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Randomized trial comparing the i-gel™ and Magill tracheal tube with the single-use ILMA™ and ILMA™ tracheal tube for fibreoptic-guided intubation in anaesthetized patients with a predicted difficult airway.
Br J Anaesth. 2011 Aug; 107(2):251-7.BJ

Abstract

BACKGROUND

The i-gel™ is a single-use supraglottic airway device (SAD) that allows fibreoptic-guided tracheal intubation through the device. Until now, no prospective data for this procedure are available. Therefore, in a prospective randomized controlled trial, we evaluated fibreoptic-guided tracheal intubation with a standard Rüsch™ PVC tracheal tube (TT) through the i-gel™ compared with the single-use ILMA™ (sILMA™) TT through the sILMA™ in patients with a predicted difficult airway.

METHODS

With ethics committee approval and written informed consent, 160 patients were randomly assigned to either SAD. After placement of the SAD, a fibreoptic bronchoscope was introduced into the trachea as a railroad for the TT. Primary outcome variable was the first-attempt fibreoptic-guided intubation success rate. Secondary variables included time for insertion and intubation, airway leak pressures, fibreoptic view, and adverse events. Data are presented as mean (sd) or percentages. A P-value of < 0.05 was considered statistically significant.

RESULTS

Fibreoptic-guided intubation was successful at the first attempt in 76 patients (96%) using the i-gel™ and in 71 patients (90%) using the sILMA™ (P=0.21). Most of the failed intubations were rescued by conventional laryngoscopy. Airway leak pressure was higher for the sILMA™. There were no problems during removal of either type of SAD.

CONCLUSIONS

Fibreopic-guided tracheal intubation through the i-gel™ using a standard Rüsch™ Magill TT is successful and an alternative to the sILMA™ with the sILMA™ TT.

Authors+Show Affiliations

Department of Anesthesiology and Pain Therapy, Inselspital, University Hospital Bern, and University of Bern, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21652616

Citation

Kleine-Brueggeney, M, et al. "Randomized Trial Comparing the I-gel™ and Magill Tracheal Tube With the Single-use ILMA™ and ILMA™ Tracheal Tube for Fibreoptic-guided Intubation in Anaesthetized Patients With a Predicted Difficult Airway." British Journal of Anaesthesia, vol. 107, no. 2, 2011, pp. 251-7.
Kleine-Brueggeney M, Theiler L, Urwyler N, et al. Randomized trial comparing the i-gel™ and Magill tracheal tube with the single-use ILMA™ and ILMA™ tracheal tube for fibreoptic-guided intubation in anaesthetized patients with a predicted difficult airway. Br J Anaesth. 2011;107(2):251-7.
Kleine-Brueggeney, M., Theiler, L., Urwyler, N., Vogt, A., & Greif, R. (2011). Randomized trial comparing the i-gel™ and Magill tracheal tube with the single-use ILMA™ and ILMA™ tracheal tube for fibreoptic-guided intubation in anaesthetized patients with a predicted difficult airway. British Journal of Anaesthesia, 107(2), 251-7. https://doi.org/10.1093/bja/aer103
Kleine-Brueggeney M, et al. Randomized Trial Comparing the I-gel™ and Magill Tracheal Tube With the Single-use ILMA™ and ILMA™ Tracheal Tube for Fibreoptic-guided Intubation in Anaesthetized Patients With a Predicted Difficult Airway. Br J Anaesth. 2011;107(2):251-7. PubMed PMID: 21652616.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized trial comparing the i-gel™ and Magill tracheal tube with the single-use ILMA™ and ILMA™ tracheal tube for fibreoptic-guided intubation in anaesthetized patients with a predicted difficult airway. AU - Kleine-Brueggeney,M, AU - Theiler,L, AU - Urwyler,N, AU - Vogt,A, AU - Greif,R, Y1 - 2011/06/07/ PY - 2011/6/10/entrez PY - 2011/6/10/pubmed PY - 2011/9/8/medline SP - 251 EP - 7 JF - British journal of anaesthesia JO - Br J Anaesth VL - 107 IS - 2 N2 - BACKGROUND: The i-gel™ is a single-use supraglottic airway device (SAD) that allows fibreoptic-guided tracheal intubation through the device. Until now, no prospective data for this procedure are available. Therefore, in a prospective randomized controlled trial, we evaluated fibreoptic-guided tracheal intubation with a standard Rüsch™ PVC tracheal tube (TT) through the i-gel™ compared with the single-use ILMA™ (sILMA™) TT through the sILMA™ in patients with a predicted difficult airway. METHODS: With ethics committee approval and written informed consent, 160 patients were randomly assigned to either SAD. After placement of the SAD, a fibreoptic bronchoscope was introduced into the trachea as a railroad for the TT. Primary outcome variable was the first-attempt fibreoptic-guided intubation success rate. Secondary variables included time for insertion and intubation, airway leak pressures, fibreoptic view, and adverse events. Data are presented as mean (sd) or percentages. A P-value of < 0.05 was considered statistically significant. RESULTS: Fibreoptic-guided intubation was successful at the first attempt in 76 patients (96%) using the i-gel™ and in 71 patients (90%) using the sILMA™ (P=0.21). Most of the failed intubations were rescued by conventional laryngoscopy. Airway leak pressure was higher for the sILMA™. There were no problems during removal of either type of SAD. CONCLUSIONS: Fibreopic-guided tracheal intubation through the i-gel™ using a standard Rüsch™ Magill TT is successful and an alternative to the sILMA™ with the sILMA™ TT. SN - 1471-6771 UR - https://www.unboundmedicine.com/medline/citation/21652616/Randomized_trial_comparing_the_i_gel™_and_Magill_tracheal_tube_with_the_single_use_ILMA™_and_ILMA™_tracheal_tube_for_fibreoptic_guided_intubation_in_anaesthetized_patients_with_a_predicted_difficult_airway_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0007-0912(17)33123-9 DB - PRIME DP - Unbound Medicine ER -