Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial
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 in CTRI and the registration number is “CTRI/2016/06/006997.” Methods. One hundred and twenty ASA status I-...
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2016-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/7318595 |
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| author | Latha Naik Neerja Bhardwaj Indu Mohini Sen Rakesh V. Sondekoppam |
| author_facet | Latha Naik Neerja Bhardwaj Indu Mohini Sen Rakesh V. Sondekoppam |
| author_sort | Latha Naik |
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| description | 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 in CTRI 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) (p=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. |
| format | Article |
| id | doaj-art-df6e152a2bfd4337aacd9b2b097f01e5 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
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| series | Anesthesiology Research and Practice |
| spelling | doaj-art-df6e152a2bfd4337aacd9b2b097f01e52025-02-03T01:00:58ZengWileyAnesthesiology Research and Practice1687-69621687-69702016-01-01201610.1155/2016/73185957318595Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority TrialLatha Naik0Neerja Bhardwaj1Indu Mohini Sen2Rakesh V. Sondekoppam3Department of Anaesthesia and Intensive Care Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, IndiaDepartment of Anaesthesia and Intensive Care Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, IndiaDepartment of Anaesthesia and Intensive Care Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, IndiaDepartment of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, N6A 5A5, CanadaIntroduction. 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 in CTRI 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) (p=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.http://dx.doi.org/10.1155/2016/7318595 |
| spellingShingle | Latha Naik Neerja Bhardwaj Indu Mohini Sen Rakesh V. Sondekoppam Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial Anesthesiology Research and Practice |
| title | Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial |
| title_full | Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial |
| title_fullStr | Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial |
| title_full_unstemmed | Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial |
| title_short | Intubation Success through I-Gel® and Intubating Laryngeal Mask Airway® Using Flexible Silicone Tubes: A Randomised Noninferiority Trial |
| title_sort | intubation success through i gel r and intubating laryngeal mask airway r using flexible silicone tubes a randomised noninferiority trial |
| url | http://dx.doi.org/10.1155/2016/7318595 |
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