Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway

2017 ◽  
Vol 2 (1) ◽  
pp. 1-7
Author(s):  
Vartika Singh ◽  
Vartika Vinay ◽  
Reehan Ahmed
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Comparative Evaluation ◽  
Video Laryngoscope ◽  
Laryngeal Mask ◽  
Independent Observer ◽  
Evaluation Of Performance ◽  
Intubating Laryngeal Mask Airway ◽  
Ventilatory Device

ABSTRACT Introduction This prospective randomized study aimed to compare the effectiveness of the intubating laryngeal mask airway (ILMA) with the King Vision Video laryngoscope in aiding endotracheal intubation in Asian patients with normal airway. King Vision Video laryngoscope is a two-piece design. It has a reusable monitor that attaches to disposable blades. The ILMA is a device specifically designed to be an effective ventilatory device and blind intubating guide in patients with normal and abnormal airways. Materials and methods After ethics committee approval and obtaining patient's written informed consent, 60 American Society of Anesthesiologists grade I and II adult patients undergoing elective surgery requiring intubation were randomly allocated into either the ILMA group (Group L) or the King Vision Video laryngoscope group (Group V). • Thorough preanesthetic checkup was done. Patient was premedicated. Induction was done with propofol 2.5 mg/kg and succinylcholine 1.5 mg/kg. In Group L, ILMA was inserted using a single-handed rotational technique. In the King Vision Video laryngoscope group, intubation was done with videolaryngoscope. Placement was confirmed with auscultation and capnography. • An independent observer recorded the following: – Time taken for successful intubation – Success or failure of the tracheal intubation – Number of attempts needed for successful tracheal intubation – Complication associated with tracheal intubation: bleeding or postoperative sore throat – Hemodynamic response to intubation Results and conclusion King Vision Video laryngoscope is the more effective technique in aiding endotracheal intubation in patients with normal airways. How to cite this article Hanjura S, Agrawal AP, Agrawal M, Singh V, Vinay V, Ahmed R. Comparative Evaluation of Performance of Videolaryngoscope vs Fastrach Intubating Laryngeal Mask Airway. Int J Adv Integ Med Sci 2017;2(1):1-7.

Flexible Lightwand–guided Tracheal Intubation with the Intubating Laryngeal Mask Fastrach  TMin Adults after Unpredicted Failed Laryngoscope-guided Tracheal Intubation

2002 ◽  
Vol 96 (2) ◽  
pp. 296-299 ◽  
Author(s):  
Vasilios Dimitriou ◽  
Gregory S. Voyagis ◽  
Joseph R. Brimacombe
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Median Number ◽  
Airway Device ◽  
Laryngeal Mask ◽  
Successful Intubation ◽  
Inclusion Criteria ◽  
The Third ◽  
Intubating Laryngeal Mask Airway ◽  
Ventilatory Device

Background The authors determined the efficacy of using the intubating laryngeal mask airway Fastrach (ILM) as a ventilatory device and aid to flexible lightwand-guided tracheal intubation in patients with unpredicted failed laryngoscope-guided tracheal intubation when managed by experienced anesthetists. Methods During a 27-month period, 16 experienced anesthetists agreed to use the ILM as an airway device and airway intubator in patients (aged > 18 yr) with predicted normal airways who were subsequently found to be difficult to intubate (three failed attempts at laryngoscopy). Intubation via the ILM was performed with a flexible lightwand. The number of attempts at ILM placement, the number of adjusting maneuvers, the number of attempts at tracheal intubation via the ILM,and any episodes of hypoxia (oxygen saturation < 90%) were recorded. Results Forty-four of 11,621 patients (0.4%) met the inclusion criteria. ILM insertion and ventilation was successful at the first attempt in 40 of 44 patients (91%) and at the second attempt in 4 of 44 (9%). Flexible lightwand-guided tracheal intubation via the ILM was successful in 38 of 44 patients (86%) at the first attempt, 3 of 44 (7%) at the second attempt, 2 of 44 (5%) at the third to fifth attempts, and failed in 1 of 44 (2%). The median number of adjusting maneuvers before successful intubation was 1 (range, 0-4). Hypoxia occurred in 5 patients before ILM insertion (range, 52-82%), but none after ILM insertion. No patient developed hypoxia during or after intubation via the ILM. Conclusion The ILM is an effective ventilatory device and aid to flexible lightwand-guided tracheal intubation in adult patients with predicted normal airways in whom laryngoscope-guided tracheal intubation subsequently fails when managed by experienced anesthetists.

scholarly journals Hemodynamic changes during endotracheal intubation: A prospective randomised comparative study using fibreoptic bronchoscope and intubating laryngeal mask airway

2015 ◽  
Vol 1 (2) ◽  
pp. 70-75
Author(s):  
Manzil Shrestha ◽  
Tanvir R Rahman ◽  
Bikash Agarwal
Keyword(s):  
Heart Rate ◽  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Endotracheal Intubation ◽  
Fibreoptic Bronchoscope ◽  
Laryngeal Mask ◽  
Hemodynamic Changes ◽  
Group I ◽  
Intubating Laryngeal Mask Airway ◽  
Group Ii

Background: Fibreoptic intubation and Intubating laryngeal mask airway are alternatives to conventional laryngoscopy. The objective of the study was to compare hemodynamic changes with the use of these two devices for tracheal intubation.Methods: It was a randomized, comparative and prospective study of two groups comprising of 50 patients each. Tracheal intubations were performed using intubating fiberscope in group I and intubating laryngeal mask airway in Group II. Intubation time, heart rate, blood pressure and complications were compared.Results: Heart rate response to tracheal intubation was comparable between the groups. Changes in mean arterial pressure were also comparable and returned to baseline after two minutes of tracheal intubation. The first attempt success rate was 80% and 92% respectively in Group I and Group II. The time taken for intubation was found to be significantly longer in Group II irrespective of the number of attempts. There were no major complications observed. However there was some desaturation at the time of intubation which was seen in three patients in Group I, and one patient in Group II. However the Spo2 did not fall below 96% and was not considered to be clinically significant.Conclusions: Endotracheal intubation using either an Intubating Laryngeal Mask Airway or a Fibreoptic Bronchoscope is comparable in terms of the haemodynamic responses.Journal of Society of Anesthesiologists 2014 1(2): 70-75

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 Tracheal intubation in patients immobilized by a rigid collar: a comparison of GlideScope and an intubating laryngeal mask airway*

2016 ◽  
Vol 46 ◽  
pp. 1617-1623 ◽  
Author(s):  
Semih ÖZDİL ◽  
Zehra İpek ARSLAN AYDIN ◽  
Zehra Nur BAYKARA ◽  
Kamil TOKER ◽  
Zeynep Mine SOLAK
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Intubation ◽  
Laryngeal Mask ◽  
Intubating Laryngeal Mask Airway
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