Document Detail

Prospective randomized comparison of the EasyTube and the esophageal-tracheal Combitube airway devices during general anesthesia with mechanical ventilation.
MedLine Citation:
PMID:  21911194     Owner:  NLM     Status:  In-Data-Review    
STUDY OBJECTIVE: To evaluate the ease of use of two airway devices, the EasyTube (EzT) versus the esophageal-tracheal Combitube (ETC).
DESIGN: Prospective, randomized controlled trial.
SETTING: University hospital.
SUBJECTS: 80 adult, ASA physical status 1 and 2 patients scheduled for elective surgery.
INTERVENTIONS: Patients' tracheas were intubated with the EzT or the ETC in randomized fashion.
MEASUREMENTS: Difficulty of insertion, time to achieve an effective airway, insertion success rate, maneuvers to achieve an effective airway, oropharyngeal leak pressure, intracuff pressure, ventilatory parameters, success rate of gastric tube insertion, and frequency of adverse effects were compared.
MAIN RESULTS: Insertion was easier in the EzT than in ETC; insertion of the EzT was rated easy in 36 7cases and moderately difficult in 4 cases versus 26 and 14 cases, respectively, for the ETC (P = 0.014). Less time was required to achieve an effective airway with the EzT than the ETC: 19.4 ± 5.3 sec versus 30.6 ± 4.1 seconds, respectively (P < 0.001). Oropharyngeal leak pressure was higher with the EzT than the ETC (34.3 ± 5.95 vs 31.6 ± 2.42 cm H(2)O; P = 0.011). Peak airway pressures for the EZT and the ETC were 22.2 ± 0.99 cm H(2)0 and 33.7 ± 1.82 cm H(2)O, respectively (P < 0.001). Gastric tube insertion was successful with both devices; however, the EzT allowed insertion of gastric tubes of wider diameter. No severe perioperative adverse events were recorded for either device.
CONCLUSION: The EzT has distinct advantages over the ETC in airway management, including shorter time to achieve an effective airway and easier insertion.
Luis A Gaitini; Boris Yanovsky; Mostafa Somri; Riad Tome; Pedro Charco Mora; Michael Frass; Allan P Reed; Sonia Vaida
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  23     ISSN:  1873-4529     ISO Abbreviation:  J Clin Anesth     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  475-81     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Department of Anesthesiology, B'nai Zion Medical Center, Haifa 31048; The Ruth and Bruce Rappaport Faculty of Medicine, Technion 31096; Technion Israel Institute of Technology, Haifa 32000, Israel.
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