| Evaluation of air-Q™ intubating laryngeal airway as a conduit for tracheal intubation in infants--a pilot study. | |
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MedLine Citation:
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PMID: 21973052 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Renu Sinha; Chandralekha; Bikash Ranjan Ray |
Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Paediatric anaesthesia Volume: 22 ISSN: 1460-9592 ISO Abbreviation: Paediatr Anaesth Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-02-07 Completed Date: 2012-04-27 Revised Date: 2012-07-03 |
Medline Journal Info:
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Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: France |
Other Details:
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Languages: eng Pagination: 156-60 Citation Subset: IM |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
Affiliation:
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Department of Anaesthesiology and Intensive Care, Rajendra Prasad Institute of Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. renuagarwal4@rediffmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Anesthetics, Inhalation; 10024-97-2/Nitrous Oxide; 26675-46-7/Isoflurane |
| Comments/Corrections | |
Comment In:
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Paediatr Anaesth. 2012 Jun;22(6):588-9
[PMID:
22594416
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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