Tags

Type your tag names separated by a space and hit enter

Evaluation of air-Q™ intubating laryngeal airway as a conduit for tracheal intubation in infants--a pilot study.
Paediatr Anaesth. 2012 Feb; 22(2):156-60.PA

Abstract

BACKGROUND

Air-Q™ intubating laryngeal airway (ILA) has been used successfully as a conduit for tracheal intubation in pediatric difficult airway. However, its use as an airway device and conduit for intubation in infants is not yet evaluated.

AIMS

The primary objective was to evaluate ILA as a conduit for tracheal intubation in infants, and secondary objectives were to evaluate ILA in terms of ease of insertion and ventilation, oropharyngeal leak pressure (OLP), glottic view, and complications.

METHODS

Twenty infants with normal airway were included. After induction of general anesthesia and neuromuscular blockade, ILA (size 1.0/1.5) was inserted. Fiberoptic bronchoscope (FOB)-guided intubation and removal of ILA with the stabilizing stylet was attempted.

RESULTS

The mean age and weight of the infants were 7.5 ± 2.3 months and 7.3 ± 1.8 kg. The ILA sizes 1.0 and 1.5 were inserted in 10 infants each according to the weight of the infants. The mean OLP was 18.5 ± 1.8 cm H₂O, and mean time for insertion of ILA was 13.3 ± 3.9 s. Glottic view was grade I in 6, grade II in 1, grade III in 4, and grade IV in nine infants. Tracheal intubation was successful in 19/20 infants. The mean endotracheal tube (ETT) insertion time and mean total time (ILA insertion to the confirmation of ETT placement) were 95.6 ± 32.3 s and 306.42 ± 120.2 s respectively.

CONCLUSION

The ILA is a safe and easy-to-use supraglottic airway device for intubation with FOB in infants with normal airway. Insertion and removal of ILA are easy with satisfactory oropharyngeal seal and ventilation.

Authors+Show Affiliations

Department of Anaesthesiology and Intensive Care, Rajendra Prasad Institute of Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. renuagarwal4@rediffmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

21973052

Citation

Sinha, Renu, et al. "Evaluation of air-Q™ Intubating Laryngeal Airway as a Conduit for Tracheal Intubation in Infants--a Pilot Study." Paediatric Anaesthesia, vol. 22, no. 2, 2012, pp. 156-60.
Sinha R, Chandralekha , Ray BR. Evaluation of air-Q™ intubating laryngeal airway as a conduit for tracheal intubation in infants--a pilot study. Paediatr Anaesth. 2012;22(2):156-60.
Sinha, R., Chandralekha, ., & Ray, B. R. (2012). Evaluation of air-Q™ intubating laryngeal airway as a conduit for tracheal intubation in infants--a pilot study. Paediatric Anaesthesia, 22(2), 156-60. https://doi.org/10.1111/j.1460-9592.2011.03710.x
Sinha R, Chandralekha , Ray BR. Evaluation of air-Q™ Intubating Laryngeal Airway as a Conduit for Tracheal Intubation in Infants--a Pilot Study. Paediatr Anaesth. 2012;22(2):156-60. PubMed PMID: 21973052.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of air-Q™ intubating laryngeal airway as a conduit for tracheal intubation in infants--a pilot study. AU - Sinha,Renu, AU - Chandralekha,, AU - Ray,Bikash Ranjan, PY - 2011/10/7/entrez PY - 2011/10/7/pubmed PY - 2012/4/28/medline SP - 156 EP - 60 JF - Paediatric anaesthesia JO - Paediatr Anaesth VL - 22 IS - 2 N2 - BACKGROUND: Air-Q™ intubating laryngeal airway (ILA) has been used successfully as a conduit for tracheal intubation in pediatric difficult airway. However, its use as an airway device and conduit for intubation in infants is not yet evaluated. AIMS: The primary objective was to evaluate ILA as a conduit for tracheal intubation in infants, and secondary objectives were to evaluate ILA in terms of ease of insertion and ventilation, oropharyngeal leak pressure (OLP), glottic view, and complications. METHODS: Twenty infants with normal airway were included. After induction of general anesthesia and neuromuscular blockade, ILA (size 1.0/1.5) was inserted. Fiberoptic bronchoscope (FOB)-guided intubation and removal of ILA with the stabilizing stylet was attempted. RESULTS: The mean age and weight of the infants were 7.5 ± 2.3 months and 7.3 ± 1.8 kg. The ILA sizes 1.0 and 1.5 were inserted in 10 infants each according to the weight of the infants. The mean OLP was 18.5 ± 1.8 cm H₂O, and mean time for insertion of ILA was 13.3 ± 3.9 s. Glottic view was grade I in 6, grade II in 1, grade III in 4, and grade IV in nine infants. Tracheal intubation was successful in 19/20 infants. The mean endotracheal tube (ETT) insertion time and mean total time (ILA insertion to the confirmation of ETT placement) were 95.6 ± 32.3 s and 306.42 ± 120.2 s respectively. CONCLUSION: The ILA is a safe and easy-to-use supraglottic airway device for intubation with FOB in infants with normal airway. Insertion and removal of ILA are easy with satisfactory oropharyngeal seal and ventilation. SN - 1460-9592 UR - https://www.unboundmedicine.com/medline/citation/21973052/Evaluation_of_air_Q™_intubating_laryngeal_airway_as_a_conduit_for_tracheal_intubation_in_infants__a_pilot_study_ L2 - https://doi.org/10.1111/j.1460-9592.2011.03710.x DB - PRIME DP - Unbound Medicine ER -