Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-optic

This study compared Air-Q and Intubating LMA when used as a conduit for endotracheal intubation. Methods: One hundred patients scheduled for surgical operations under general anesthesia were randomly allocated into two equal groups (n = 50). Group I: Air-Q and group II: Intubating Laryngeal Mask Air...

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Main Authors: Talaat M. Abdel-Halim, Mostafa A. Abo El Enin, Mohsen M. Elgoushi, Mohammed G. Afifi, Hesham S. Atwa
Format: Article
Language:English
Published: Taylor & Francis Group 2014-04-01
Series:Egyptian Journal of Anaesthesia
Subjects:
FOB
Online Access:http://www.sciencedirect.com/science/article/pii/S1110184913001128
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spelling doaj-931ee468e3304339ad54027182a7619e2020-11-25T00:56:29ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492014-04-0130210711310.1016/j.egja.2013.10.004Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-opticTalaat M. Abdel-HalimMostafa A. Abo El EninMohsen M. ElgoushiMohammed G. AfifiHesham S. AtwaThis study compared Air-Q and Intubating LMA when used as a conduit for endotracheal intubation. Methods: One hundred patients scheduled for surgical operations under general anesthesia were randomly allocated into two equal groups (n = 50). Group I: Air-Q and group II: Intubating Laryngeal Mask Airway (ILMA) in both groups intubation was done by Fiberoptic bronchoscope (FOB) through study device. After induction of anesthesia, patients were ventilated with Air-Q or ILMA. Then, endotracheal tube (ETT) was inserted through study device. Recorded measurements were as follows: number of attempts and duration of insertion of device, peak airway pressure and fiberoptic grading of laryngeal view. Also, we recorded number of attempts and duration of insertion of ETT and the incidence of blood stain on device and sore throat grading. Results: Duration of insertion of Air-Q was 13.300 ± 3.471 s, whilst that of ILMA was 19.640 ± 4.737 s (p < 0.001). In group I, peak airway pressure was 26.400 ± 2.176 cmH2O, whilst, in group II, it was 25.260 ± 1.468 cmH2O (p < 0.01). Full view of vocal cords amounted to 78% and 26% of Groups I and II patients, respectively (p < 0.001). Time of insertion of ETT was 33.5 ± 6.795 s in group I, whilst in group II, it was 39.5 ± 6.566 s (p < 0.001). Blood stain was found on supraglottic device in 46% and 22% of cases in Groups I and II, respectively (p < 0.01). Conclusion: Air-Q proved to be an excellent conduit for endotracheal intubation compared to the ILMA.http://www.sciencedirect.com/science/article/pii/S1110184913001128Air-QFastrach LMAFOBIntubationConduit
collection DOAJ
language English
format Article
sources DOAJ
author Talaat M. Abdel-Halim
Mostafa A. Abo El Enin
Mohsen M. Elgoushi
Mohammed G. Afifi
Hesham S. Atwa
spellingShingle Talaat M. Abdel-Halim
Mostafa A. Abo El Enin
Mohsen M. Elgoushi
Mohammed G. Afifi
Hesham S. Atwa
Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-optic
Egyptian Journal of Anaesthesia
Air-Q
Fastrach LMA
FOB
Intubation
Conduit
author_facet Talaat M. Abdel-Halim
Mostafa A. Abo El Enin
Mohsen M. Elgoushi
Mohammed G. Afifi
Hesham S. Atwa
author_sort Talaat M. Abdel-Halim
title Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-optic
title_short Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-optic
title_full Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-optic
title_fullStr Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-optic
title_full_unstemmed Comparative study between Air-Q and Intubating Laryngeal Mask Airway when used as conduit for fiber-optic
title_sort comparative study between air-q and intubating laryngeal mask airway when used as conduit for fiber-optic
publisher Taylor & Francis Group
series Egyptian Journal of Anaesthesia
issn 1110-1849
publishDate 2014-04-01
description This study compared Air-Q and Intubating LMA when used as a conduit for endotracheal intubation. Methods: One hundred patients scheduled for surgical operations under general anesthesia were randomly allocated into two equal groups (n = 50). Group I: Air-Q and group II: Intubating Laryngeal Mask Airway (ILMA) in both groups intubation was done by Fiberoptic bronchoscope (FOB) through study device. After induction of anesthesia, patients were ventilated with Air-Q or ILMA. Then, endotracheal tube (ETT) was inserted through study device. Recorded measurements were as follows: number of attempts and duration of insertion of device, peak airway pressure and fiberoptic grading of laryngeal view. Also, we recorded number of attempts and duration of insertion of ETT and the incidence of blood stain on device and sore throat grading. Results: Duration of insertion of Air-Q was 13.300 ± 3.471 s, whilst that of ILMA was 19.640 ± 4.737 s (p < 0.001). In group I, peak airway pressure was 26.400 ± 2.176 cmH2O, whilst, in group II, it was 25.260 ± 1.468 cmH2O (p < 0.01). Full view of vocal cords amounted to 78% and 26% of Groups I and II patients, respectively (p < 0.001). Time of insertion of ETT was 33.5 ± 6.795 s in group I, whilst in group II, it was 39.5 ± 6.566 s (p < 0.001). Blood stain was found on supraglottic device in 46% and 22% of cases in Groups I and II, respectively (p < 0.01). Conclusion: Air-Q proved to be an excellent conduit for endotracheal intubation compared to the ILMA.
topic Air-Q
Fastrach LMA
FOB
Intubation
Conduit
url http://www.sciencedirect.com/science/article/pii/S1110184913001128
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