The effect of rocuronium on ventilatory leak and sealing pressure using a supraglottic airway device: A randomized clinical trial

2020 ◽  
Vol 64 (8) ◽  
pp. 1120-1127 ◽  
Author(s):  
Masafumi Fujimoto ◽  
Fumiyo Kubota ◽  
Tatsuo Yamamoto
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Airway Device ◽  
Supraglottic Airway ◽  
Supraglottic Airway Device ◽  
Sealing Pressure

New airway device as good as tracheal tube insertion for out-of-hospital resuscitation

BMJ ◽  
2019 ◽  
pp. k5324
Author(s):  
Rob Cook ◽  
Vaughan Thomas ◽  
Rosie Martin
Keyword(s):  
Clinical Trial ◽  
Tracheal Tube ◽  
Randomised Clinical Trial ◽  
Health Technology ◽  
Airway Device ◽  
Supraglottic Airway ◽  
Supraglottic Airway Device ◽  
Tube Insertion ◽  
Health Technology Assessment Programme ◽  
Hospital Cardiac Arrest

The study Effect of a strategy of a supraglottic airway device versus tracheal intubation during out-of-hospital cardiac arrest on functional outcome: the AIRWAYS-2 randomised clinical trial Benger JR, Kirby K, Black S, Brett SJ, Clout M, Lazaroo MJ, Nolan JP, Reeves BC, Robinson M, Scott LJ, Smartt H, South A, Stokes EA, Taylor J, Thomas M, Voss S, Wordsworth S, Rogers CA Published on 28 August 2018 JAMA 2018;320:779-91 This study was funded by the National Institute for Health Research Health Technology Assessment Programme (project number 12/167/102). To read the full NIHR Signal, go to: https://discover.dc.nihr.ac.uk/content/signal-000686/new-airway-device-as-good-as-tracheal-tube-for-resuscitation-out-of-hospita

scholarly journals Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Khaled EL-Radaideh ◽  
Ala"a Alhowary ◽  
Diab Bani Hani
Keyword(s):  
Airway Device ◽  
Insertion Time ◽  
Supraglottic Airway ◽  
Supraglottic Airway Device ◽  
Hemodynamic Stability ◽  
Arterial Blood ◽  
Single Use ◽  
Sealing Pressure ◽  
End Tidal ◽  
Single Blind

Introduction. This study compared streamlined liner of the pharynx airway (SLIPA) and I-gel noninflatable, single-use, supraglottic airway device (SAD) performance in anesthetized, paralyzed adults.Methods. Eighty adults (ASA physical statuses I–III) who were undergoing elective procedures under general anesthesia with an SAD were enrolled in this prospective, randomized, single-blind study. Subjects were randomly and evenly assigned to the SLIPA or I-gel group for intraoperative airway management. Ease and number of insertions, insertion time, oropharyngeal sealing pressure, hemodynamic response, oxygen saturation (SpO2), end-tidal CO2(EtCO2), and peri- and postoperative complications were examined.Results. The SLIPA and I-gel devices were successfully inserted in 100% and 95% of subjects, respectively. In two I-gel subjects (5%), ventilation was not possible after two attempts, but a size 55 SLIPA was successfully inserted in both cases. Forty-two and 38 patients were ultimately included in the SLIPA and I-gel groups, respectively. Insertion time was significantly shorter with the SLIPA (11.19±3.03 s) than with the I-gel (15.05±6.37 s,P=0.003). Oropharyngeal sealing pressure was significantly higher in SLIPA (28.76±3.11 cmH2O) than in I-gel (25.9±3.65 cmH2O) subjects (P=0.001). Blood staining occurred more frequently in SLIPA (n=8, 19.0%) than in I-gel (n=5, 13.2%) patients (P<0.01). Heart rate, mean arterial blood pressure, SpO2, and EtCO2were not significantly different between groups.Conclusion. Although blood staining incidence was higher, SLIPA insertion was easier and faster than I-gel insertion. The SLIPA provided better airway sealing pressure. Both devices had similar mechanical ventilation and oxygenation characteristics and comparable hemodynamic stability. Both noninflatable SADs are useful, but SLIPA rapid insertion and good airway sealing make it an effective alternative to the I-gel.

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