Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical study
Background: Air-Q™ Intubating Laryngeal Airway is an extraglottic airway device used as a primary airway tool or as an adjunct to tracheal intubation. The bougie is a simple flexible device that might increase the success rate of endotracheal intubation either blindly or through a supraglottic devic...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2017-01-01
|
| Series: | Egyptian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110184916301106 |
| _version_ | 1818924857267585024 |
|---|---|
| author | Reham S. Ebied Mohamed Z. Ali Hanan F. Khafagy Yasser M. Samhan |
| author_facet | Reham S. Ebied Mohamed Z. Ali Hanan F. Khafagy Yasser M. Samhan |
| author_sort | Reham S. Ebied |
| collection | DOAJ |
| description | Background: Air-Q™ Intubating Laryngeal Airway is an extraglottic airway device used as a primary airway tool or as an adjunct to tracheal intubation. The bougie is a simple flexible device that might increase the success rate of endotracheal intubation either blindly or through a supraglottic device. We hypothesized that using bougie guided intubation through air-Q™ can improve the success rate with minimal complications.
Methods: One hundred and forty patients of either sex, >18 years old, ASA I-II scheduled for elective surgical procedures under general anesthesia with intubation were randomly allocated to one of two groups of 70 patients each. Blind tracheal intubation was performed through air-Q™ with bougie assistance (Group B) or without (Group Q). In both groups, 3 attempts were allowed for successful device insertion. After obtaining normal capnographic wave, 3 more attempts were tried for intubation with or without bougie guidance. Lung ventilation through air-Q™ was permitted between intubation attempts. If tracheal intubation through air-Q™ was unsuccessful, it was performed by direct laryngoscopy.
Results: Air-Q™ time, ease, attempts number of insertion and ventilation grade were comparable between both groups. Total intubation time was significantly longer in group-B (P = 0.001) while overall success rate for intubation was comparable (64.3%). Group-B showed significant (P = 0.001) higher incidence of complications (trauma (P = 0.023), sore throat (P = 0.001), dysphonia (P = 0.023) and dysphagia (P = 0.001)) as compared with group-Q. In spite of significant decrease in both heart rate and mean arterial pressure in both groups after air-Q™ insertion, yet there was significant increase in both parameters after intubation compared to baseline values (P < 0.05) which was more prominent in group-B than in group-Q. Significant increase in HR and MAP was elicited after bougie placement in group-B (P < 0.01).
Conclusion: Bougie guided tracheal intubation through air-Q™ didn’t improve overall success rate with significant longer time, hemodynamic derangement and traumatic sequelae. |
| first_indexed | 2024-12-20T02:31:59Z |
| format | Article |
| id | doaj.art-092615fea39c404b88d5d76a1a29a24e |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-12-20T02:31:59Z |
| publishDate | 2017-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-092615fea39c404b88d5d76a1a29a24e2022-12-21T19:56:33ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492017-01-0133110711210.1016/j.egja.2016.10.004Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical studyReham S. EbiedMohamed Z. AliHanan F. KhafagyYasser M. SamhanBackground: Air-Q™ Intubating Laryngeal Airway is an extraglottic airway device used as a primary airway tool or as an adjunct to tracheal intubation. The bougie is a simple flexible device that might increase the success rate of endotracheal intubation either blindly or through a supraglottic device. We hypothesized that using bougie guided intubation through air-Q™ can improve the success rate with minimal complications. Methods: One hundred and forty patients of either sex, >18 years old, ASA I-II scheduled for elective surgical procedures under general anesthesia with intubation were randomly allocated to one of two groups of 70 patients each. Blind tracheal intubation was performed through air-Q™ with bougie assistance (Group B) or without (Group Q). In both groups, 3 attempts were allowed for successful device insertion. After obtaining normal capnographic wave, 3 more attempts were tried for intubation with or without bougie guidance. Lung ventilation through air-Q™ was permitted between intubation attempts. If tracheal intubation through air-Q™ was unsuccessful, it was performed by direct laryngoscopy. Results: Air-Q™ time, ease, attempts number of insertion and ventilation grade were comparable between both groups. Total intubation time was significantly longer in group-B (P = 0.001) while overall success rate for intubation was comparable (64.3%). Group-B showed significant (P = 0.001) higher incidence of complications (trauma (P = 0.023), sore throat (P = 0.001), dysphonia (P = 0.023) and dysphagia (P = 0.001)) as compared with group-Q. In spite of significant decrease in both heart rate and mean arterial pressure in both groups after air-Q™ insertion, yet there was significant increase in both parameters after intubation compared to baseline values (P < 0.05) which was more prominent in group-B than in group-Q. Significant increase in HR and MAP was elicited after bougie placement in group-B (P < 0.01). Conclusion: Bougie guided tracheal intubation through air-Q™ didn’t improve overall success rate with significant longer time, hemodynamic derangement and traumatic sequelae.http://www.sciencedirect.com/science/article/pii/S1110184916301106Air-QIntubationBougie assisted |
| spellingShingle | Reham S. Ebied Mohamed Z. Ali Hanan F. Khafagy Yasser M. Samhan Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical study Egyptian Journal of Anaesthesia Air-Q Intubation Bougie assisted |
| title | Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical study |
| title_full | Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical study |
| title_fullStr | Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical study |
| title_full_unstemmed | Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical study |
| title_short | Bougie assisted endotracheal intubation using the Air-Q™ Intubating Laryngeal Airway: A prospective randomized clinical study |
| title_sort | bougie assisted endotracheal intubation using the air q™ intubating laryngeal airway a prospective randomized clinical study |
| topic | Air-Q Intubation Bougie assisted |
| url | http://www.sciencedirect.com/science/article/pii/S1110184916301106 |
| work_keys_str_mv | AT rehamsebied bougieassistedendotrachealintubationusingtheairqintubatinglaryngealairwayaprospectiverandomizedclinicalstudy AT mohamedzali bougieassistedendotrachealintubationusingtheairqintubatinglaryngealairwayaprospectiverandomizedclinicalstudy AT hananfkhafagy bougieassistedendotrachealintubationusingtheairqintubatinglaryngealairwayaprospectiverandomizedclinicalstudy AT yassermsamhan bougieassistedendotrachealintubationusingtheairqintubatinglaryngealairwayaprospectiverandomizedclinicalstudy |