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Comparison of three supraglottic airway devices for blind tracheal intubation by novice practitioners: A randomized manikin study

Authors :
Osman Sonmez
Nese Colak
Basak Bayram
Suleyman Gokhan Kara
Sebnem Sakar Halac
Source :
Turkish Journal of Emergency Medicine, Vol 24, Iss 2, Pp 97-102 (2024)
Publication Year :
2024
Publisher :
Wolters Kluwer Medknow Publications, 2024.

Abstract

OBJECTIVES: Supraglottic airway (SGA) devices are good alternatives for failed intubations or difficult airways. The aim of our study was to compare the success of intubation with SGA devices such as LMA Fastrach® (LMA Fastrach), Ambu Aura-i® (Aura-i), and Cookgas Air-Q® (Air-Q) in an airway manikin by novice practitioners. METHODS: This study was conducted in a randomized crossover design using a manikin model. Following training on the equipment used, 36 6th-year medical students were randomized into six groups. Participants performed three stages of intubation as follows: the first stage (1S) as SGA insertion, the second stage (2S) as intubation through the SGA, and the third stage (3S) as the removal of the SGA over the intubation tube. The primary outcomes were intubation success and duration. RESULTS: The successful intubation rate (Stage 1S + 2S + 3S) was 100% for LMA Fastrach and Air-Q and 83.3% for Aura-i (P = 0.002). The median time to intubation was 54.4 s, 55.8 s, and 58.7 s for LMA Fastrach, Aura-i, and Air-Q, respectively (P = 0.794). CONCLUSION: Our study shows that novice practitioners can proficiently utilize LMA Fastrach, Air-Q, and Aura-i as SGAs in airway management. LMA Fastrach and Air-Q are more successful for endotracheal intubation than Aura-i. While the successful intubation time with SGA is similar for all three devices, the successful SGA insertion time is shorter with LMA Fastrach and Aura-i compared to Air-Q. Practitioners preferred LMA Fastrach and Air-Q more than Aura-i.

Details

Language :
English
ISSN :
24522473
Volume :
24
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Turkish Journal of Emergency Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.1619219d8e044fbf975021e420c66235
Document Type :
article
Full Text :
https://doi.org/10.4103/tjem.tjem_170_23