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[Clinical observation of Cookgas intubating laryngeal airway in anticipating difficult tracheal intubation].
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2007 Dec; 29(6):755-9.ZY

Abstract

OBJECTIVE

To compare the clinical effects of Cookgas intubating laryngeal airway (CILA) in facilitating fiberoptic bronchoscope (FOB) and Shikani optical stylet (SOS)-guided intubations in anticipating difficult tracheal intubation.

METHODS

Totally 60 anticipated difficult tracheal intubation patients undergoing selective plastic surgery under general anesthesia were allocated to FOB group (n = 30) and SOS group (n = 30). After anesthesia induction and CILA insertion, the patients were treated with FOB or SOS-guided intubation via CILA. The time of intubation and CILA removal and the time and the success rate of CILA insertion were recorded. Noninvasive blood pressure and heart rate were recorded before and after anesthesia induction at CILA insertion, at intubation, at CILA removal, and every minute thereafter for 5 minutes.

RESULTS

CILA was inserted successfully in all patients. The first intubation attempt succeeded in all but two who succeeded in the second and the third attempt respectively in FOB group. In SOS group, 18 patients were successfully intubated in the first attempt, and 7 patients were successfully intubated in the second attempt; SOS failed in 5 patients with severe cervical scars, and then FOB was successfully used to intubate. The time of the intubation [(60.2 +/- 29.6) vs. (92.4 +/- 47.9)s] and CILA removal [(104.6 +/- 39.9) vs. (130.0 +/- 51.9) s] in SOS group were significantly longer than in FOB group (P < 0.05). Hemodynamic changes during the intubation with CILA in these two groups were minimal.

CONCLUSIONS

FOB and SOS-guided tracheal intubation via CILA is safe and effective in anticipating the outcome of difficult airway management. Compare to SOS-guided intubation, the time of FOB-guided intubation is shorter and the success rate is higher.

Authors+Show Affiliations

Department of Anesthesiology, Plastic Surgery Hospital, CAMS and PUMC, Beijing 100041, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

chi

PubMed ID

18595253

Citation

Yang, Dong, et al. "[Clinical Observation of Cookgas Intubating Laryngeal Airway in Anticipating Difficult Tracheal Intubation]." Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, vol. 29, no. 6, 2007, pp. 755-9.
Yang D, Deng XM, Luo MP, et al. [Clinical observation of Cookgas intubating laryngeal airway in anticipating difficult tracheal intubation]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2007;29(6):755-9.
Yang, D., Deng, X. M., Luo, M. P., Wei, L. X., Sui, J. H., Liao, X., Zhang, Y. M., & Xu, K. L. (2007). [Clinical observation of Cookgas intubating laryngeal airway in anticipating difficult tracheal intubation]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, 29(6), 755-9.
Yang D, et al. [Clinical Observation of Cookgas Intubating Laryngeal Airway in Anticipating Difficult Tracheal Intubation]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2007;29(6):755-9. PubMed PMID: 18595253.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical observation of Cookgas intubating laryngeal airway in anticipating difficult tracheal intubation]. AU - Yang,Dong, AU - Deng,Xiao-Ming, AU - Luo,Mao-Ping, AU - Wei,Ling-Xin, AU - Sui,Jing-Hu, AU - Liao,Xu, AU - Zhang,Yan-Ming, AU - Xu,Kun-Lin, PY - 2008/7/4/pubmed PY - 2010/6/11/medline PY - 2008/7/4/entrez SP - 755 EP - 9 JF - Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae JO - Zhongguo Yi Xue Ke Xue Yuan Xue Bao VL - 29 IS - 6 N2 - OBJECTIVE: To compare the clinical effects of Cookgas intubating laryngeal airway (CILA) in facilitating fiberoptic bronchoscope (FOB) and Shikani optical stylet (SOS)-guided intubations in anticipating difficult tracheal intubation. METHODS: Totally 60 anticipated difficult tracheal intubation patients undergoing selective plastic surgery under general anesthesia were allocated to FOB group (n = 30) and SOS group (n = 30). After anesthesia induction and CILA insertion, the patients were treated with FOB or SOS-guided intubation via CILA. The time of intubation and CILA removal and the time and the success rate of CILA insertion were recorded. Noninvasive blood pressure and heart rate were recorded before and after anesthesia induction at CILA insertion, at intubation, at CILA removal, and every minute thereafter for 5 minutes. RESULTS: CILA was inserted successfully in all patients. The first intubation attempt succeeded in all but two who succeeded in the second and the third attempt respectively in FOB group. In SOS group, 18 patients were successfully intubated in the first attempt, and 7 patients were successfully intubated in the second attempt; SOS failed in 5 patients with severe cervical scars, and then FOB was successfully used to intubate. The time of the intubation [(60.2 +/- 29.6) vs. (92.4 +/- 47.9)s] and CILA removal [(104.6 +/- 39.9) vs. (130.0 +/- 51.9) s] in SOS group were significantly longer than in FOB group (P < 0.05). Hemodynamic changes during the intubation with CILA in these two groups were minimal. CONCLUSIONS: FOB and SOS-guided tracheal intubation via CILA is safe and effective in anticipating the outcome of difficult airway management. Compare to SOS-guided intubation, the time of FOB-guided intubation is shorter and the success rate is higher. SN - 1000-503X UR - https://www.unboundmedicine.com/medline/citation/18595253/[Clinical_observation_of_Cookgas_intubating_laryngeal_airway_in_anticipating_difficult_tracheal_intubation]_ DB - PRIME DP - Unbound Medicine ER -