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Anesth Analg 2004;99:1553-1559
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000134798.00069.2B

GENERAL ARTICLES

A Proposed Classification and Scoring System for Supraglottic Sealing Airways: A Brief Review

Donald M. Miller, MB ChB, FFA (SA), PhD

Department of Anaesthetics, Guy’s, King’s and St. Thomas’ School of Medicine, King’s College, London

Address correspondence and reprint requests to Donald M. Miller, MB, ChB, FFA (SA), PhD, Guy’s, King’s and St. Thomas’ Department of Anesthetics, Second Floor, NGH, Guy’s Hospital, London SE1 9RT, UK. Address e-mail to donald.miller{at}kcl.ac.uk

We provide an approach to evaluating sealing supraglottic airways by using a classification based on a sealing mechanism. Three main sealing mechanisms are identified, thus defining three groups: cuffed perilaryngeal sealers, cuffed pharyngeal sealers, and uncuffed anatomically preshaped sealers. We provide a brief overview of supraglottic airways and present a scoring system that is relevant to particular requirements. Scoring airways for routine applications is the example provided.

IMPLICATIONS: This brief preliminary review of supraglottic sealing airways provides a rational systematic approach to understanding airway devices and a suggested scoring method to enhance appreciation of their merits and differences.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.