Safe Extubation with Totaltrack® Video Laryngeal Mask
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July - December 2016 | Vol 1 | Issue 1 | Page : 3-5

Eugenio Martínez Hurtado1, Míriam Sánchez Merchante2

1 1Consultant Anaesthetist in Infanta Leonor University Hospital, Department of Anesthesia and Intensive Care, Madrid. España.
2Consultant Anaesthetist in Alcorcon Foundation University Hospital, Department of Anesthesia and Intensive Care, Madrid. España

How to cite this article:Hurtado EM, Merchante MS. Safe Extubation with Totaltrack® Video Laryngeal Mask. Acad. Anesthesiol. Int. 2016;1(1):3-5.


The endotracheal tube should be removed as soon as the patient no longer requires an artificial airway, and each intubation should result in an extubation at the end of the procedure. The problem is that every extubation could represent a potential reintubation due to extubation maneuver failure. From a safety point of view, tracheal tube implies that a stable airway condition can become unsafe, thus entering a vulnerable and therefore potentially dangerous situation. Respiratory complications after tracheal extubation are associated with significant morbidity and mortality. Planning for tracheal extubation is a critical component of a successful airway management strategy, and Bailey maneuver has been mentioned for safe extubation. Process improvements in this clinical area are still needed because extubation failure may lead to severe outcomes. TotalTrack® Video Laryngeal Mask (VLM), used as a supraglottic airway device in a variation of Bailey extubation method, allows minimally interrupted ventilation during a Two-Phase extubation plannification.

Keywords:Airway, Airway Management, Extubation.

  1. Mort TC. Continuous airway access for the difficult extubation. Anesth Analg 2007;105:1357–62
  2. Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK. Part1: anaesthesia.Br J Anaesth 2011;106:617–31.
  3. Dob DP, Shannon CN, Bailey PM. Efficacy and safety of the laryngeal mask airwayvs Guedel airway following tracheal extubation. Can J Anesth. 1999;46(2):179–181.
  4. Difficult Airway Society Extubation Guidelines Group, Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, et al. DAS Guidelines for the management of tracheal extubation. Anaesthesia 2012;67:318–40.