Comparison of Endotracheal Intubation Through I-gel and Intubating Laryngeal Mask Airway

Choudhary, Bharat; Karnawat, Rakesh; Mohammed, Sadik; Gupta, Monika; Srinivasan, Bharath; Kumar, Rakesh

doi:10.2174/1874321801610010018

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…Additionally, it is necessary that the success rate of the intubation should be high, intubation should be performed in an acceptable time and complication rate should be low. ILMA suggests a new approach for endotracheal intubation [13]. Shetty et al [14] in their study performed clinical evaluation of endotracheal intubation.…”

Section: Discussionmentioning

confidence: 99%

Comparison of fastrach LMA and ILMA methods for airway management

Cirik¹,

Baldemir²,

Avcı³

et al. 2018

A Epidemiol Public Health

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The aim of this study is to compare the hemodynamic responses, durations of intubation, intubation success rates and postoperative upper airway complications between the intubation performed with direct laryngoscopy and blind intubation performed with LMA-Fastrach application in normotensive patients. This present study was performed with the approval of ethical committee and in the surgery rooms between the date March 2010-August 2010. The study was performed on 80 patients aged between 18 and 60 and had American Anesthetists Assosiation (ASA) classification I-II. Endotracheal intubation was essential in their elective abdomen surgeries. The patients were divided into 2 groups as ILMA-Fastrach Group (Group I, n=40) and laryngoscopy group (Group L, n=40). 80 patients aged between 18 and 60. Of those, 54 (67.5%) were female and 26 (32.5%) were male. The age average of the patients was 46.3 ± 10.7. There was not a statistically significant difference between the demographic parameters of the patients. When compared to the onset value of SAP in Group I and Group L, a statistically significant difference was not detected in the groups in terms of SAP 1st minute and 5th minute values. When compared to the SAP onset value of the cases, the decrease in the 1st minute was statistically significant and when compared to the 1st minute value, the decrease in the 5th minute was not statistically significant. In the groups, a statistically significant difference was not observed in terms of DAP outset 1st and 5th minute values. When compared to the DAP onset value of the patients in Group L, the increase in the 1st minute was statistically significant. When compared to the 1st minute value, the decrease in the 5th minute was statistically significant. When compared to the onset value of MAP in Group L, the increase in the 1st minute was statistically significant. In terms of HR onset 1st and 5th minute values a statistically significant value was not detected. In conclusion, patients performed endotracheal intubation with LMA-Fastrach was more stabile than the ones intubated with direct laryngoscopy in terms of hemodynamics. Fewer complications were observed in LMA-Fastrach group and there was not any difference in terms of success rates.

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Section: Discussionmentioning

confidence: 99%

Comparison of fastrach LMA and ILMA methods for airway management

Cirik¹,

Baldemir²,

Avcı³

et al. 2018

A Epidemiol Public Health

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“…Cases in group 1 had more attempts for SAD insertion than group 2 which was statistically significant (p<0.002). Study by Bharat Choudhary et al, found that success rate for SAD insertion in first attempt was 90% and overall success rate was 100% in both study groups [13] . Dr Juby EV et al, stated that, SAD insertion was successful within 1 st attempt in 93.02% cases of ILMA group and in 95.35% cases in I-GEL group [8] .…”

Section: Discussionmentioning

confidence: 94%

“…In this study there was no statistical significance among demographic parameters, ASA grades in between study groups (Table 1). Study by Bharat Choudhary et al, found that there was no significant difference among demographic parameters [13] . In group 1 of this study, 46.60% cases had ease of insertion score 2, followed by score 3 in 28.30%.…”

Section: Discussionmentioning

confidence: 95%

I-Gel and ILMA for ease of insertion and as conduit for intubation- A comparative study

Srinivas¹,

Chigullapally²

2019

Int. J. Med. Anesthesiology

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Background: Supraglottic airway devices (SAD/SGAD) are efficient in the management of anticipated and unanticipated difficulties in the airway. I-GEL, a novel supraglottic airway device with soft and non-inflatable cuff. Intubating laryngeal mask airway (ILMA) can also be used as conduit for endotracheal intubation. This study designed to assess the ease of insertion of I-GEL and ILMA and as conduit for blind endotracheal intubation. Materials and methods: A total 120 cases undergoing elective surgery requiring general anaesthesia between age group 20-60 years were recruited. Cases were induced with suitable induction agents and non-depolarizing muscle relaxants and ventilated for 3 minutes before SAD insertion and again ventilated for 1 minute before blind ETT intubation. Parameters such as ease of insertion, number of attempts and time period of insertion of SADs and ETT, post-operative clinical complications were assessed. Results:In group 1, 78.3% cases had 2 attempts for SAD insertion, whereas in group 2, 60% cases had only one attempt for SAD insertion. Cases in group 1 had more attempts for SAD insertion than group 2 which was statistically significant (p< 0.002). In group 1, 56.6% cases had 11-15 seconds for SGAD insertion, whereas in group 2, 63.3% cases had less than 5 seconds for SGAD insertion. In group 1, 81.6% cases had one attempt for ETT insertion followed by 10% cases had two attempts. Whereas in group 2, 83.3% cases had two attempts to insert ETT followed by 10% cases had two attempts. Conclusion: I-GEL is better device for emergency rescue ventilation because of its ease of insertion and less incidence of post-operative complications. ILMA is a better conduit for blind ETT than I-GEL.

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“…[ 13 ] In contrast, a few authors recorded a higher time for effective ILMA placement which is because of the reason that the rigid broad airway tube of ILMA is slightly difficult to insert and requires additional maneuver for appropriate placement. [ 14 ] Various maneuvers like neck extension, jaw thirst, and lifting maneuvers were employed on the patients who needed second and third attempts, for the device to be successfully placed. Additionally, when ILMA and BlockBuster LMA were compared, it was found that ILMA’s airway tube had an angle of 80° to 85°, but BlockBuster LMA’s airway tube had an angle of >95°.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the LMA BlockBuster and intubating LMA as a conduit to blind tracheal intubation

Kaur,

Verma,

Kumar

et al. 2023

Journal of Anaesthesiology Clinical Pharmacology

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Background and Aims: Primary aim of the study was to evaluate the performance of Intubating LMA (ILMA) and blockbuster LMA in terms of first pass success rate, ease and duration taken for blind tracheal intubation. Material and Methods: The present prospective randomised study was conducted on 70 patients of either sex aged 18-60 years belonging to ASA physical status I or II. Patients were randomly allocated to either, group I and group B of n = 35 each. In group I and B patients were intubated using ILMA and LMA BlockBuster respectively. Insertion time and ease of placement of supraglottic device, total time taken for successful intubation, number of attempts for endotracheal tube (ETT) placement, and ease of placement of ETT, were recorded. Results: In both groups, the supraglottic device was placed on the first attempt in 88.6% patients. The first-attempt success rate for ETT placement was 71.4% in group I versus 94.3% in group B, (P = 0.01) with an overall success rate of 88.5% in group I and 100% in group. More failure rate was observed in group I (11.4%) compared to group B (0%). The total time taken for successful intubation in group I was 11.53 ± 6.410 sec and 9.17 ± 2.749 sec in group B (P = 0.04). Conclusion: We conclude that the modifications in the design of LMA Blockbuster (>95° angle, availability of the parker flex tube 27–30°angle of the emergence of airway tube) make it a more convenient, effective, simpler, and faster intubating device than ILMA.

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Comparison of Endotracheal Intubation Through I-gel and Intubating Laryngeal Mask Airway

Cited by 5 publications

References 19 publications

Comparison of fastrach LMA and ILMA methods for airway management

Comparison of fastrach LMA and ILMA methods for airway management

I-Gel and ILMA for ease of insertion and as conduit for intubation- A comparative study

Comparison of the LMA BlockBuster and intubating LMA as a conduit to blind tracheal intubation

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