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Tracheal intubation through the I-gel™ supraglottic airway versus the LMA Fastrach™: a randomized controlled trial.
Anesth Analg. 2012 Jan; 114(1):152-6.A&A

Abstract

BACKGROUND

The i-gel™ is a supraglottic airway device not requiring inflation of a cuff for lung ventilation. Its design allows for unobstructed passage of a tracheal tube and previous studies have demonstrated a favorable alignment with the glottic inlet. In this prospective randomized study, we compared the success rate of blind tracheal intubation using the i-gel and the laryngeal mask airway (LMA) Fastrach™.

METHODS

One hundred sixty patients requiring general anesthesia and airway management were randomized to tracheal intubation using the i-gel or the LMA Fastrach. After induction of general anesthesia, the allocated device was inserted and adequate lung ventilation was confirmed. Blind tracheal intubation was then attempted. First attempt and overall tracheal intubation success rates were evaluated and tracheal intubation times were measured.

RESULTS

Eighty patients were recruited in each study group. Successful tracheal intubation was obtained on the first attempt in 69% of patients with the i-gel and 74% of patients with the LMA Fastrach (95% confidence interval [CI] of difference, -9% to 19%, P = 0.60). The overall intubation success rate was lower using the i-gel than it was using the LMA Fastrach (73% vs 91%, 95% CI of difference, 7% to 31%, P < 0.0001).

CONCLUSIONS

On first attempts, successful blind tracheal intubation was obtained at comparable rates using the i-gel and the LMA Fastrach. However, when the first attempt was unsuccessful, subsequent attempts through the i-gel did not significantly increase tracheal intubation success rate. The LMA Fastrach yielded a higher overall intubation success rate.

Authors+Show Affiliations

Department of Anesthesiology, Centre Hospitalier de l'Université de Montréal, Hôpital Notre-Dame, Quebec, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22075016

Citation

Halwagi, Antoine Elie, et al. "Tracheal Intubation Through the I-gel™ Supraglottic Airway Versus the LMA Fastrach™: a Randomized Controlled Trial." Anesthesia and Analgesia, vol. 114, no. 1, 2012, pp. 152-6.
Halwagi AE, Massicotte N, Lallo A, et al. Tracheal intubation through the I-gel™ supraglottic airway versus the LMA Fastrach™: a randomized controlled trial. Anesth Analg. 2012;114(1):152-6.
Halwagi, A. E., Massicotte, N., Lallo, A., Gauthier, A., Boudreault, D., Ruel, M., & Girard, F. (2012). Tracheal intubation through the I-gel™ supraglottic airway versus the LMA Fastrach™: a randomized controlled trial. Anesthesia and Analgesia, 114(1), 152-6. https://doi.org/10.1213/ANE.0b013e318236f438
Halwagi AE, et al. Tracheal Intubation Through the I-gel™ Supraglottic Airway Versus the LMA Fastrach™: a Randomized Controlled Trial. Anesth Analg. 2012;114(1):152-6. PubMed PMID: 22075016.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tracheal intubation through the I-gel™ supraglottic airway versus the LMA Fastrach™: a randomized controlled trial. AU - Halwagi,Antoine Elie, AU - Massicotte,Nathalie, AU - Lallo,Alexandre, AU - Gauthier,Alain, AU - Boudreault,Daniel, AU - Ruel,Monique, AU - Girard,François, Y1 - 2011/11/10/ PY - 2011/11/15/entrez PY - 2011/11/15/pubmed PY - 2012/7/17/medline SP - 152 EP - 6 JF - Anesthesia and analgesia JO - Anesth Analg VL - 114 IS - 1 N2 - BACKGROUND: The i-gel™ is a supraglottic airway device not requiring inflation of a cuff for lung ventilation. Its design allows for unobstructed passage of a tracheal tube and previous studies have demonstrated a favorable alignment with the glottic inlet. In this prospective randomized study, we compared the success rate of blind tracheal intubation using the i-gel and the laryngeal mask airway (LMA) Fastrach™. METHODS: One hundred sixty patients requiring general anesthesia and airway management were randomized to tracheal intubation using the i-gel or the LMA Fastrach. After induction of general anesthesia, the allocated device was inserted and adequate lung ventilation was confirmed. Blind tracheal intubation was then attempted. First attempt and overall tracheal intubation success rates were evaluated and tracheal intubation times were measured. RESULTS: Eighty patients were recruited in each study group. Successful tracheal intubation was obtained on the first attempt in 69% of patients with the i-gel and 74% of patients with the LMA Fastrach (95% confidence interval [CI] of difference, -9% to 19%, P = 0.60). The overall intubation success rate was lower using the i-gel than it was using the LMA Fastrach (73% vs 91%, 95% CI of difference, 7% to 31%, P < 0.0001). CONCLUSIONS: On first attempts, successful blind tracheal intubation was obtained at comparable rates using the i-gel and the LMA Fastrach. However, when the first attempt was unsuccessful, subsequent attempts through the i-gel did not significantly increase tracheal intubation success rate. The LMA Fastrach yielded a higher overall intubation success rate. SN - 1526-7598 UR - https://www.unboundmedicine.com/medline/citation/22075016/Tracheal_intubation_through_the_I_gel™_supraglottic_airway_versus_the_LMA_Fastrach™:_a_randomized_controlled_trial_ L2 - https://doi.org/10.1213/ANE.0b013e318236f438 DB - PRIME DP - Unbound Medicine ER -