scholarly journals Comparative evaluation of ease of tracheal intubation using Airtraq and intubating laryngeal mask airway with cervical spine immobilization

2021 ◽  
Vol 8 (2) ◽  
pp. 161-166
Author(s):  
Lalit Gupta ◽  
Deepak Kumar ◽  
Sonia Wadhawan ◽  
Sivaraj ◽  
Amit Kohli ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Cervical Spine Injury ◽  
Laryngeal Mask ◽  
Spine Injury ◽  
Neutral Position ◽  
Group I ◽  
Intubating Laryngeal Mask Airway ◽  
Group A

Tracheal intubation in cervical spine injury patients with application of Manual In Line Stabilization (MILS) of the cervical spine in neutral position is a challenge for the anesthesiologist since it makes visualization of the larynx more difficult using conventional laryngoscopy. Our study was conducted to compare ease of intubation using Airtraq and Intubating laryngeal mask airway(ILMA) in simulated cervical spine injury patient using MILS. 100 ASA I/II patients (without cervical spine injury), aged 18-60 years were randomly allocated in two groups -Group A: Airtraq (n=50), Group I: ILMA (n=50). General anaesthesia was given as per standard protocol in all the patients, after that MILS was applied and patients intubated using Airtraq in group A and ILMA in group I with neck in neutral position. Time taken for intubation, number of attempts for intubation, ease of intubation with Airtraq/ILMA, hemodynamics and complications were compared.The mean time taken for intubation in the Group A was 12.6 ± 6.6 seconds and in the Group, I was 85.8 ± 36.6 seconds (p<0.001). Number of intubations attempts in Group A was significantly less as compared to the Group I (p= 0.027).Airtraq is a safer and faster alternative when compared to ILMA in patients with simulated cervical spine injury using manual in line stabilization.

TRACHEAL INTUBATION DURING MANUAL INLINE STABILISATION: COMPARISON OF INTUBATING LARYNGEAL MASK AIRWAY™ VERSUS TRACHLIGHT®

2021 ◽  
pp. 60-62
Author(s):  
Manjunath Prabhu ◽  
Shwethapriya Rao ◽  
Arushi Gupta
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
P Value ◽  
Stabilization Method ◽  
Intubating Laryngeal Mask Airway ◽  
Effective Ventilation ◽  
Unstable Cervical Spine ◽  
Spine Movement

Introduction: Airway management with unstable cervical spine is a major challenge to anesthetist. Conventional direct laryngoscopy causes substantial movement of cervical spine and can cause neurological decit. Newer devices like Intubating Laryngeal Mask Airway(ILMA) and Trachlight avoid cervical spine movement. To compare rate of successful tracheal Aim: intubation with Intubating Laryngeal Mask Airway™ with Trachlight® in anaesthetised and paralysed adults with manual in line stabilization Method and Materials: 50 patients were included in the study and allocated in two groups. In the ILMA group ,patients were ventilated and then intubated through the ILma. IN the Trachlight group, patients were intubated using trachlight. Success rate , time taken for intubation and post operative sore throat and hoarseness of voice were compared between the two groups. Results: In the ILMA group,21 patients could be adequately ventilated in the rst attempt and 4 in second attempt. 12 patients could be successfully intubated. 9 patients could be intubated in the rst attempt and 3 patients in second attempt. In the Trachlight , 24 patients could be intubated in the rst attempt and one patient in second attempt. Intubation time was 14.08 ± 2.23 seconds in the ILMA group whereas in Trachlight group it was 26.48 ± 9.13 seconds(p value of <0.0001) In healthy anaesthetized,paralysed adults with manual in line stabiliz Conclusion: ation Trachlight assistance at tracheal intubation provides high rst attempt success.ILMA is an effective ventilation device, but an unacceptably high failure rate at blind tracheal intubation.

scholarly journals Hemodynamic changes during endotracheal intubation: A prospective randomised comparative study using fibreoptic bronchoscope and intubating laryngeal mask airway

2015 ◽  
Vol 1 (2) ◽  
pp. 70-75
Author(s):  
Manzil Shrestha ◽  
Tanvir R Rahman ◽  
Bikash Agarwal
Keyword(s):  
Heart Rate ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Fibreoptic Bronchoscope ◽  
Laryngeal Mask ◽  
Hemodynamic Changes ◽  
Group I ◽  
Intubating Laryngeal Mask Airway ◽  
Group Ii

Background: Fibreoptic intubation and Intubating laryngeal mask airway are alternatives to conventional laryngoscopy. The objective of the study was to compare hemodynamic changes with the use of these two devices for tracheal intubation.Methods: It was a randomized, comparative and prospective study of two groups comprising of 50 patients each. Tracheal intubations were performed using intubating fiberscope in group I and intubating laryngeal mask airway in Group II. Intubation time, heart rate, blood pressure and complications were compared.Results: Heart rate response to tracheal intubation was comparable between the groups. Changes in mean arterial pressure were also comparable and returned to baseline after two minutes of tracheal intubation. The first attempt success rate was 80% and 92% respectively in Group I and Group II. The time taken for intubation was found to be significantly longer in Group II irrespective of the number of attempts. There were no major complications observed. However there was some desaturation at the time of intubation which was seen in three patients in Group I, and one patient in Group II. However the Spo2 did not fall below 96% and was not considered to be clinically significant.Conclusions: Endotracheal intubation using either an Intubating Laryngeal Mask Airway or a Fibreoptic Bronchoscope is comparable in terms of the haemodynamic responses.Journal of Society of Anesthesiologists 2014 1(2): 70-75

scholarly journals Intubating laryngeal mask airway allows tracheal intubation when the cervical spine is immobilized by a rigid collar

2004 ◽  
Vol 93 (5) ◽  
pp. 655-659 ◽  
Author(s):  
R. Komatsu ◽  
O. Nagata ◽  
K. Kamata ◽  
K. Yamagata ◽  
D.I. Sessler ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
Intubating Laryngeal Mask Airway

scholarly journals Comparison of Endotracheal Intubation Through I-gel and Intubating Laryngeal Mask Airway

2016 ◽  
Vol 10 (1) ◽  
pp. 18-24
Author(s):  
Bharat Choudhary ◽  
Rakesh Karnawat ◽  
Sadik Mohammed ◽  
Monika Gupta ◽  
Bharath Srinivasan ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Success Rate ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Group I ◽  
Intubating Laryngeal Mask Airway ◽  
Supraglottic Airway Devices ◽  
Haemodynamic Changes ◽  
Airway Devices

Background: Supraglottic airway devices (SADs) are very useful airway adjunct in managing anticipated and unanticipated difficult airway and can be used as a ventilating aid and as a conduit for tracheal intubation. The new versions of SADs like i-gel and intubating laryngeal mask airway (ILMA), have advantage of hands-free airway maintenance without the need for tracheal intubation, they can be placed easily without direct visualization of the larynx, ensure predictable ventilation and can be used as conduit for tracheal intubation. Objective: To compare ease and success of placement of both SADs and ease and success of endotracheal (ET) intubation through both SADs. Method: Eighty patients of both sexes, aged between 18-60 years and belonging to ASA grade I and II undergoing surgical procedure under general anaesthesia (GA) were randomly divided into two group (i-gel and ILMA) of equal number. Following induction the allocated device was inserted and after confirming adequate ventilation, blind ET intubation was attempted through the device. First attempt and overall success rate of SAD insertion and ET intubation through SAD; time taken for SAD insertion and ET intubation through SAD; hemodynamic changes and postoperative complications were recorded and compared between groups. Result: Demographic profile, success rate of SAD insertion, haemodynamic changes and adverse effects were similar between groups (p>0.05).Overall time needed for successful SAD insertion was significantly shorter in group i-gel (22.52±5.64 sec) than group ILMA (31.15±5.52 sec) (p value <0.0001). Overall success rate of blind ET intubation was higher in group i-gel (75%) in comparison to group ILMA (65%). I-gel required significantly less time to achieve successful ET intubation than ILMA (26.30±11.35 sec vs. 33.53±13.13 sec)(p<0.0001). Conclusion: Both the SADs were proved to be useful alternative to conventional laryngoscope for ET intubation, although i-gel required lesser time and had better success rate of ET intubation as compared to ILMA.

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