A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar
Background: Special airway devices are useful adjunct during difficult airway situation. The aim of this study was to compare between Air-Q® intubating laryngeal mask airway (ILMA) and C-MAC® video laryngoscope in term of effectiveness of intubation, intubation time, haemodynamic changes and comp...
| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2018
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| Subjects: | |
| Online Access: | http://eprints.usm.my/45867/1/Dr.%20Donna%20Sumpat-24%20pages.pdf |
| _version_ | 1797011463709130752 |
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| author | Sumpat, Donna |
| author_facet | Sumpat, Donna |
| author_sort | Sumpat, Donna |
| collection | USM |
| description | Background: Special airway devices are useful adjunct during difficult airway
situation. The aim of this study was to compare between Air-Q® intubating laryngeal
mask airway (ILMA) and C-MAC® video laryngoscope in term of effectiveness of
intubation, intubation time, haemodynamic changes and complication post intubation in
stimulated using cervical collar.
Methods: 80 patients, age 18-60 years, ASA I-II, with no features of difficult intubation
who were scheduled for elective surgery under general anaesthesia were randomized
into two groups: Group Air-Q (n=40) and Group C-MAC (n=40). After successful
induction with IV fentanyl (1-1.5 mcg/kg), IV propofol (1.5-2 mcg/kg) and IV
rocuronium (1 mg/kg), cervical collar was applied to all patients. Group Air-Q was
inserted with Air-Q® ILMA followed with blind intubation through it. Group C-MAC
was intubated using C-MAC® video laryngoscope. The ease of intubation, intubation
time, haemodynamic changes and complications were recorded.
Results: C-MAC® video laryngoscope showed higher successful rate of first attempt
intubation than Air-Q® ILMA (100% vs 55%, P=0.001). Requirement of optimization
however was significantly more in Air-Q® ILMA than C-MAC® video laryngoscope
(37.5% vs 5.0%, P=0.001). Mean duration of intubation was shorter in C-MAC® than
Air-Q® ILMA (57.8±14.4s vs 164.6±58.0s, P=0.001). There was no significance
difference in haemodynamic parameters and complication in post intubation.
Conclusion: Intubation with C-MAC® video laryngoscope was better in success rate
and shorter in intubation time than blind intubation with Air-Q® ILMA in simulated
difficult airway patients. However, the complication post intubation was comparable. |
| first_indexed | 2024-03-06T15:34:40Z |
| format | Thesis |
| id | usm.eprints-45867 |
| institution | Universiti Sains Malaysia |
| language | English |
| last_indexed | 2024-03-06T15:34:40Z |
| publishDate | 2018 |
| record_format | dspace |
| spelling | usm.eprints-458672019-12-24T07:53:17Z http://eprints.usm.my/45867/ A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar Sumpat, Donna R Medicine (General) Background: Special airway devices are useful adjunct during difficult airway situation. The aim of this study was to compare between Air-Q® intubating laryngeal mask airway (ILMA) and C-MAC® video laryngoscope in term of effectiveness of intubation, intubation time, haemodynamic changes and complication post intubation in stimulated using cervical collar. Methods: 80 patients, age 18-60 years, ASA I-II, with no features of difficult intubation who were scheduled for elective surgery under general anaesthesia were randomized into two groups: Group Air-Q (n=40) and Group C-MAC (n=40). After successful induction with IV fentanyl (1-1.5 mcg/kg), IV propofol (1.5-2 mcg/kg) and IV rocuronium (1 mg/kg), cervical collar was applied to all patients. Group Air-Q was inserted with Air-Q® ILMA followed with blind intubation through it. Group C-MAC was intubated using C-MAC® video laryngoscope. The ease of intubation, intubation time, haemodynamic changes and complications were recorded. Results: C-MAC® video laryngoscope showed higher successful rate of first attempt intubation than Air-Q® ILMA (100% vs 55%, P=0.001). Requirement of optimization however was significantly more in Air-Q® ILMA than C-MAC® video laryngoscope (37.5% vs 5.0%, P=0.001). Mean duration of intubation was shorter in C-MAC® than Air-Q® ILMA (57.8±14.4s vs 164.6±58.0s, P=0.001). There was no significance difference in haemodynamic parameters and complication in post intubation. Conclusion: Intubation with C-MAC® video laryngoscope was better in success rate and shorter in intubation time than blind intubation with Air-Q® ILMA in simulated difficult airway patients. However, the complication post intubation was comparable. 2018 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/45867/1/Dr.%20Donna%20Sumpat-24%20pages.pdf Sumpat, Donna (2018) A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar. Masters thesis, Universiti Sains Malaysia. |
| spellingShingle | R Medicine (General) Sumpat, Donna A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar |
| title | A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar |
| title_full | A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar |
| title_fullStr | A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar |
| title_full_unstemmed | A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar |
| title_short | A comparison between Air-Q® intubating laryngeal mask airway and C-MAC® video laryngoscope for intubation in simulated difficult intubation patients with cervical collar |
| title_sort | comparison between air q r intubating laryngeal mask airway and c mac r video laryngoscope for intubation in simulated difficult intubation patients with cervical collar |
| topic | R Medicine (General) |
| url | http://eprints.usm.my/45867/1/Dr.%20Donna%20Sumpat-24%20pages.pdf |
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