scholarly journals Comparison of Airtraq® Laryngoscope, Bonfils Endoscope and Fiberoptic Bronchoscope for Awake Tracheal Intubation: A Randomized, Controlled Trial

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Köhne W ◽  
◽  
Elfers-Wassenhofen A ◽  
Nosch M ◽  
Groeben H ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Success Rate ◽  
Local Anesthesia ◽  
Difficult Intubation ◽  
Spontaneous Breathing ◽  
Case Reports ◽  
Controlled Trial ◽  
Fiberoptic Intubation ◽  
Randomized Controlled ◽  
Glottic View

Over the last decades several indirect laryngoscopes have been developed to provide a significant better glottic view and improved the success rate in difficult intubations. Some case reports describe the use of indirect laryngoscopes for awake tracheal intubations under preserved spontaneous breathing. However, randomized clinical studies comparing indirect laryngoscopy to the standard of fiberoptic intubation under spontaneous breathing are rare. Therefore, we compared the intubation with the Airtraq® laryngoscope and the Bonfils endoscope, to the standard fiberoptic intubation in patients with an expected difficult intubation under local anesthesia and sedation. 150 patients with an expected difficult intubation were randomized to one of the three devices. All intubation attempts were performed under local anesthesia and sedation. We evaluated success rate, time for intubation and the satisfaction of anesthesiologists and patients. Fiberoptic intubation was significantly more successful (100%) than intubation with an Airtraq® laryngoscope (88%) or the Bonfils endoscope (88%). Time for intubation was quickest with the Airtraq® laryngoscope and significantly shorter than fiberoptic intubation (p=0.044). There was no difference in satisfaction of the anesthesiologists and none of the patients had a negative recall to one of the techniques. An expected difficult intubation can be managed using the Airtraq® laryngoscope or the Bonfils endoscope in 88% and shows the same satisfaction of anesthesiologists and patient. We conclude that these techniques represent an acceptable alternative for an awake tracheal intubation under sedation and preserved spontaneous breathing.

TWIN MIXED LOCAL ANESTHESIA IN THIRD MOLAR SURGERY - RANDOMIZED CONTROLLED TRIAL

2021 ◽  
Author(s):  
Shivangi Gaur ◽  
Madhulaxmi Marimuthu ◽  
P Wahab ◽  
Dr Navaneetha Krishnan ◽  
Subhashini Ramasubbu
Keyword(s):  
Randomized Controlled Trial ◽  
Local Anesthesia ◽  
Controlled Trial ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Randomized Controlled

Surfactant Administration via Thin Catheter During Spontaneous Breathing: Randomized Controlled Trial

PEDIATRICS ◽  
2013 ◽  
Vol 131 (2) ◽  
pp. e502-e509 ◽  
Author(s):  
H. G. Kanmaz ◽  
O. Erdeve ◽  
F. E. Canpolat ◽  
B. Mutlu ◽  
U. Dilmen
Keyword(s):  
Randomized Controlled Trial ◽  
Spontaneous Breathing ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Surfactant Administration

Comparison of the Intubating Laryngeal Mask Airway with the Fiberoptic Intubation in Anticipated Difficult Airway Management

2001 ◽  
Vol 94 (6) ◽  
pp. 968-972 ◽  
Author(s):  
Olivier Langeron ◽  
François Semjen ◽  
Jean-Louis Bourgain ◽  
Alain Marsac ◽  
Anne-Marie Cros
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Adverse Events ◽  
Oxygen Saturation ◽  
Difficult Airway ◽  
Difficult Intubation ◽  
Laryngeal Mask ◽  
Fiberoptic Intubation ◽  
Alternative Technique ◽  
Intubating Laryngeal Mask Airway

Background The intubating laryngeal mask airway (ILMA; Fastrach; Laryngeal Mask Company, Henley-on-Thames, UK) may provide an alternative technique to fiberoptic intubation (FIB) to facilitate the management of the anticipated difficult airway. The authors therefore compared the effectiveness of the ILMA with FIB in patients with anticipated difficult intubation. Methods One hundred patients, with at least one difficult intubation criteria (Mallampati class III or IV, thyromental distance < 65 mm, interincisor distance < 35 mm) were enrolled (FIB group, n = 49; ILMA group, n = 51) in this prospective randomized study. Anesthesia was induced with propofol and maintained with alfentanil and propofol after an efficient mask ventilation has been demonstrated. The success of the technique (within three attempts), the number of attempts, duration of the successful attempt, and adverse events (oxygen saturation < 90%, bleeding) were recorded. Results The rate of successful tracheal intubation with ILMA was 94% and comparable with FIB (92%). The number of attempts and the time to succeed were not significantly different between groups. In case of failure of the first technique, the alternative technique always succeeded. Failures in FIB group were related to oxygen desaturation (oxygen saturation < 90%) and bleeding, and to previous cervical radiotherapy in the ILMA group. Adverse events occurred significantly more frequently in FIB group than in ILMA group (18 vs. 0%, P < 0.05). Conclusion The authors obtained a high success rate and comparable duration of tracheal intubation with ILMA and FIB techniques. In patients with previous cervical radiotherapy, the use of ILMA cannot be recommended. Nevertheless, the use of the ILMA was associated with fewer adverse events.

scholarly journals Local Anesthesia Versus Local Anesthesia and Conscious Sedation for Inguinal Hernioplasty: Protocol of a Randomized Controlled Trial

2017 ◽  
Vol 6 (2) ◽  
pp. e20 ◽  
Author(s):  
Pierre-Anthony Leake ◽  
Patrick J Toppin ◽  
Marvin Reid ◽  
Joseph M Plummer ◽  
Patrick O Roberts ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Local Anesthesia ◽  
Conscious Sedation ◽  
Controlled Trial ◽  
Inguinal Hernioplasty ◽  
Randomized Controlled

Does Preprocedural Ultrasound Increase the First-Pass Success Rate of Epidural Catheterization Before Cesarean Delivery? A Randomized Controlled Trial

2017 ◽  
Vol 124 (3) ◽  
pp. 851-856 ◽  
Author(s):  
Mohamed Mohamed Tawfik ◽  
Magdy Mamdouh Atallah ◽  
Walaa Safaa Elkharboutly ◽  
Nasser Sameh Allakkany ◽  
Mostafa Abdelkhalek
Keyword(s):  
Randomized Controlled Trial ◽  
Success Rate ◽  
Cesarean Delivery ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
First Pass ◽  
Epidural Catheterization

scholarly journals Hyperpronation versus Supination–Flexion in Radial Head Subluxation Reduction: A Randomized Controlled Trial

2020 ◽  
Vol 09 (04) ◽  
pp. 256-260
Author(s):  
Samaneh Porozan ◽  
Arash Forouzan ◽  
Rayeheh Hassanzadeh
Keyword(s):  
Success Rate ◽  
Radial Head ◽  
Controlled Trial ◽  
Reduction Technique ◽  
Extremity Injury ◽  
Success Rates ◽  
Randomized Controlled ◽  
Before And After ◽  
Upper Extremity Injury ◽  
Successful Reduction

AbstractRadial head subluxation (RHS) is the most common upper extremity injury in children. Supination–flexion (SF) and hyperpronation (HP) are two methods for reducing this subluxation. This study purposed to compare the success rates of two methods of reduction and also to determine which technique would be less painful. In total, 154 patients with RHS were enrolled in this study and randomized into two groups. Patients were to undergo reduction by one of the two methods; if the primary attempt was unsuccessful, a second attempt was performed using the alternate technique. In the case of failure of the second attempt, the first reduction technique was repeated. The success rates and pain levels before and after successful reduction were recorded. On the first attempt, 72 of 77 patients who underwent HP had a successful reduction. Four patients in the HP group had a successful reduction on the second attempt. In the SF group, 76 of 77 patients had a successful reduction on the first attempt. The success rate on first attempts was higher in the SF group than in the HP group (p = 0.043). Pain levels before and after reduction were not statistically different between the groups (p > 0.05). The SF technique had a higher success rate at first attempt to reduce RHS, but pain levels were similar in both methods.

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