scholarly journals Orotracheal tube versus supraglottic devices in biological, chemical and radiological disasters: meta-analysis in manikin-based studies

2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Israel Baptista de Souza Borges ◽  
Magali Rezende de Carvalho ◽  
Marcel de Souza Quintana ◽  
Dalmo Valério Machado de Lima ◽  
Bruno Leal Barbosa ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Healthcare Providers ◽  
Ventilatory Support ◽  
Orotracheal Intubation ◽  
Supraglottic Airway ◽  
Emergency Setting ◽  
Level Of Evidence ◽  
Orotracheal Tube ◽  
Supraglottic Airway Devices ◽  
Airway Devices

ABSTRACT Objective: To compare the mean time of orotracheal intubation and insertion of supraglottic airway devices, considering healthcare providers wearing waterproof overall, gloves, boots, eye protection and mask at the Chemical, Biological, Radiological and Nuclear context in simulation setting. Methods: Six databases were searched. The selected studies were put in a pool of results using a random-effects meta-analysis, with standardized mean differences and calculation of 95% confidence intervals. Results: Nine observational studies were included. Regarding reducing time to provide ventilatory support, subgroup analyses were made. The emergency setting subgroup: -12.97 [-16.11; -9.83]; I2 = 64%. The surgery setting subgroup: -14.96 [-18.65; -11.27]; I2 = 75%. Another analysis was made by reproductive methodology subgroups. Ophir’s subgroup: -15.70 [-17.04; -14.37]; I2 = 0%. All meta-analyses had orotracheal tube as comparator. Conclusion: Moderate level of evidence was in favor of insertion of supraglottic devices because of fast application.

scholarly journals Influence of head and neck position on the performance of supraglottic airway devices: A systematic review and meta-analysis

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0216673
Author(s):  
Min-Soo Kim ◽  
Jin Ha Park ◽  
Ki-Young Lee ◽  
Seung Ho Choi ◽  
Hwan Ho Jung ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Meta Analysis ◽  
Supraglottic Airway ◽  
Neck Position ◽  
Supraglottic Airway Devices ◽  
Airway Devices ◽  
Head And Neck Position

scholarly journals Systematic review and meta-analysis comparing ventilatory support in chemical, biological and radiological emergencies

2020 ◽  
Vol 28 ◽  
Author(s):  
Israel Baptista de Souza Borges ◽  
Magali Rezende de Carvalho ◽  
Marcel de Souza Quintana ◽  
Alexandre Barbosa de Oliveira
Keyword(s):  
Personal Protective Equipment ◽  
Health Professionals ◽  
Meta Analysis ◽  
Ventilatory Support ◽  
Orotracheal Intubation ◽  
Protective Equipment ◽  
Laryngeal Masks ◽  
Orotracheal Tube ◽  
The Mean ◽  
Meta Analyses

Objective: to compare the mean development time of the techniques of direct laryngoscopy and insertion of supraglottic devices; and to evaluate the success rate in the first attempt of these techniques, considering health professionals wearing specific personal protective equipment (waterproof overalls; gloves; boots; eye protection; mask). Method: meta-analysis with studies from LILACS, MEDLINE, CINAHL, Cochrane, Scopus and Web of Science. The keywords were the following: personal protective equipment; airway management; intubation; laryngeal masks. Results: in the “reduction of the time of the procedures” outcome, the general analysis of the supraglottic devices in comparison with the orotracheal tube initially presented high heterogeneity of the data (I2= 97%). Subgroup analysis had an impact on reducing heterogeneity among the data. The “laryngeal mask as a guide for orotracheal intubation” subgroup showed moderate heterogeneity (I2= 74%). The “2ndgeneration supraglottic devices” subgroup showed homogeneity (I2= 0%). All the meta-analyses favored supraglottic devices. In the “success in the first attempt” outcome, moderate homogeneity was found (I2= 52%), showing a higher proportion of correct answers for supraglottic devices. Conclusion: in the context of chemical, biological or radiological disaster, the insertion of the supraglottic device proved to be faster and more likely to be successful by health professionals. PROSPERO record (CRD42019136139).

Comparison of supraglottic airway devices in laparoscopic surgeries: A network meta-analysis

2019 ◽  
Vol 55 ◽  
pp. 52-66 ◽  
Author(s):  
Sang Won Yoon ◽  
Hyun Kang ◽  
Geun Joo Choi ◽  
Choongun Ryu ◽  
Yong Hee Park ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Supraglottic Airway ◽  
Supraglottic Airway Devices ◽  
Airway Devices

Supraglottic airway devices vs tracheal intubation in children: a quantitative meta-analysis of respiratory complications

2014 ◽  
Vol 24 (10) ◽  
pp. 1088-1098 ◽  
Author(s):  
Virginie Luce ◽  
Hakim Harkouk ◽  
Christopher Brasher ◽  
Daphné Michelet ◽  
Julie Hilly ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Meta Analysis ◽  
Supraglottic Airway ◽  
Respiratory Complications ◽  
Supraglottic Airway Devices ◽  
Airway Devices

scholarly journals Comparative Efficacy of the Air-Q Intubating Laryngeal Airway during General Anesthesia in Pediatric Patients: A Systematic Review and Meta-Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Eun Jin Ahn ◽  
Geun Joo Choi ◽  
Hyun Kang ◽  
Chong Wha Baek ◽  
Yong Hun Jung ◽  
...  
Keyword(s):  
Systematic Review ◽  
General Anesthesia ◽  
Pediatric Patients ◽  
Meta Analysis ◽  
Final Analysis ◽  
Airway Device ◽  
Supraglottic Airway ◽  
Comparative Efficacy ◽  
Supraglottic Airway Devices ◽  
Airway Devices

Air-Q® (air-Q) is a supraglottic airway device which can be used as a guidance of intubation in pediatric as well as in adult patients. We evaluated the efficacy and safety of air-Q compared to other airway devices during general anesthesia in pediatric patients by conducting a systematic review and meta-analysis. A total of 10 studies including 789 patients were included in the final analysis. Compared with other supraglottic airway devices, air-Q showed no evidence for a difference in leakage pressure and insertion time. The ease of insertion was significantly lower than other supraglottic airway devices. The success rate of intubation was significantly lower than other airway devices. However, fiberoptic view was better through the air-Q than other supraglottic airway devices. Therefore, air-Q could be a safe substitute for other airway devices and may provide better fiberoptic bronchoscopic view.

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.

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