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Bari, Nigar
- Second Generation Extraglottic Airway Devices (AMBU, Air-Q & I-LMA): a Comparative Study to Assess the Relative Success Rate in First Attempt and Safety for Blind Tracheal Intubation
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Authors
Affiliations
1 Shri Mahant Inderesh Hospital, Dehradun, Uttrakhand, IN
2 Department of Anaesthesiology, J. N. Medical College, A.M.U., Aligarh 202002, U.P., IN
3 Integral Institute of Medical Sciences & Research, Lucknow, IN
1 Shri Mahant Inderesh Hospital, Dehradun, Uttrakhand, IN
2 Department of Anaesthesiology, J. N. Medical College, A.M.U., Aligarh 202002, U.P., IN
3 Integral Institute of Medical Sciences & Research, Lucknow, IN
Source
Central Journal of ISA, Vol 1, No 2 (2017), Pagination: 49-56Abstract
Background and Aims: Since introduction of classic LMA by Archie Brain, the newer second generation extraglottic airway devices are easily available in the market; the current study was designed to assess and compare the relative success rate of blind endotracheal intubation in first attempt through LMA-Fastrach, Air-Q ILA, and Ambu Aura-i as a primary endpoint. Methods: One hundred and fifty patients aged between 18 and 60 years with ASA physical status I-II, MP Grade 1-II, undergoing elective surgery under general anaesthesia, were enrolled into this prospective, randomised, case-control study to compare the relative success rate of tracheal intubation through LMA- FastrachTM(Group F=50 patients) Air-QTM ILA (Group Q = 50 patients) and AMBU-Aura i (Group A=50 patients) in first attempt via standard PVC tube. Results: First attempt successful intubation through SAD was 92% in group F, 88% in group Q and 84% in Ambu aura i group but no significant difference was seen among the groups. However, tracheal intubation was performed successfully in shorter time with Air Q-ILA (34.91±11.61 sec) as compared to AMBU-Aura and ILMA (36.59±13.92 and 37.66±12.66 sec) which was statistically insignificant (p= 0.599). Conclusion: All the three second generation extraglottic airway devices are reliable and effective can be used as conduit for tracheal intubation safely without any major complication with high success rate.Keywords
Ambu® Aura-iTM, Blind Endotracheal Intubation, Extraglottic Airway Devices, First Attempt Success Rate, LMA- FastrachTM Air-qTM ILA.Full Text
References
- Brain AIJ. The laryngeal mask: A new concept in airway management. Br J Anaesth. 1983; 55:801–5. https://doi.org/10.1093/bja/55.8.801 PMid:6349667
- Caplan R, Benumof JL, Berry FA, Blitt CA, Bode RH, Cheney FW et al. Practice guidelines for management of the difficult airway: A report by the ASA Task Force on Management of the Difficult Airway. Anesthesiology. 1993; 78:597–602 https://doi.org/10.1097/00000542199303000-00028.
- Ferson DZ, Rosenblatt WH, Johansen MJ, Osborn I, Ovassapian A. Use of the Intubating LMA-FastrachTM in 254 Patients with Difficultto-manage Airways. Anesthesiology. 2001; 95(5):1175–81. https:// doi.org/10.1097/00000542-200111000-00022 PMid:11684987.
- Brain AIJ, Verghese C, Addy EV, Kapila A, Brimacombe. The intubating laryngeal mask II: a preliminary clinical report of a new means of intubating the trachea. BJA. 1997; 79:704–9. https://doi.org/10.1093/ bja/79.6.704 PMid:9496199.
- Haleem S, Athar M, Ansari MM, Mahmood A and Fatima N. Air Q® LMA assisted fiberoptic tracheal tube intubation in cervical spine fracture: A rescue technique. Austin J Anesthesia and Analgesia. 2016; 4(1):1044.
- Danha RF, Thompson JL, Popat MT, Pandit JJ. Comparison of fibreopticguided orotracheal intubation through classic and single-use laryngeal mask airways. Anaesthesia. 2005; 60:184–8. https://doi.org/10.1111/j.1365-2044.2004.04045.x PMid:15644018.
- Donaldson W, Abraham A, Deighan M, Michalek P. I-gelvs. Auraoncelaryngeal mask for general anaesthesia with controlled ventilation in paralyzed patients. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2011; 155(2):155–64. https://doi.org/10.5507/bp.2011.023 PMid:21804625.
- Hagberg CA, Jensen FS, Genzwuerker HV, Horber RK, Schmitz BU, Hinkelbein J, et al. A multi center Study of the Ambu Laryngeal Mask in Nonparalyzed, Anesthetized Patients.Anesth Analg. 2005; 101:1862–6. https://doi.org/10.1213/01.ANE.0000184181.92140.7C PMid:16301275.
- Samir EM, Sakr SA. The air-Q as a conduit for fiberoptic aided tracheal intubation in adult patients undergoing cervical spine 10. fixation: A prospective randomized study. Egyptian Journal of Anaesthesia. 2012; 28:133–7. https://doi.org/10.1016/j.egja.2011.12.002.
- Joo H, Rose K. Fastrach: A new intubating laryngeal mask airway: successful use in patients with difficult airways. Can J Anaesth. 1998; 45(3):253–6. https://doi.org/10.1007/BF03012911 PMid:9579264.
- Parr MJA, Gregory M, Baskett PJF. The intubating laryngeal mask. Use in failed and difficult intubation. Anaesthesia. 1998; 53(4):343.8. https://doi.org/10.1046/j.1365-2044.1998.00319.x PMid:9613299.
- El-Ganzouri AR, Marzouk S, Abdelalem N, Yousef M. Blind versus .beroptic laryngoscopic intubation through air Q laryngeal mask airway. Egyptian Journal of Anaesthesia. 2011; 27:213.8. https://doi.org/10.1016/j.egja.2011.07.001.
- Karim YM, Swanson DE. Comparison of blind tracheal intubation through the intubating Laryngeal Mask Airway (LMA Fastrach) and the Air-Q. Anaesthesia. 2011; 66:185.90. https://doi.org/10.1111/j.13652044.2011.06625.x PMid:21320087.
- Neoh EU, Choy YC. Comparison of the air-Q ILATM. and the LMA-FastrachTM. in airway management during general anaesthesia. South Afr J Anaesth Analg 2012; 18(3):150-155. https://doi.org/10.1080/22201173 .2012.10872844.
- Suzanna AB, Liu CY, Rozaidi SW, Ooi JS. Comparison between LMA-Classic and AMBU Aura Once laryngeal mask airway in patients undergoing elective general anaesthesia with positive pressure ventilation. Med J Malaysia. 2011; 66(4):304.7. PMid:22299547.
- Badawi R, Mohamed NN, Al-Haq MMA. Tips and tricks to increase the success rate of blind tracheal intubation through the Air-Q versus the intubating laryngeal mask airway Fastrach. Egypt J Anesth. 2014; 30:59.65. https://doi.org/10.1016/j.egja.2013.08.002.
- Yahaya Z, Teoh W, Dintan NA, Agrawal R. The AMBU Aura-i Laryngeal mask and LMA Supreme: Performance and fibreoptic positioning in unparalysed anaesthetised patients by novices: 19AP5-10. Eur J Anaesthesiol. 2014; 31:284. https://doi.org/10.1097/00003643201406001-00820.
- Jagannathan N, Sohn LE, Sawardekar A, Gordon J, Shah RD, Mukherji II, et al. A randomized trial comparing the Ambu® Aura iTM. with the air-QTM. intubating laryngeal airway as conduits for tracheal intubation in children. Paediatr Anaesth. 2012; 22:1197.204. https://doi.org/10.1111/pan.12024 PMid:22971118.
- Bashandy G, Boules NS. Air-Q the intubating laryngeal airway: Comparative study of hemodynamic stress responses to tracheal intubation via Air-Q and direct laryngoscopy. Egypt J Anesth. 2012; 28(2):95.100. https://doi.org/10.1016/j.egja.2012.01.001
- Joo HS, Rose DK. The intubating laryngeal mask airway with and without fiberoptic guidance. Anesth Analg. 1999; 88:662. 6. https://doi.org/10.1097/00000539-199903000-00036 21.
- El-Ganzouri AR, Marzouk S, Abdelalem N, Yousef M. Blind versus .beroptic laryngoscopic intubation through air Q laryngeal mask airway. Egypt J Anesth. 2011; 27:213.8. https://doi.org/10.1016/j.egja.2011.07.001.
- Williams DL, Zeng JM, Alexander KD, Andrews DT. Randomised comparison of the AMBU AuraOnce laryngeal mask and the LMA unique laryngeal mask airway in spontaneously breathing adults. Anesthesiology Research and Practice 2012; 2012:405812. https://doi.org/10.1155/2012/405812 PMid:22505884 PMCid:PMC3299248.
- Sudhir G, Redfern D, Hall JE, Wilkes AR, Cann C. A comparison of the disposable Ambu® AuraOnceTM Laryngeal Mask with the reusable LMA ClassicTM laryngeal mask airway. Anaesthesia. 2007; 62:719.
- https://doi.org/10.1111/j.1365-2044.2007.05067.x PMid:17567349.
- Ferson DZ, Rosenblatt WH, Johansen MJ, Osborn I, Ovassapian A, David Z, et al. Use of the intubating LMA-FastrachTM. in 254 patients with difficult-to-manage airways. Anesthesiology. 2001; 95(5):1175.81. https://doi.org/10.1097/00000542-200111000-00022 PMid:11684987.
- Bakker EJ, Valkenburg M, Galvin EM. Pilot study of the air-Q intubating laryngeal airway in clinical use. Anaesth Intensive Care. 2010; 38:346.8. PMid:20369770.