Document Detail


Evaluation of air-Q™ intubating laryngeal airway as a conduit for tracheal intubation in infants--a pilot study.
MedLine Citation:
PMID:  21973052     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Air-Q™ intubating laryngeal airway (ILA) has been used successfully as a conduit for tracheal intubation in pediatric difficult airway. However, its use as an airway device and conduit for intubation in infants is not yet evaluated.
AIMS: The primary objective was to evaluate ILA as a conduit for tracheal intubation in infants, and secondary objectives were to evaluate ILA in terms of ease of insertion and ventilation, oropharyngeal leak pressure (OLP), glottic view, and complications.
METHODS: Twenty infants with normal airway were included. After induction of general anesthesia and neuromuscular blockade, ILA (size 1.0/1.5) was inserted. Fiberoptic bronchoscope (FOB)-guided intubation and removal of ILA with the stabilizing stylet was attempted.
RESULTS: The mean age and weight of the infants were 7.5 ± 2.3 months and 7.3 ± 1.8 kg. The ILA sizes 1.0 and 1.5 were inserted in 10 infants each according to the weight of the infants. The mean OLP was 18.5 ± 1.8 cm H₂O, and mean time for insertion of ILA was 13.3 ± 3.9 s. Glottic view was grade I in 6, grade II in 1, grade III in 4, and grade IV in nine infants. Tracheal intubation was successful in 19/20 infants. The mean endotracheal tube (ETT) insertion time and mean total time (ILA insertion to the confirmation of ETT placement) were 95.6 ± 32.3 s and 306.42 ± 120.2 s respectively.
CONCLUSION: The ILA is a safe and easy-to-use supraglottic airway device for intubation with FOB in infants with normal airway. Insertion and removal of ILA are easy with satisfactory oropharyngeal seal and ventilation.
Authors:
Renu Sinha; Chandralekha; Bikash Ranjan Ray
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  22     ISSN:  1460-9592     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-07     Completed Date:  2012-04-27     Revised Date:  2012-07-03    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  156-60     Citation Subset:  IM    
Copyright Information:
© 2011 Blackwell Publishing Ltd.
Affiliation:
Department of Anaesthesiology and Intensive Care, Rajendra Prasad Institute of Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. renuagarwal4@rediffmail.com
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MeSH Terms
Descriptor/Qualifier:
Airway Extubation
Airway Management
Anesthesia, General
Anesthetics, Inhalation
Bronchoscopy
Female
Fiber Optic Technology
Glottis / anatomy & histology
Humans
Infant
Intubation, Intratracheal / adverse effects,  instrumentation*,  methods*
Isoflurane
Laryngeal Masks* / adverse effects
Laryngoscopy
Male
Monitoring, Intraoperative
Nitrous Oxide
Pilot Projects
Respiration, Artificial
Vocal Cords / anatomy & histology
Chemical
Reg. No./Substance:
0/Anesthetics, Inhalation; 10024-97-2/Nitrous Oxide; 26675-46-7/Isoflurane
Comments/Corrections
Comment In:
Paediatr Anaesth. 2012 Jun;22(6):588-9   [PMID:  22594416 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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