A comparison of the clinical performance of various types of supraglottic airway devices in children: a Bayesian network meta-analysis

INTRODUCTION: Airway management in the elderly may be challenging. Supraglottic airway devices (SADs) may be used to provide airway security. The aim of study was to compare the efficacy and safety of different SADs, LMA classic (c-LMA), proseal LMA (p-LMA) and i-gel in anaesthetised and non-paralysed elderly patients. METHODS: The study was approved by a local ethics committee. Eighty patients, aged older than 65 years, who were scheduled to undergo elective urological or orthopaedic surgery participated in the study. Each patient was randomly allocated into 1 of 3 groups: Group C: c-LMA (n = 26), Group P: p-LMA (n = 27) or Group I: i-gel (n = 27). The primary outcome was oropharyngeal sealing pressure (OSP). Secondary outcomes included the adequacy of positive pressure ventilation, ease of insertion, success rates, time to insertion, haemodynamic response and complications such as sore throat and dysphagia. RESULTS: There were no significant differences among the groups with respect to OSP (p=0.852), whereas there was a statistically significant difference between Group I and Group C in terms of leak volume and leak fraction ( p= 0.042 and p = 0.020, respectively ). Adverse events were similar among the groups (p > 0.05). DISCUSSION AND CONCLUSION: In this study, although the leak volume and leak fraction were lower in i-gel inserted patients, it was shown that i-gel, c-LMA and p-LMA provided adequate airway in elderly patients who were not applied muscle relaxants and will be operated under general anesthesia.

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A comparison of two supraglottic airway devices in general anaesthesia: baska mask® vs. I-gel®

Medical Science and Discovery ◽

10.36472/msd.v6i12.331 ◽

2019 ◽

Vol 6 (12) ◽

pp. 333-339

Author(s):

Özlem Sezen

Keyword(s):

General Anaesthesia ◽

Sore Throat ◽

Clinical Performance ◽

Insertion Time ◽

Supraglottic Airway ◽

Peripheral Oxygen Saturation ◽

Supraglottic Airway Devices ◽

Gastric Regurgitation ◽

Significant Difference ◽

Airway Devices

Objective: The aim of this was to compare the Baska® mask and the I-gel® airway in paralyzed patients during general anaesthesia in terms of clinical performance, the risk of aspiration, and intraoperative and postoperative characteristics. Material and Methods: The two devices were compared in 100 paralyzed anesthetized adult patients. Primary outcomes of the study were to evaluate the characteristics of the airway devices within respect to the success of first insertion attempt, the insertion time, the ease of insertion, leak volume, and peak airway pressure. The blood staining on the mask, and the presence of gastric reflux or sore throat two hours postoperatively were evaluated. Hemodynamics, end-tidal CO2 and the peripheral oxygen saturation measurements were secondary outcomes. Results: No statistically significant difference was observed between the groups in the criteria of first attempt success rate, ease of insertion, blood staining upon removal of the masks, gastric regurgitation, or sore throat two hours after the procedure. The insertion time was significantly longer for the Baska® mask compared with the I-gel® airway. The leak volume was significantly higher in the Baska® mask patients throughout the surgical procedure. The heart rate and mean arterial pressure measurements were significantly higher in the Baska® mask patients. Conclusions: Both the Baska® mask and the I-gel ® device can be used effectively for selected paralyzed patients under general anaesthesia. The insertion time was significantly longer for the Baska® mask compared with the I-gel® device.

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

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2018.12.044 ◽

2019 ◽

Vol 55 ◽

pp. 52-66 ◽

Cited By ~ 5

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

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Comparison of Clinical Performance of Supraglottic Airway Devices I– gel vs LMA-Proseal in Paediatric Elective Surgeries

Indian Journal of Anaesthesia and Analgesia ◽

10.21088/ijaa.2349.8471.5818.20 ◽

2018 ◽

Vol 5 (8) ◽

pp. 1372-1381

Author(s):

Punidha Vardhani R. ◽

◽

Rajaram J. ◽

Keyword(s):

Clinical Performance ◽

Supraglottic Airway ◽

Supraglottic Airway Devices ◽

Airway Devices

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

Pediatric Anesthesia ◽

10.1111/pan.12495 ◽

2014 ◽

Vol 24 (10) ◽

pp. 1088-1098 ◽

Cited By ~ 51

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

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

BioMed Research International ◽

10.1155/2016/6406391 ◽

2016 ◽

Vol 2016 ◽

pp. 1-11 ◽

Cited By ~ 5

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.

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

Scientific Reports ◽

10.1038/s41598-021-94114-7 ◽

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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