Intubation Success through I-Gel (R) and Intubating Laryngeal Mask Airway (R) Using Flexible Silicone Tubes: A Randomised Noninferiority Trial

Latha Naik; Neerja Bhardwaj; Indu Mohini Sen; Rakesh V. Sondekoppam

doi:10.1155/2016/7318595

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Intubation Success through I-Gel (R) and Intubating Laryngeal Mask Airway (R) Using Flexible Silicone Tubes: A Randomised Noninferiority Trial

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Intubation Success through I-Gel (R) and Intubating Laryngeal Mask Airway (R) Using Flexible Silicone Tubes: A Randomised Noninferiority Trial

Latha Naik, Neerja Bhardwaj, Indu Mohini Sen and Rakesh V. Sondekoppam

Anesthesiology research and practice, Vol.2016, pp.7318595-8

01/01/2016

DOI: 10.1155/2016/7318595

PMCID: PMC4958418

PMID: 27478436

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Abstract

Introduction. The study aims to test whether flexible silicone tubes (FST) improve performance and provide similar intubation success through I-Gel as compared to ILMA. Our trial is registered inCTRI and the registration number is "CTRI/2016/06/006997." Methods. One hundred and twenty ASA status I-II patients scheduled for elective surgical procedures needing tracheal intubation were randomised to endotracheal intubation using FST through either I-Gel or ILMA. In the ILMA group (n = 60), intubation was attempted through ILMA using FST and, in the I-Gel group (n = 60), FST was inserted through I-Gel airway. Results. Successful intubation was achieved in 36.67% (95% CI 24.48%-48.86%) on first attempt through I-Gel (n = 22/60) compared to 68.33% (95% CI 56.56%-80.1%) in ILMA (n = 41/60) (n = 0.001). The overall intubation success rate was also lower with I-Gel group [58.3% (95% CI 45.82%-70.78%);n = 35] compared to ILMA [90% (95% CI 82.41%-97.59%); n = 54] (p < 0.001). The number of attempts, ease of intubation, and time to intubation were longer with I-Gel compared to ILMA. There were no differences in the other secondary outcomes. Conclusion. The first pass success rate and overall success of FST through an I-Gel airway were inferior to those of ILMA.

Anesthesiology

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Intubation Success through I-Gel (R) and Intubating Laryngeal Mask Airway (R) Using Flexible Silicone Tubes: A Randomised Noninferiority Trial
Creators: Latha Naik - Post Graduate Institute of Medical Education and Research
Neerja Bhardwaj - Post Graduate Institute of Medical Education and Research
Indu Mohini Sen - Post Graduate Institute of Medical Education and Research
Rakesh V. Sondekoppam - Western University
Resource Type: Journal article
Publication Details: Anesthesiology research and practice, Vol.2016, pp.7318595-8
DOI: 10.1155/2016/7318595
PMID: 27478436
PMCID: PMC4958418
NLM abbreviation: Anesthesiol Res Pract
ISSN: 1687-6962
eISSN: 1687-6970
Publisher: Hindawi Publishing Group
Number of pages: 8
Language: English
Date published: 01/01/2016
Academic Unit: Anesthesia
Record Identifier: 9984296131402771

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