. As with any instrument used in anesthesia practices, if it is used improperly, bad outcomes are likely to occur.

Original languageEnglish (US)
Pages (from-to)23-33
Number of pages11
JournalProgress in Anesthesiology
Issue number2
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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