Airway management with Fastrach laryngeal mask versus Spritztube: a prospective randomized manikin-based study

Rosa, Silvia De; Ferrari, Fiorenza; Checcacci, S. Carboni; Rigobello, Alessandro; Gennaro, Paolo; Luca, Danièle De; Primadei, Mirco; Politi, Federico; Pellizzari, A.; Bonato, Raffaele

doi:10.23736/s0375-9393.17.11702-5

Cited by 5 publications

(2 citation statements)

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“…The positioning of this device requires the aid of this dedicated stylet, designed to align the two cuffs while stiffening the Spritztube so as to allow passage through the oropharynx down to the hypopharynx. The Spritztube can be used for extraglottic ventilation, for tracheal intubation with the direct and indirect laryngoscopes, or for fibreoptic-assisted tracheal intubation [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Radiologic Imaging of the In Vivo Position of the New Supraglottic Airway Device Spritztube® in an Adult Patient—A Case Report

et al. 2022

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Spritztube® is a new supraglottic airway device that allows either extraglottic ventilation or orotracheal intubation with the same device. The aim of the present report is to provide the first radiologic images of the Spritztube in situ in a living human and to assess the depth of insertion and its anatomical relationships in vivo. We present the case of a 55-year-old man who was admitted to our centre to perform an interventional neuroradiological procedure. We obtained and analysed radiologic images of the head and neck of an adult patient to ascertain the position of the cuffs of the Spritztube relative to different anatomic structures. The insertion and depth of the device, correct tip positioning, effects of the distal and proximal cuffs on adjacent soft tissues, and the position of the pharyngeal cuff from the cranial to the hyoid bone were evaluated. Our report shows that Spritztube could be helpful in maintaining an adequate airway during radiologic procedures.

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Section: Introductionmentioning

confidence: 99%

“…Once intubation has been performed, the distal cuff can either be deflated or left in position to act as an oesophageal obturator [ 2 ] ( Figure 4 ). As a normal endotracheal tube, average distances such as the 20/22 or 21/23 (cm, female/male) rule have been simply applied.…”

Section: Introductionmentioning

confidence: 99%

Radiologic Imaging of the In Vivo Position of the New Supraglottic Airway Device Spritztube® in an Adult Patient—A Case Report

et al. 2022

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Laryngeal Mask Airway Supreme vs. the Spritztube tracheal cannula in anaesthetised adult patients

Rosa

Messina

Sorbello

et al. 2019

European Journal of Anaesthesiology

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Supraglottic airway devices for blind endotracheal intubation: A systematic review

Tejada-Perdomo,

Melo-Moreno,

Tovar-Cardozo

et al. 2024

PLoS ONE

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Introduction The effectiveness of supraglottic airway devices (SGDs) as a strategy for blind endotracheal intubation (ETI) was compared in this study. Methods A systematic review of clinical trials (CTs) involving SGDs for blind ETI in patients under general anesthesia or simulation manikins, was conducted. CTs that used SGDs for fiberoptic-guided ETI and those conducted in children were excluded. Searches were performed in Embase, MEDLINE (PubMed), Scopus, and LILACS. The primary outcomes examined were the success rate of blind ETI and intubation time. Secondary outcomes were first-attempt intubation success rate and perceived ease of use. Results A total of 567 records were identified from databases, and 16 were identified through citation searches. Ultimately, 27 CTs met the inclusion criteria. The Fastrach Intubating Laryngeal Mask Airway (LMA Fastrach), i-gel, Air-Q Intubating Laryngeal Airway, and Supraglottic Airway Laryngopharyngeal Tube (S.A.L.T.) were the most used SGDs for blind ETI. LMA Fastrach was the most frequently compared device in these CTs. Among the studies in patients, LMA Fastrach and i-gel were the devices that showed the shortest intubation time, although it may be influenced by the way intubation time is assessed. The SGDs with the highest overall success rate were i-gel, S.A.L.T., LMA Fastrach, and single-use LMA Fastrach, followed by Air-Q, and the Intubating Laryngeal Tube Suction-Disposable (iLTS-D2), all achieving success rates greater than 90%. AuraGain had the lowest first-attempt and overall success rates for blind ETI with SGDs. Conclusion New SGDs have not surpassed the LMA Fastrach effectiveness for blind ETI. The single-use LMA Fastrach combines the efficacy of the reusable LMA Fastrach with the features of other SGDs and may be a suitable replacement for them. The I-gel is also a viable alternative for blind ETI, while the AuraGain may not be recommended for this purpose.

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Airway management with Fastrach laryngeal mask versus Spritztube: a prospective randomized manikin-based study

Cited by 5 publications

References 0 publications

Radiologic Imaging of the In Vivo Position of the New Supraglottic Airway Device Spritztube® in an Adult Patient—A Case Report

Radiologic Imaging of the In Vivo Position of the New Supraglottic Airway Device Spritztube® in an Adult Patient—A Case Report

Laryngeal Mask Airway Supreme vs. the Spritztube tracheal cannula in anaesthetised adult patients

Supraglottic airway devices for blind endotracheal intubation: A systematic review

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