Comparison of fastrach LMA and ILMA methods for airway management

Abstract

The aim of this study is to compare the hemodynamic responses, durations of intubation, intubation success rates and postoperative upper airway complications between the intubation performed with direct laryngoscopy and blind intubation performed with LMA-Fastrach application in normotensive patients. This present study was performed with the approval of ethical committee and in the surgery rooms between the date March 2010-August 2010. The study was performed on 80 patients aged between 18 and 60 and had American Anesthetists Assosiation (ASA) classification I-II. Endotracheal intubation was essential in their elective abdomen surgeries. The patients were divided into 2 groups as ILMA-Fastrach Group (Group I, n=40) and laryngoscopy group (Group L, n=40). 80 patients aged between 18 and 60. Of those, 54 (67.5%) were female and 26 (32.5%) were male. The age average of the patients was 46.3 ± 10.7. There was not a statistically significant difference between the demographic parameters of the patients. When compared to the onset value of SAP in Group I and Group L, a statistically significant difference was not detected in the groups in terms of SAP 1st minute and 5th minute values. When compared to the SAP onset value of the cases, the decrease in the 1st minute was statistically significant and when compared to the 1st minute value, the decrease in the 5th minute was not statistically significant. In the groups, a statistically significant difference was not observed in terms of DAP outset 1st and 5th minute values. When compared to the DAP onset value of the patients in Group L, the increase in the 1st minute was statistically significant. When compared to the 1st minute value, the decrease in the 5th minute was statistically significant. When compared to the onset value of MAP in Group L, the increase in the 1st minute was statistically significant. In terms of HR onset 1st and 5th minute values a statistically significant value was not detected. In conclusion, patients performed endotracheal intubation with LMA-Fastrach was more stabile than the ones intubated with direct laryngoscopy in terms of hemodynamics. Fewer complications were observed in LMA-Fastrach group and there was not any difference in terms of success rates.

Comparison of the Hemodynamic Effects of Intubation via Fastrach Laryngeal Mask Airway with Standard Direct Laryngoscopy in Hypertensive Patients

“…In several studies, intubation times were found to be significantly higher in LMA-Fastrach when compared to direct laryngoscopy in agreement with our study (Kihara et al, 2000;Sener et al, 2012;Kihara et al, 2001;Cırık et al, 2019). This is due to the fact that intubation using LMA-Fastrach involves 3 steps including insertion and confirmation of Fastrach position, insertion and confirmation of the endotracheal tube, and removal of the Fastrach.…”

The Effect of Different Types of Laryngeal Mask Airways on Sound Quality: A Prospective Randomized Study

“…Laryngoscopy and endotracheal intubation (ETI) develop a sympathetic reflex response based on the mechanical stimulation of the larynx and trachea [ 6 ]. It is also known that ETI produces more postoperative pharyngolaryngeal morbidity, including voice change, compared to laryngeal masks [ 3 , 7 ].…”