A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway

Background: A specially designed wire-reinforced endotracheal tube - the Fastrach silicone tube (FTST) designed to facilitate endotracheal intubation through intubating laryngeal mask airway (ILMA) are expensive and not readily available. Hence, it is worth considering alternative such as polyvinyl...

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Main Authors: Veena R Shah, Guruprasad P Bhosale, Tanu Mehta, Geeta P Parikh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=2;spage=183;epage=187;aulast=Shah
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author Veena R Shah
Guruprasad P Bhosale
Tanu Mehta
Geeta P Parikh
author_facet Veena R Shah
Guruprasad P Bhosale
Tanu Mehta
Geeta P Parikh
author_sort Veena R Shah
collection DOAJ
description Background: A specially designed wire-reinforced endotracheal tube - the Fastrach silicone tube (FTST) designed to facilitate endotracheal intubation through intubating laryngeal mask airway (ILMA) are expensive and not readily available. Hence, it is worth considering alternative such as polyvinyl chloride tracheal tube (PVCT), which is disposable, cheap and easily available. The aim of the present study was to compare the clinical performance of FTST with conventional PVCT for tracheal intubation through ILMA. Methods: After informed consent, 60 ASA I-II adults with normal airway undergoing elective surgery were randomly allocated to undergo blind tracheal intubation through ILMA with a FTST or conventional PVCT. Overall success rate, ease of insertion, number of attempts for successful intubation, critical incidence during intubation and post-operative sore throat were compared. Results: The overall success rate with FTST was 96.63% and 93.33% with PVCT; in addition, the first-attempt success rate was 86.25% with FTST compared to 82.14% with PVCT. The time taken for intubation was 18.6 ± 6.8 s. in FTST group and 22.42 ± 8.5 s. in PVCT group. Incidence of sore throat was 21.42% in PVCT group compared with 6.89% in FTST group. Conclusion: Blind tracheal intubation through an ILMA with the conventional PVCT instead of FTST is a feasible alternative in patients with normal airways.
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spelling doaj.art-f133613b1efa4b76aec94043b4cb48c72022-12-22T03:48:35ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2014-01-018218318710.4103/1658-354X.130702A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airwayVeena R ShahGuruprasad P BhosaleTanu MehtaGeeta P ParikhBackground: A specially designed wire-reinforced endotracheal tube - the Fastrach silicone tube (FTST) designed to facilitate endotracheal intubation through intubating laryngeal mask airway (ILMA) are expensive and not readily available. Hence, it is worth considering alternative such as polyvinyl chloride tracheal tube (PVCT), which is disposable, cheap and easily available. The aim of the present study was to compare the clinical performance of FTST with conventional PVCT for tracheal intubation through ILMA. Methods: After informed consent, 60 ASA I-II adults with normal airway undergoing elective surgery were randomly allocated to undergo blind tracheal intubation through ILMA with a FTST or conventional PVCT. Overall success rate, ease of insertion, number of attempts for successful intubation, critical incidence during intubation and post-operative sore throat were compared. Results: The overall success rate with FTST was 96.63% and 93.33% with PVCT; in addition, the first-attempt success rate was 86.25% with FTST compared to 82.14% with PVCT. The time taken for intubation was 18.6 ± 6.8 s. in FTST group and 22.42 ± 8.5 s. in PVCT group. Incidence of sore throat was 21.42% in PVCT group compared with 6.89% in FTST group. Conclusion: Blind tracheal intubation through an ILMA with the conventional PVCT instead of FTST is a feasible alternative in patients with normal airways.http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=2;spage=183;epage=187;aulast=ShahIntubating laryngeal mask airwaypolyvinyl chloride tracheal tubesilicon wire-reinforced tracheal tube
spellingShingle Veena R Shah
Guruprasad P Bhosale
Tanu Mehta
Geeta P Parikh
A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway
Saudi Journal of Anaesthesia
Intubating laryngeal mask airway
polyvinyl chloride tracheal tube
silicon wire-reinforced tracheal tube
title A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway
title_full A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway
title_fullStr A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway
title_full_unstemmed A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway
title_short A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway
title_sort comparison of conventional endotracheal tube with silicone wire reinforced tracheal tube for intubation through intubating laryngeal mask airway
topic Intubating laryngeal mask airway
polyvinyl chloride tracheal tube
silicon wire-reinforced tracheal tube
url http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=2;spage=183;epage=187;aulast=Shah
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