Laryngeal tube S II, laryngeal tube S disposable, Fastrach laryngeal mask and Fastrach laryngeal mask disposable during elective surgery: a randomized controlled comparison between reusable and disposable supraglottic airway devices

2010 ◽  
Vol 27 (5) ◽  
pp. 468-472 ◽  
Author(s):  
Carsten Thee ◽  
Goetz Serocki ◽  
Volker Doerges ◽  
Christoph Ilies ◽  
Karsten Wallenius ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Laryngeal Tube ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Randomized Controlled ◽  
Supraglottic Airway Devices ◽  
Airway Devices

scholarly journals Comparison of the efficacy of supraglottic airway devices in low-risk adult patients: a network meta-analysis and systematic review

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chih-Jun Lai ◽  
Yi-Chun Yeh ◽  
Yu-Kang Tu ◽  
Ya-Jung Cheng ◽  
Chih-Min Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Laryngeal Tube ◽  
Airway Device ◽  
Supraglottic Airway ◽  
Randomized Controlled ◽  
Oropharyngeal Leak Pressure ◽  
Supraglottic Airway Devices ◽  
Tube Suction ◽  
Airway Devices

AbstractNumerous supraglottic airway device (SADs) have been designed for adults; however, their relative efficacy, indicated by parameters such as adequacy of sealing, ease of application, and postinsertion complications, remains unclear. We conducted a systematic review and network meta-analysis to evaluate the efficacy of various SADs. We searched electronic databases for randomized controlled trials comparing at least two types of SADs published before December 2019. The primary outcomes were oropharyngeal leak pressure (OLP), risk of first-attempt insertion failure, and postoperative sore throat rate (POST). We included 108 studies (n = 10,645) comparing 17 types of SAD. The Proseal laryngeal mask airway (LMA), the I-gel supraglottic airway, the Supreme LMA, the Streamlined Liner of the Pharynx Airway, the SoftSeal, the Cobra Perilaryngeal Airway, the Air-Q, the Laryngeal Tube, the Laryngeal Tube Suction II, the Laryngeal Tube Suction Disposable, AuraGain, and Protector had significantly higher OLP (mean difference ranging from 3.98 to 9.18 cmH2O) compared with that of a classic LMA (C-LMA). The Protector exhibited the highest OLP and was ranked first. All SADs had a similar likelihood of first-attempt insertion failure and POST compared with the C-LMA. Our findings indicate that the Protector may be the best SAD because it has the highest OLP.Systematic review registration PROSPERO: CRD42017065273.

scholarly journals Comparison of the Proseal, Supreme, and I-Gel SAD in Gynecological Laparoscopic Surgeries

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Sanli Mukadder ◽  
Begec Zekine ◽  
Kayhan Gulay Erdogan ◽  
Ozgul Ulku ◽  
Ucar Muharrem ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Supraglottic Airway ◽  
Lower Airway ◽  
Trendelenburg Position ◽  
Ph Values ◽  
Oropharyngeal Leak Pressure ◽  
Supraglottic Airway Devices ◽  
Pharyngeal Region ◽  
Airway Devices ◽  
Time Ease

We compared proseal, supreme, and i-gel supraglottic airway devices in terms of oropharyngeal leak pressures and airway morbidities in gynecological laparoscopic surgeries. One hundred and five patients undergoing elective surgery were subjected to general anesthesia after which they were randomly distributed into three groups. Although the oropharyngeal leak pressure was lower in the i-gel group initially (mean ± standard deviation; 23.9 ± 2.4, 24.9 ± 2.9, and 20.9 ± 3.5, resp.), it was higher than the proseal group and supreme group at 30 min of surgery after the trendelenburg position (25.0 ± 2.3, 25.0 ± 1.9, and 28.3 ± 2.3, resp.) and at the 60 min of surgery (24.2 ± 2.1, 24.8 ± 2.2, and 29.5 ± 1.1, resp.). The time to apply the supraglottic airway devices was shorter in the i-gel group (12.2 (1.2), 12.9 (1.0), and 6.7 (1.2), resp.,P=0.001). There was no difference between the groups in terms of their fiber optic imaging levels. pH was measured at the anterior and posterior surfaces of the pharyngeal region after the supraglottic airway devices were removed; the lowest pH values were 5 in all groups. We concluded that initial oropharyngeal leak pressures obtained by i-gel were lower than proseal and supreme, but increased oropharyngeal leak pressures over time, ease of placement, and lower airway morbidity are favorable for i-gel.

scholarly journals A Randomised Controlled Trial Comparing Fibreoptic-Guided Tracheal Intubation through Two Supraglottic Devices: Ambu® Auragain™ Laryngeal Mask and LMA® Fastrach™

2018 ◽  
Vol 46 (5) ◽  
pp. 474-479 ◽  
Author(s):  
G. Preece ◽  
I. Ng ◽  
K. Lee ◽  
P. Mezzavia ◽  
R. Krieser ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Endotracheal Intubation ◽  
Controlled Trial ◽  
Muscle Relaxation ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Supraglottic Airway Devices ◽  
Airway Pathology ◽  
Airway Devices ◽  
Randomised Controlled

The Ambu®AuraGain™ laryngeal mask (LM) (Ambu A/S, Ballerup, Denmark) is one of the few readily available second-generation supraglottic airway devices (SADs) that offer a conduit for fibreoptic-guided endotracheal intubation. We aimed to compare fibreoptic intubation through this device with the LMA® (laryngeal mask airway) Fastrach™ (Teleflex Medical, Co. Westmeath, Ireland), which has been a recommended dedicated rescue device for the management of the unanticipated difficult airway. This randomised controlled trial compared a previously described fibreoptic score in 116 patients with no known airway pathology, who had asleep fibreoptic endotracheal intubation via either the AuraGain LM or the LMA Fastrach. Time, ease and success rate of SAD and endotracheal tube (ETT) insertion and complications were recorded. The AuraGain LM demonstrated better laryngeal alignment with 29 out of 59 patients in the AuraGain LM (AG) group having a Grade 4 view (only vocal cords visible), compared to 20 out of 54 patients in the LMA Fastrach (FT) group (P=0.003). It allowed significantly quicker and easier ETT intubation when used as a conduit. The AuraGain LM was also quicker to insert compared to the Fastrach LMA. Similar rates of minor complications, such as sore throat and dysphonia occurred in both groups. Our study indicates that when used in patients with complete muscle relaxation and no known airway pathology, the AuraGain LM achieves better laryngeal alignment and quicker, easier and more successful fibreoptic-guided ETT intubation than the Fastrach LMA.

scholarly journals Comparison of Five 2nd-Generation Supraglottic Airway Devices for Airway Management Performed by Novice Military Operators

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Tomas Henlin ◽  
Michal Sotak ◽  
Petr Kovaricek ◽  
Tomas Tyll ◽  
Lukas Balcarek ◽  
...  
Keyword(s):  
Laryngeal Tube ◽  
Insertion Time ◽  
Supraglottic Airway ◽  
Low Light ◽  
2Nd Generation ◽  
Supraglottic Airway Devices ◽  
Military Background ◽  
Blinded Study ◽  
Tube Suction ◽  
Airway Devices

Objectives. Five different second-generation supraglottic airway devices, ProSeal LMA, Supreme LMA, i-gel, SLIPA, and Laryngeal Tube Suction-D, were studied. Operators were inexperienced users with a military background, combat lifesavers, nurses, and physicians.Methods. This was a prospective, randomized, single-blinded study. Devices were inserted in the operating room in low light conditions after induction of general anesthesia. Primary outcome was successful insertion on the first attempt while secondary aims were insertion time, number of attempts, oropharyngeal seal pressure, ease of insertion, fibre optic position of device, efficacy of ventilation, and intraoperative trauma or regurgitation of gastric contents.Results. In total, 505 patients were studied. First-attempt insertion success rate was higher in the Supreme LMA (96%), i-gel (87.9%), and ProSeal LMA (85.9%) groups than in the Laryngeal Tube Suction-D (80.6%) and SLIPA (69.4%) groups. Insertion time was shortest in the Supreme LMA (70.4 ± 32.5 s) and i-gel (74.4 ± 41.1 s) groups (p<0.001). Oropharyngeal seal pressures were higher in the Laryngeal Tube Suction-D and ProSeal LMA groups than in other three devices.Conclusions. Most study parameters for the Supreme LMA and i-gel were found to be superior to the other three tested supraglottic airway devices when inserted by novice military operators.

scholarly journals A comparative study between i-gel and classical laryngeal mask airway in elective surgery under general anaesthesia

2016 ◽  
Vol 2 (9) ◽  
pp. 227
Author(s):  
Smita R. Engineer ◽  
Digant B. Jansari ◽  
Saumya Saxena ◽  
Rahul D. Patel
Keyword(s):  
Laryngeal Mask Airway ◽  
General Anesthesia ◽  
Elective Surgery ◽  
Laryngeal Mask ◽  
Supraglottic Airway ◽  
Hemodynamic Parameters ◽  
Randomized Clinical Study ◽  
Group I ◽  
Supraglottic Airway Devices ◽  
Significant Difference

<p class="abstract"><strong>Background:</strong> Supraglottic airway devices have been widely used as an alternative to tracheal intubation during general anesthesia both in adults and children. This study was carried out to compare classical laryngeal mask airway (LMA) and i-gel, regarding ease of insertion, adequate placement of device, ability to maintain ETCO<sub>2</sub> and SPO<sub>2</sub>, perioperative hemodynamic parameters and intra operative and postoperative complication.</p><p class="abstract"><strong>Methods:</strong> This prospective, randomized clinical study was done on 100 patients of either sex, age between 5 to 60 years, ASA grade I-III who underwent different surgical procedures under general anesthesia in supine position. After giving premedication, induction of anesthesia was done with inj. Propofol 2-3 mg/kg and inj. Succnylcoline 1.5-2 mg/kg. In “sniffing air” position, airway was secured with either LMA or i-gel. An effective placement of device was checked by a square wave capnography, normal chest expansion, SPO<sub>2</sub> &gt;95%, and absence of audible leak. Patients were observed for time and ease of insertion, number of attempts, perioperative hemodynamic changes and complications.</p><p><strong>Results:</strong> No statistically significant difference was reported between both the groups, regarding heart rate, BP, SPO<sub>2</sub> and ETCO<sub>2</sub>. Duration of insertion was more in group LMA. Insertion was easy and was possible in first attempt in 88% of patients without much manipulation in group i-gel.</p><p><strong>Conclusions:</strong> I-gel is a better alternative supraglottic airway device than LMA in view of ease of insertion with minimal manipulations and minimal complications. Hemodynamic parameters, SPO<sub>2</sub> and ETCO<sub>2 </sub>were maintained in both the groups. </p>

Sign in / Sign up

Export Citation Format

Share Document