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[Roles of Cookgas and Fastrach intubating laryngeal mask airway for anticipated difficult tracheal intubation].
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2013 Apr; 35(2):207-12.ZY

Abstract

OBJECTIVE

To compare the clinical effectiveness of blind intubation through the Cookgas intubating laryngeal airway(CILA) or Fastrach intubating laryngeal mask airway(FT-LMA) for anticipated difficult tracheal intubation.

METHODS

Eighty-six patients with anticipated difficult tracheal intubation who were undergoing elective plastic surgery under general anesthesia were randomly allocated into CILA group(n=43) and FT-LMA group(n=43) . After general anesthesia being induced and CILA or FT-LMA being inserted, the patients were treated with blind intubation through CILA or FT-LMA. In each case, the number and the time of intubating laryngeal airway(ILA) insertion and blind intubation attempts and ILA removal were recorded. The view of glottis under fiberoptic bronchoscope(FOB) via CILA or FT-LMA was recorded. In addition, noninvasive blood pressure and heart rate were recorded before and after intravenous anesthetic induction, at ILA insertion, at intubation, at ILA removal and every minute thereafter for 5 minutes.

RESULTS

CILA or FT-LMA was inserted successfully in all 86 patients. The rate of the first successful insertion was not significantly different between two groups(P>0.05) . In CILA group, the first intubation attempt succeeded in 35 patients;5 and 2 cases were intubated blindly at the second and the third attempt, one patient failed who was intubated successfully by FOB via CILA. In FT-LMA group, 32 patients were intubated successfully at the first attempt, 4 at the second attempt, 3 at the third attempt, and 4 cases failed, three of them were intubated smoothly with FOB through FT-LMA, one failed patient was intubated by FOB. The time of FT-LMA insertion(34.2∓13.9) s was significantly longer when compared with CILA(22.4∓18.9) s (P<0.05) . However, the time of blind intubation through CILA and FT-LMA [(46.0∓26.7) s vs.(51.8∓41.1) s]and the time of ILA removal[(39.3∓11.9) s vs.(35.3∓10.4) s] were not significantly different between groups(P>0.05) . Hemodynamic changes during blind intubation in the two groups showed no significant differences(P>0.05) .

CONCLUSIONS

Blind intubation via CILA or FT-LMA is safe and effective for anticipated difficult tracheal intubation. Nevertheless, CILA is easier to be inserted, with relatively higher success rate of blind intubation.

Authors+Show Affiliations

Department of Anesthesiology, Plastic Surgery Hospital, CAMS and PUMC, Beijing, China.No 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
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

23643011

Citation

Yang, Dong, et al. "[Roles of Cookgas and Fastrach Intubating Laryngeal Mask Airway for Anticipated Difficult Tracheal Intubation]." Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, vol. 35, no. 2, 2013, pp. 207-12.
Yang D, Deng XM, Tong SY, et al. [Roles of Cookgas and Fastrach intubating laryngeal mask airway for anticipated difficult tracheal intubation]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2013;35(2):207-12.
Yang, D., Deng, X. M., Tong, S. Y., Tang, G. Z., Wei, L. X., Sui, J. H., & Wang, L. (2013). [Roles of Cookgas and Fastrach intubating laryngeal mask airway for anticipated difficult tracheal intubation]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, 35(2), 207-12. https://doi.org/10.3881/j.issn.1000-503X.2013.02.014
Yang D, et al. [Roles of Cookgas and Fastrach Intubating Laryngeal Mask Airway for Anticipated Difficult Tracheal Intubation]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2013;35(2):207-12. PubMed PMID: 23643011.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Roles of Cookgas and Fastrach intubating laryngeal mask airway for anticipated difficult tracheal intubation]. AU - Yang,Dong, AU - Deng,Xiao-ming, AU - Tong,Shi-yi, AU - Tang,Geng-zhi, AU - Wei,Ling-xin, AU - Sui,Jing-hu, AU - Wang,Lei, PY - 2013/5/7/entrez PY - 2013/5/7/pubmed PY - 2014/1/31/medline SP - 207 EP - 12 JF - Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae JO - Zhongguo Yi Xue Ke Xue Yuan Xue Bao VL - 35 IS - 2 N2 - OBJECTIVE: To compare the clinical effectiveness of blind intubation through the Cookgas intubating laryngeal airway(CILA) or Fastrach intubating laryngeal mask airway(FT-LMA) for anticipated difficult tracheal intubation. METHODS: Eighty-six patients with anticipated difficult tracheal intubation who were undergoing elective plastic surgery under general anesthesia were randomly allocated into CILA group(n=43) and FT-LMA group(n=43) . After general anesthesia being induced and CILA or FT-LMA being inserted, the patients were treated with blind intubation through CILA or FT-LMA. In each case, the number and the time of intubating laryngeal airway(ILA) insertion and blind intubation attempts and ILA removal were recorded. The view of glottis under fiberoptic bronchoscope(FOB) via CILA or FT-LMA was recorded. In addition, noninvasive blood pressure and heart rate were recorded before and after intravenous anesthetic induction, at ILA insertion, at intubation, at ILA removal and every minute thereafter for 5 minutes. RESULTS: CILA or FT-LMA was inserted successfully in all 86 patients. The rate of the first successful insertion was not significantly different between two groups(P>0.05) . In CILA group, the first intubation attempt succeeded in 35 patients;5 and 2 cases were intubated blindly at the second and the third attempt, one patient failed who was intubated successfully by FOB via CILA. In FT-LMA group, 32 patients were intubated successfully at the first attempt, 4 at the second attempt, 3 at the third attempt, and 4 cases failed, three of them were intubated smoothly with FOB through FT-LMA, one failed patient was intubated by FOB. The time of FT-LMA insertion(34.2∓13.9) s was significantly longer when compared with CILA(22.4∓18.9) s (P<0.05) . However, the time of blind intubation through CILA and FT-LMA [(46.0∓26.7) s vs.(51.8∓41.1) s]and the time of ILA removal[(39.3∓11.9) s vs.(35.3∓10.4) s] were not significantly different between groups(P>0.05) . Hemodynamic changes during blind intubation in the two groups showed no significant differences(P>0.05) . CONCLUSIONS: Blind intubation via CILA or FT-LMA is safe and effective for anticipated difficult tracheal intubation. Nevertheless, CILA is easier to be inserted, with relatively higher success rate of blind intubation. SN - 1000-503X UR - https://www.unboundmedicine.com/medline/citation/23643011/[Roles_of_Cookgas_and_Fastrach_intubating_laryngeal_mask_airway_for_anticipated_difficult_tracheal_intubation]_ L2 - https://antibodies.cancer.gov/detail/CPTC-TNFRSF9-1 DB - PRIME DP - Unbound Medicine ER -