A comparison of two endotracheal tubes for intubation via i-gel depended from fibreoptic score

Francksen, H.; Bajorat, T.; Cavus, E.; Renner, Julie; Bein, B.

doi:10.1097/00003643-201406001-00809

Cited by 2 publications

(4 citation statements)

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“…They hypothesised that the difficulty in insertion could be due to the softer component material (silicone) of the LMA Protector which could increase the chance of kinking of the mask tip and malpositioning. The ease of use of the i‐gel in our study is comparable with other studies . An overall 2% failure rate of insertion and ventilation via SADs has been described .…”

Section: Discussionsupporting

confidence: 89%

Fibreoptic‐guided tracheal intubation through i‐gel^® and LMA^® Protector^TM supraglottic airway devices ‐ a randomised comparison

Mendonca¹,

Tourville²,

Jefferson

et al. 2018

Anaesthesia

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Fibreoptic-guided tracheal intubation using a supraglottic airway device as a conduit is a technique that can be used in anticipated and unanticipated difficult airway management. Although the i-gel â supraglottic airway device has been examined for this purpose, the LMA â Protector TM , a recently introduced secondgeneration supraglottic airway device, has not been evaluated for this use in clinical trials. This prospective, randomised clinical trial compared fibreoptic-guided tracheal intubation via i-gel and LMA Protector supraglottic airway devices in two UK hospitals. Patients who were ASA physical status 1 or 2 and undergoing elective surgery requiring tracheal intubation were recruited to the study. A block randomisation list was generated for each study site. The primary outcome measure was time to successful tracheal intubation and secondary outcomes were tracheal intubation success rate, glottic view through flexible fibrescope, ease of tracheal intubation using operator visual analogue score, supraglottic airway device insertion time and insertion success rate. Ninety patients were randomly allocated to each device, and final data analysis was carried out for 92 patients in the i-gel group and 86 patients in the LMA Protector group. Mean (SD) tracheal intubation time in the i-gel and LMA Protector groups were 54.3 (13.8) s and 52.0 (13.0) s, respectively (p = 0.240). There were no significant differences in tracheal intubation success rate, glottic view and ease of tracheal intubation between the two groups. This study demonstrates that the LMA Protector supraglottic airway device is comparable to the i-gel supraglottic airway device as a conduit for fibreoptic-guided tracheal intubation.

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Section: Discussionsupporting

confidence: 89%

Fibreoptic‐guided tracheal intubation through i‐gel^® and LMA^® Protector^TM supraglottic airway devices ‐ a randomised comparison

Mendonca¹,

Tourville²,

Jefferson

et al. 2018

Anaesthesia

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“…The overall success rate of blind intubation using both endotracheal tubes was found to be 48.21% (27/56). 17 In our study, ease of tracheal tube placement via the i-gel ™ was found to be easy in 91.4% of cases and difficult in 5.2% (3/58), while in 3.4% (2/58), an endotracheal tube could not be placed even after three attempts, and was thus labelled a failure. Lloyd et al indicated that the i-gel ™ is likely to be a more appropriate conduit for fiberscope-guided tracheal intubation.…”

Section: Discussionmentioning

confidence: 55%

“…The tracheal placement success rate was 100% in their study. 16 Francksen et al 17 compared two endotracheal tubes, Portex ® Silicone and Mallinckrodt ® PVC, in 56 patients scheduled for blind intubation via i-gel ™ , depending on the fibreoptic score. The overall success rate of blind intubation using both endotracheal tubes was found to be 48.21% (27/56).…”

Section: Discussionmentioning

confidence: 99%

“…15 Lloyd et al, while comparing classic LMA and the i-gel ™ as adjuncts to fiberscope-guided intubation in a manikin, found this time to be 43 and 22 seconds respectively (p-value < 0.0001). 16 Francksen et al 17 reported that the insertion time via the i-gel ™ using a LMA Fastrach ™ endotracheal tube was significantly shorter than that with a Mallinckrodt ™ PVC tube (12 ± 3 seconds and 16 ± 8 seconds, p-value = 0.0032) and with a Portex ™ silicone tube (12 ± 3 seconds and 19 ± 10 seconds, p-value < 0.001).…”

Section: Discussionmentioning

confidence: 99%

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A study to evaluate fibreoptic-guided intubation through the i-gel™

Taxak

Vashisht

Kaur

et al. 2013

Southern African Journal of Anaesthesia and Analgesia

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Objective: The i-gel ™ superglottic airway (Intersurgical, Berkshire, UK) has been reported to function as an airway rescue device and as a conduit for fibre-optic intubation in predicted difficult airways. The wider and shorter stem of the i-gel ™ and the absence of a grille at the distal end suggests that it may serve as an ideal channel for intubation using a fibrescope. The aim of this prospective study was to determine the feasibility of using fibreoptic-guided intubation through an i-gel ™ airway in adult patients undergoing elective surgery. Design: A prospective clinical study. Subjects and setting: Sixty patients of both genders, aged 18-60 years, who presented for elective surgery in a tertiary care centre, were enrolled in the study. Outcome measures: The number of insertion attempts, ease of insertion and insertion time of the i-gel ™ , fibreoptic view through the i-gel ™ tube, airway seal pressure, ease of tracheal tube placement with the help of a fibreoptic bronchoscope through the i-gel ™ , time taken for tracheal tube placement and any evidence of airway injury, were determined. Results: Successful insertion of the i-gel ™ was achieved in 96.66% of patients. The mean time of insertion of the i-gel ™ was 9.09 ± 4.17 seconds. Ease of tracheal tube placement via the i-gel ™ was found to be easy in 91.4% of cases. The mean total tracheal tube placement time through the i-gel ™ was recorded as 89.16 ± 8.29 seconds. Conclusion: The i-gel ™ was easy to insert, with a good first attempt success rate and acceptable insertion time. The success rate for fibreoptic-guided intubation through the i-gel ™ was also acceptable. Hence it can serve as an alternative conduit for fibreoptic-guided intubation.

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A comparison of two endotracheal tubes for intubation via i-gel depended from fibreoptic score

Cited by 2 publications

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Fibreoptic‐guided tracheal intubation through i‐gel^® and LMA^® Protector^TM supraglottic airway devices ‐ a randomised comparison

Fibreoptic‐guided tracheal intubation through i‐gel^® and LMA^® Protector^TM supraglottic airway devices ‐ a randomised comparison

A study to evaluate fibreoptic-guided intubation through the i-gel™

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A comparison of two endotracheal tubes for intubation via i-gel depended from fibreoptic score

Cited by 2 publications

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Fibreoptic‐guided tracheal intubation through i‐gel® and LMA® ProtectorTM supraglottic airway devices ‐ a randomised comparison

Fibreoptic‐guided tracheal intubation through i‐gel® and LMA® ProtectorTM supraglottic airway devices ‐ a randomised comparison

A study to evaluate fibreoptic-guided intubation through the i-gel™

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Product

Resources

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Fibreoptic‐guided tracheal intubation through i‐gel^® and LMA^® Protector^TM supraglottic airway devices ‐ a randomised comparison

Fibreoptic‐guided tracheal intubation through i‐gel^® and LMA^® Protector^TM supraglottic airway devices ‐ a randomised comparison