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[Comparison of Cookgas and Fastrach intubating laryngeal mask airway with fiberoptic bronchoscope in anticipated difficult airway management].
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2013 Oct; 35(5):477-82.ZY

Abstract

OBJECTIVE

To compare the clinical effectiveness of fiberoptic bronchoscope (FOB)-guided intubation through the Cookgas intubating laryngeal airway(CILA)and the Fastrach intubating laryngeal mask airway (FT-LMA) in the management of anticipated difficult airways.

METHODS

Sixty patients with all three difficult intubation criterion (thyromental distance<60 mm, interincisor distance<35 mm, and Mallampati class 3 or 4) undergoing elective plastic surgery under general anesthesia were randomly allocated into CILA group (n=30) and FT-LMA group (n=30). After anesthesia being induced and CILA or FT-LMA being inserted, the patients were treated with FOB-guided intubation through CILA or FT-LMA. The success of the intubating laryngeal airway(ILA)insertion and FOB-guided intubation, the number of attempts, and the duration of the successful attempt were recorded.

RESULTS

The ILA was inserted successfully in 30 patients from CILA group and 27 patients from FT-LMA group. Three failed cases in FT-LMA group were inserted successfully with CILA. In CILA group, the first FOB-guided intubation attempt succeeded in 26 patients, and 4 cases were intubated at the second attempt. In 27 patients of FT-LMA group, 20 cases were intubated successfully at the first attempt, 4 cases at the second attempt, and 3 cases failed; of these three failed patients, two patients were intubated smoothly with FOB through CILA at the first attempt, one was intubated by FOB via CILA at the second attempt. The duration of FT-LMA insertion [(35.3±12.8)s] was significantly longer when compared with CILA [(23.9±17.5)s] (P<0.05). However, the duration of FOB-guided intubation through CILA and FT-LMA [(48.6±13.5)s vs.(53.2±14.2)s] and the time of ILA removal [(40.4±10.2)s vs. (38.5±11.3)s] were not significantly different between these two groups (P>0.05). The adverse events during and after intubtion were not significantly different between these two groups.

CONCLUSIONS

FOB-guided intubation through CILA and FT-LMA is safe and feasible for the management of anticipated difficult airways. However, in patients with severe scar contracture of face and neck and those with huge expander in neck, the CILA insertion and FOB-guided intubation via CILA is superior to FT-LMA.

Authors+Show Affiliations

Department of Anesthesiology, Plastic Surgery Hospital, CAMS and PUMC, Beijing 100114, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo 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
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

24183034

Citation

Yang, Dong, et al. "[Comparison of Cookgas and Fastrach Intubating Laryngeal Mask Airway With Fiberoptic Bronchoscope in Anticipated Difficult Airway Management]." Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, vol. 35, no. 5, 2013, pp. 477-82.
Yang D, Deng XM, Tong SY, et al. [Comparison of Cookgas and Fastrach intubating laryngeal mask airway with fiberoptic bronchoscope in anticipated difficult airway management]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2013;35(5):477-82.
Yang, D., Deng, X. M., Tong, S. Y., Tang, G. Z., Zhang, Y. M., Wei, L. X., Sui, J. H., Sun, Y. L., Liu, J. H., Wang, L., & Liu, X. W. (2013). [Comparison of Cookgas and Fastrach intubating laryngeal mask airway with fiberoptic bronchoscope in anticipated difficult airway management]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, 35(5), 477-82. https://doi.org/10.3881/j.issn.1000-503X.2013.05.001
Yang D, et al. [Comparison of Cookgas and Fastrach Intubating Laryngeal Mask Airway With Fiberoptic Bronchoscope in Anticipated Difficult Airway Management]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2013;35(5):477-82. PubMed PMID: 24183034.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparison of Cookgas and Fastrach intubating laryngeal mask airway with fiberoptic bronchoscope in anticipated difficult airway management]. AU - Yang,Dong, AU - Deng,Xiao-ming, AU - Tong,Shi-yi, AU - Tang,Geng-zhi, AU - Zhang,Yan-ming, AU - Wei,Ling-xin, AU - Sui,Jing-hu, AU - Sun,Yu-lei, AU - Liu,Ju-hui, AU - Wang,Lei, AU - Liu,Xiao-wen, PY - 2013/11/5/entrez PY - 2013/11/5/pubmed PY - 2014/1/31/medline SP - 477 EP - 82 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 - 5 N2 - OBJECTIVE: To compare the clinical effectiveness of fiberoptic bronchoscope (FOB)-guided intubation through the Cookgas intubating laryngeal airway(CILA)and the Fastrach intubating laryngeal mask airway (FT-LMA) in the management of anticipated difficult airways. METHODS: Sixty patients with all three difficult intubation criterion (thyromental distance<60 mm, interincisor distance<35 mm, and Mallampati class 3 or 4) undergoing elective plastic surgery under general anesthesia were randomly allocated into CILA group (n=30) and FT-LMA group (n=30). After anesthesia being induced and CILA or FT-LMA being inserted, the patients were treated with FOB-guided intubation through CILA or FT-LMA. The success of the intubating laryngeal airway(ILA)insertion and FOB-guided intubation, the number of attempts, and the duration of the successful attempt were recorded. RESULTS: The ILA was inserted successfully in 30 patients from CILA group and 27 patients from FT-LMA group. Three failed cases in FT-LMA group were inserted successfully with CILA. In CILA group, the first FOB-guided intubation attempt succeeded in 26 patients, and 4 cases were intubated at the second attempt. In 27 patients of FT-LMA group, 20 cases were intubated successfully at the first attempt, 4 cases at the second attempt, and 3 cases failed; of these three failed patients, two patients were intubated smoothly with FOB through CILA at the first attempt, one was intubated by FOB via CILA at the second attempt. The duration of FT-LMA insertion [(35.3±12.8)s] was significantly longer when compared with CILA [(23.9±17.5)s] (P<0.05). However, the duration of FOB-guided intubation through CILA and FT-LMA [(48.6±13.5)s vs.(53.2±14.2)s] and the time of ILA removal [(40.4±10.2)s vs. (38.5±11.3)s] were not significantly different between these two groups (P>0.05). The adverse events during and after intubtion were not significantly different between these two groups. CONCLUSIONS: FOB-guided intubation through CILA and FT-LMA is safe and feasible for the management of anticipated difficult airways. However, in patients with severe scar contracture of face and neck and those with huge expander in neck, the CILA insertion and FOB-guided intubation via CILA is superior to FT-LMA. SN - 1000-503X UR - https://www.unboundmedicine.com/medline/citation/24183034/[Comparison_of_Cookgas_and_Fastrach_intubating_laryngeal_mask_airway_with_fiberoptic_bronchoscope_in_anticipated_difficult_airway_management]_ L2 - https://antibodies.cancer.gov/detail/CPTC-TNFRSF9-1 DB - PRIME DP - Unbound Medicine ER -