scholarly journals Comparative Efficacy of the Air-Q Intubating Laryngeal Airway during General Anesthesia in Pediatric Patients: A Systematic Review and Meta-Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Eun Jin Ahn ◽  
Geun Joo Choi ◽  
Hyun Kang ◽  
Chong Wha Baek ◽  
Yong Hun Jung ◽  
...  

Air-Q® (air-Q) is a supraglottic airway device which can be used as a guidance of intubation in pediatric as well as in adult patients. We evaluated the efficacy and safety of air-Q compared to other airway devices during general anesthesia in pediatric patients by conducting a systematic review and meta-analysis. A total of 10 studies including 789 patients were included in the final analysis. Compared with other supraglottic airway devices, air-Q showed no evidence for a difference in leakage pressure and insertion time. The ease of insertion was significantly lower than other supraglottic airway devices. The success rate of intubation was significantly lower than other airway devices. However, fiberoptic view was better through the air-Q than other supraglottic airway devices. Therefore, air-Q could be a safe substitute for other airway devices and may provide better fiberoptic bronchoscopic view.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chih-Jun Lai ◽  
Yi-Chun Yeh ◽  
Yu-Kang Tu ◽  
Ya-Jung Cheng ◽  
Chih-Min Liu ◽  
...  

AbstractNumerous supraglottic airway device (SADs) have been designed for adults; however, their relative efficacy, indicated by parameters such as adequacy of sealing, ease of application, and postinsertion complications, remains unclear. We conducted a systematic review and network meta-analysis to evaluate the efficacy of various SADs. We searched electronic databases for randomized controlled trials comparing at least two types of SADs published before December 2019. The primary outcomes were oropharyngeal leak pressure (OLP), risk of first-attempt insertion failure, and postoperative sore throat rate (POST). We included 108 studies (n = 10,645) comparing 17 types of SAD. The Proseal laryngeal mask airway (LMA), the I-gel supraglottic airway, the Supreme LMA, the Streamlined Liner of the Pharynx Airway, the SoftSeal, the Cobra Perilaryngeal Airway, the Air-Q, the Laryngeal Tube, the Laryngeal Tube Suction II, the Laryngeal Tube Suction Disposable, AuraGain, and Protector had significantly higher OLP (mean difference ranging from 3.98 to 9.18 cmH2O) compared with that of a classic LMA (C-LMA). The Protector exhibited the highest OLP and was ranked first. All SADs had a similar likelihood of first-attempt insertion failure and POST compared with the C-LMA. Our findings indicate that the Protector may be the best SAD because it has the highest OLP.Systematic review registration PROSPERO: CRD42017065273.


PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0216673
Author(s):  
Min-Soo Kim ◽  
Jin Ha Park ◽  
Ki-Young Lee ◽  
Seung Ho Choi ◽  
Hwan Ho Jung ◽  
...  

2018 ◽  
Vol 39 (2) ◽  
pp. 173-183 ◽  
Author(s):  
Maria Grazia Calevo ◽  
Nicola Veronese ◽  
Francesco Cavallin ◽  
Cavicchioli Paola ◽  
Massimo Micaglio ◽  
...  

Author(s):  
Bryan M. Sabbe

This chapter covers various aspects of Pediatric General Anesthesia. Within this chapter topics covered include techniques for achieving induction of general anesthesia, along with limitations and potential complications of each. Also discussed is how to manage the pediatric airway, including mask ventilation, supraglottic airway devices, and endotracheal intubation, in addition to handling both expected and unexpected pediatric difficult airways. This includes assessment and airway management of several congenital craniofacial syndromes, and the means of achieving single-lung ventilation and lung separation in pediatric patients, along with evaluating and treating potential complications of each technique. Finally, means of defining, evaluating, and understanding the signs and stages of general anesthesia in pediatric patients are discussed.


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