A clinical evaluation of the I gel and Air Q as conduits for blind tracheal intubation in adult patients
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Supraglottic airway devices have been recommended to be used as a conduit for tracheal intubation when required. We hypothesized that both I gel and Air Q would favor blind tracheal intubation with equal success rate when performed by senior anesthesia residents. Materials and Method: After approval by Ethical Issues Committee, seventy-six adult patients were randomised to be intubated either through I gel or Air Q supraglottic airway device. Success rate and time to intubate via either device were assessed and analyzed. Also assessed was the success at placing either supraglottic device and if anterior thyroid pressure was required to achieve tracheal intubation via them. Results: There were two device placement failures in Air Q groups versus none in I gel group. Mean time to intubate via Air Q and I gel were 16.5 and 23.4 s respectively that showed neither statistical (p= 0.17) nor clinically significant difference. There were no differences between the device with respect to intubation success rate and the need to apply anterior thyroid pressure for aiding tracheal intubation. Conclusion: Both the supraglottic devices were equally effective in aiding blind tracheal intubation when performed by anesthesia residents.
Authors and Affiliations
Salim Al-Brashdi, Rashid Khan, Naresh Kaul
Keywords
Related Articles
- EP ID EP315064
- DOI 10.18231/2394-4994.2017.0096
- Views 91
- Downloads 0
A clinical comparative study of microcuff paediatric tracheal tube v/s uncuffed endotracheal tubes in paediatric airway management
Background: In paediatric airway management, uncuffed Endo tracheal tubes(UETT) were always thought to be safe for practice. Cuffed ETT(CETT) were found to cause airway edema and increased resistance to airflow in the po...
Knowledge of 2015 basic life support (BLS) guidelines among doctors and nursing staff of a rural based tertiary care hospital, in western India: Current status and requirement
Background & Aim: The chances of return of spontaneous circulation and survival to hospital discharge increase after cardiac arrest with high quality cardiopulmonary resuscitation (CPR). In the era of evidence based medi...
A prospective, randomized, double blind, systemic controlled trial to compare analgesic efficacy of clonidine and fentanyl in supraclavicular block with 0.75% ropivacaine
Introduction and Object Fentanyl and clonidine mostly used as adjuvant to improve quality and duration of nerve block In present study we compared clonidine and fentanyl perineurally and systemically in Supraclavicular B...
A comparison of intrathecal Dexmeditomidine and Buprenorphine as an adjuvants to isobaric spinal 0.75% Ropivacaine in patients undergoing elective lower limb surgery
Introduction: Ropivacaine is the single enantiomer specific local anaesthetic having reduced potential for cardiotoxicity and neurotoxicity. Its characteristics of slow onset, shorter duration of sensory analgesia and ra...
Ophthalmological changes after posterior spine surgeries: A prospective study
Introduction: Postoperative visual loss (POVL) after posterior approach to spine surgeries is a devastating complication necessitating a prospective study. The primary aim was to identify ophthalmological changes contrib...