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Randomized clinical trial of the i-gel™ and Magill tracheal tube or single-use ILMA™ and ILMA™ tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway
The single-use supraglottic airway device i-gel™ has been described in several case reports as a conduit for intubation, but no prospective data about success rates of blind intubation are available. Therefore, we performed this prospective randomized controlled trial to compare the success rate of...
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| Published in: | British journal of anaesthesia : BJA 2011-08, Vol.107 (2), p.243-250 |
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| Main Authors: | , , , , , |
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| cites | cdi_FETCH-LOGICAL-c427t-6aa69f2907f2a199a71103d618a17ee6db076c4f34be5845780c3867b4fcf9a3 |
| container_end_page | 250 |
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| container_title | British journal of anaesthesia : BJA |
| container_volume | 107 |
| creator | Theiler, L. Kleine-Brueggeney, M. Urwyler, N. Graf, T. Luyet, C. Greif, R. |
| description | The single-use supraglottic airway device i-gel™ has been described in several case reports as a conduit for intubation, but no prospective data about success rates of blind intubation are available. Therefore, we performed this prospective randomized controlled trial to compare the success rate of blind tracheal intubation with a Magill PVC tube through the i-gel™ with intubation using an sILMA™ PVC tube through the single-use intubating laryngeal mask airway (sILMA™).
With ethics committee approval and written informed consent, 80 patients with predictors of a difficult airway were computer randomized to either supraglottic airway device (SAD). The corresponding tracheal tube (TT) was introduced through the SAD under fibreoptic visualization but without fibreoptic guidance. Primary outcome was blind intubation success rate. Times, airway leak pressure, fibreoptic view, and adverse events were recorded. To control for the influence of the TT, we compared data from 40 patients described in an accompanying study (sILMA™ with Magill TT and i-gel™ with sILMA™ TT).
Blind intubation success rate through the sILMA™ (69%) was higher than with the i-gel™ (15%, P |
| doi_str_mv | 10.1093/bja/aer102 |
| format | article |
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With ethics committee approval and written informed consent, 80 patients with predictors of a difficult airway were computer randomized to either supraglottic airway device (SAD). The corresponding tracheal tube (TT) was introduced through the SAD under fibreoptic visualization but without fibreoptic guidance. Primary outcome was blind intubation success rate. Times, airway leak pressure, fibreoptic view, and adverse events were recorded. To control for the influence of the TT, we compared data from 40 patients described in an accompanying study (sILMA™ with Magill TT and i-gel™ with sILMA™ TT).
Blind intubation success rate through the sILMA™ (69%) was higher than with the i-gel™ (15%, P<0.001). Data from the other patient group excluded the TT type as the primary cause for the difference in success rate. Removal of SADs was without problems with no difference between the type of SAD.
Blind tracheal intubation using the sILMA™ tube through the sILMA™ is much more successful than blind intubation with a Magill PVC tube through the i-gel™. Because of its low success rate, we would not recommend blind intubation through the i-gel™.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/aer102</identifier><identifier>PMID: 21652615</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; airway, complications ; anaesthetic techniques, fibreoptic intubation ; Anesthesia ; Anesthesia, General - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Device Removal ; Disposable Equipment ; Equipment Design ; Female ; Fiber Optic Technology - methods ; Hemodynamics ; Humans ; intubation ; Intubation, Intratracheal - adverse effects ; Intubation, Intratracheal - instrumentation ; Laryngeal Masks - adverse effects ; Male ; Medical sciences ; Middle Aged ; Pharyngitis - etiology ; Postoperative Complications ; Prospective Studies ; tracheal, laryngeal mask airway, supraglottic airway devices ; Young Adult</subject><ispartof>British journal of anaesthesia : BJA, 2011-08, Vol.107 (2), p.243-250</ispartof><rights>2011 The Author(s)</rights><rights>The Author [2011]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-6aa69f2907f2a199a71103d618a17ee6db076c4f34be5845780c3867b4fcf9a3</citedby><cites>FETCH-LOGICAL-c427t-6aa69f2907f2a199a71103d618a17ee6db076c4f34be5845780c3867b4fcf9a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,1591,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24371203$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21652615$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Theiler, L.</creatorcontrib><creatorcontrib>Kleine-Brueggeney, M.</creatorcontrib><creatorcontrib>Urwyler, N.</creatorcontrib><creatorcontrib>Graf, T.</creatorcontrib><creatorcontrib>Luyet, C.</creatorcontrib><creatorcontrib>Greif, R.</creatorcontrib><title>Randomized clinical trial of the i-gel™ and Magill tracheal tube or single-use ILMA™ and ILMA™ tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway</title><title>British journal of anaesthesia : BJA</title><addtitle>Br J Anaesth</addtitle><addtitle>Br J Anaesth</addtitle><description>The single-use supraglottic airway device i-gel™ has been described in several case reports as a conduit for intubation, but no prospective data about success rates of blind intubation are available. Therefore, we performed this prospective randomized controlled trial to compare the success rate of blind tracheal intubation with a Magill PVC tube through the i-gel™ with intubation using an sILMA™ PVC tube through the single-use intubating laryngeal mask airway (sILMA™).
With ethics committee approval and written informed consent, 80 patients with predictors of a difficult airway were computer randomized to either supraglottic airway device (SAD). The corresponding tracheal tube (TT) was introduced through the SAD under fibreoptic visualization but without fibreoptic guidance. Primary outcome was blind intubation success rate. Times, airway leak pressure, fibreoptic view, and adverse events were recorded. To control for the influence of the TT, we compared data from 40 patients described in an accompanying study (sILMA™ with Magill TT and i-gel™ with sILMA™ TT).
Blind intubation success rate through the sILMA™ (69%) was higher than with the i-gel™ (15%, P<0.001). Data from the other patient group excluded the TT type as the primary cause for the difference in success rate. Removal of SADs was without problems with no difference between the type of SAD.
Blind tracheal intubation using the sILMA™ tube through the sILMA™ is much more successful than blind intubation with a Magill PVC tube through the i-gel™. Because of its low success rate, we would not recommend blind intubation through the i-gel™.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>airway, complications</subject><subject>anaesthetic techniques, fibreoptic intubation</subject><subject>Anesthesia</subject><subject>Anesthesia, General - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Device Removal</subject><subject>Disposable Equipment</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Fiber Optic Technology - methods</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>intubation</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Laryngeal Masks - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharyngitis - etiology</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>tracheal, laryngeal mask airway, supraglottic airway devices</subject><subject>Young Adult</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp9kc1qFEEQxxsxmDV68QGkLyIIk3TPV88cQ_AjsCEguQ81PdW7FWZnxu4eQzz7JL6Kb-KTWOvuGgTJpbuo-lX9i_oL8UqrU63q7Ky9hTNAr1X6RCx0bnRSGqOfioVSyiSq1umxeB7CrVLapHXxTBynuizSUhcL8fMzDN24oW_YSdvTQBZ6GT3xOzoZ1ygpWWH_6_sPyaC8ghX1WwDsGrfk3KIcvQw0rHpM5oDycnl1fsAP8b-844aWtTpJAycg0jhwyB2AgSXjn20mzuMQg7yjuJYgJ48d2ciVjpwjO_dRAvk7uH8hjhz0AV_u_xNx8-H9zcWnZHn98fLifJnYPDUxKQHK2qW1Mi4FXddgtFZZV-oKtEEsu1aZ0uYuy1ssqrwwlbJZVZo2d9bVkJ2It7uxkx-_zLxps6Fgse9hwHEOTWVMrgpdGybf7UjrxxA8umbytAF_32jVbC1r2LJmZxnDr_dj53aD3V_04BEDb_YABHbHeRgshQcuz4xOVfbAjfP0uGC-45Bv9ZXQN8HypS2f16ONTTfS_9p-A7Xsw9M</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Theiler, L.</creator><creator>Kleine-Brueggeney, M.</creator><creator>Urwyler, N.</creator><creator>Graf, T.</creator><creator>Luyet, C.</creator><creator>Greif, R.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110801</creationdate><title>Randomized clinical trial of the i-gel™ and Magill tracheal tube or single-use ILMA™ and ILMA™ tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway</title><author>Theiler, L. ; Kleine-Brueggeney, M. ; Urwyler, N. ; Graf, T. ; Luyet, C. ; Greif, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-6aa69f2907f2a199a71103d618a17ee6db076c4f34be5845780c3867b4fcf9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>airway, complications</topic><topic>anaesthetic techniques, fibreoptic intubation</topic><topic>Anesthesia</topic><topic>Anesthesia, General - methods</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Device Removal</topic><topic>Disposable Equipment</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Fiber Optic Technology - methods</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>intubation</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Laryngeal Masks - adverse effects</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharyngitis - etiology</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>tracheal, laryngeal mask airway, supraglottic airway devices</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Theiler, L.</creatorcontrib><creatorcontrib>Kleine-Brueggeney, M.</creatorcontrib><creatorcontrib>Urwyler, N.</creatorcontrib><creatorcontrib>Graf, T.</creatorcontrib><creatorcontrib>Luyet, C.</creatorcontrib><creatorcontrib>Greif, R.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Theiler, L.</au><au>Kleine-Brueggeney, M.</au><au>Urwyler, N.</au><au>Graf, T.</au><au>Luyet, C.</au><au>Greif, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Randomized clinical trial of the i-gel™ and Magill tracheal tube or single-use ILMA™ and ILMA™ tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><stitle>Br J Anaesth</stitle><addtitle>Br J Anaesth</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>107</volume><issue>2</issue><spage>243</spage><epage>250</epage><pages>243-250</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-News-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>The single-use supraglottic airway device i-gel™ has been described in several case reports as a conduit for intubation, but no prospective data about success rates of blind intubation are available. Therefore, we performed this prospective randomized controlled trial to compare the success rate of blind tracheal intubation with a Magill PVC tube through the i-gel™ with intubation using an sILMA™ PVC tube through the single-use intubating laryngeal mask airway (sILMA™).
With ethics committee approval and written informed consent, 80 patients with predictors of a difficult airway were computer randomized to either supraglottic airway device (SAD). The corresponding tracheal tube (TT) was introduced through the SAD under fibreoptic visualization but without fibreoptic guidance. Primary outcome was blind intubation success rate. Times, airway leak pressure, fibreoptic view, and adverse events were recorded. To control for the influence of the TT, we compared data from 40 patients described in an accompanying study (sILMA™ with Magill TT and i-gel™ with sILMA™ TT).
Blind intubation success rate through the sILMA™ (69%) was higher than with the i-gel™ (15%, P<0.001). Data from the other patient group excluded the TT type as the primary cause for the difference in success rate. Removal of SADs was without problems with no difference between the type of SAD.
Blind tracheal intubation using the sILMA™ tube through the sILMA™ is much more successful than blind intubation with a Magill PVC tube through the i-gel™. Because of its low success rate, we would not recommend blind intubation through the i-gel™.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>21652615</pmid><doi>10.1093/bja/aer102</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over airway, complications anaesthetic techniques, fibreoptic intubation Anesthesia Anesthesia, General - methods Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Device Removal Disposable Equipment Equipment Design Female Fiber Optic Technology - methods Hemodynamics Humans intubation Intubation, Intratracheal - adverse effects Intubation, Intratracheal - instrumentation Laryngeal Masks - adverse effects Male Medical sciences Middle Aged Pharyngitis - etiology Postoperative Complications Prospective Studies tracheal, laryngeal mask airway, supraglottic airway devices Young Adult |
| title | Randomized clinical trial of the i-gel™ and Magill tracheal tube or single-use ILMA™ and ILMA™ tracheal tube for blind intubation in anaesthetized patients with a predicted difficult airway |
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