Comparison of the clinical performance of airway management with the i-gel® and laryngeal mask airway SupremeTM in geriatric patients: a prospective and randomized study

In, Chi Bum; Cho, Sung‐Ae; Lee, Seok‐Jin; Sung, Tae‐Yun; Cho, Choon Kyu

doi:10.4097/kja.d.18.00121

Cited by 12 publications

(19 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients who received iGel as an airway device compared with laryngeal mask airways were found to have a slightly higher incidence of hiccup although these were not found to be statistically significant [ 27 ]. There was also a study showing traditional laryngeal mask airway induces more gastric insufflation, though they did not show the incidence of hiccup [ 28 ].…”

Section: Laryngeal Mask Airway-related Hiccupmentioning

confidence: 99%

Intraoperative Laryngeal Mask Airway-Related Hiccup: An Overview

Mathew

Shen

Liu

2019

Transl Perioper & Pain Med

View full text Add to dashboard Cite

Hiccup is an involuntary contraction of the diaphragm and intercostal muscles resulting in sudden inspiration and closure of the glottis. The presence of hiccup in the perioperative period can be a challenging problem. Sudden movements of the patient from hiccups can interfere preoperative diagnostic procedures, intraoperative hiccup may delay the beginning of surgery, interfere with the surgical process, and affect intraoperative monitoring, and postoperative hiccup may affect would healing and hemodynamic stability. Hiccup can lead to have increased aspiration risk. Hiccup are is an incompletely understood phenomenon with multiple etiologies. Intraoperative hiccup related to laryngeal mask airway placement has been reported, and it presents unique challenges in diagnosis and management. Both pharmacological and non-pharmacological interventions have been utilized with various level of success. All treatment strategies are primarily aimed at interrupting the hiccup reflex arc.

show abstract

Section: Laryngeal Mask Airway-related Hiccupmentioning

confidence: 99%

Intraoperative Laryngeal Mask Airway-Related Hiccup: An Overview

Mathew

Shen

Liu

2019

Transl Perioper & Pain Med

View full text Add to dashboard Cite

show abstract

“…In addition, while the studies included in this meta-analysis covered a wide range of age groups from 18 to 80 years, none of them considered the influence of patient characteristics (12) . It is known that OSP may be affected by a variety of factors, such as cuff pressure, leak detection method, and age releated anatomic changes (13) . In our study, we did not use neuromusculer blocking (NMB) agent and swelling of the cuff of p-LMA may have caused malposition in these geriatric population.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, we did not use neuromusculer blocking (NMB) agent and swelling of the cuff of p-LMA may have caused malposition in these geriatric population. In a study that compares the clinical performance of i-gel and LMA supreme (sLMA) in elderly, authors found that OSP was higher in i-gel than sLMA both immediately after placement and at the end of the operation (13) . Similarly, in our study, we found that the OSP measured in the i-gel group was higher than other SADs immediately after insertion.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Clinical Performance of Supraglottic Airway Devices in Elderly Patients: A Prospective Randomized Trial

Polat¹,

Çatalca²,

Ergil³

et al. 2021

jarss

View full text Add to dashboard Cite

INTRODUCTION: Airway management in the elderly may be challenging. Supraglottic airway devices (SADs) may be used to provide airway security. The aim of study was to compare the efficacy and safety of different SADs, LMA classic (c-LMA), proseal LMA (p-LMA) and i-gel in anaesthetised and non-paralysed elderly patients. METHODS: The study was approved by a local ethics committee. Eighty patients, aged older than 65 years, who were scheduled to undergo elective urological or orthopaedic surgery participated in the study. Each patient was randomly allocated into 1 of 3 groups: Group C: c-LMA (n = 26), Group P: p-LMA (n = 27) or Group I: i-gel (n = 27). The primary outcome was oropharyngeal sealing pressure (OSP). Secondary outcomes included the adequacy of positive pressure ventilation, ease of insertion, success rates, time to insertion, haemodynamic response and complications such as sore throat and dysphagia. RESULTS: There were no significant differences among the groups with respect to OSP (p=0.852), whereas there was a statistically significant difference between Group I and Group C in terms of leak volume and leak fraction ( p= 0.042 and p = 0.020, respectively ). Adverse events were similar among the groups (p > 0.05). DISCUSSION AND CONCLUSION: In this study, although the leak volume and leak fraction were lower in i-gel inserted patients, it was shown that i-gel, c-LMA and p-LMA provided adequate airway in elderly patients who were not applied muscle relaxants and will be operated under general anesthesia.

show abstract

“…[1][2][3][4][5] The ability to predict risk factors for LVF is crucial because of the negative consequences of LVF that include chronic back pain, related functional disability, kyphosis, and height loss, all of which have major impacts on a patient's quality-of-life; as well as the associated increases in morbidity and mortalitiy. [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Analysis of bone mineral density (BMD) using dual-energy X-ray absorptiometry (DEXA) is the most commonly used index of bone power, and a low BMD is the most important risk factor for LVF prediction. [21][22][23][24] But, almost 50% of LVF occurs in patients with BMD above the World Health Organization (WHO) diagnosis threshold of osteoporosis (T-score#2.5).…”

Section: Introductionmentioning

confidence: 99%

<p>Dorsal and ventral thoracic 12 vertebra body height is associated with incident lumbar vertebral fracture in postmenopausal osteoporotic women</p>

Bang

Lee

Kang

et al. 2019

CIA

View full text Add to dashboard Cite

Purpose: We measured dorsal and ventral thoracic 12 vertebral (T12V) body heights as a way to predict lumbar vertebral fracture (LVF) in postmenopausal women. MRI of dorsal and ventral T12V body heights has not yet been used to investigate their association with LVF. We hypothesized that the dorsal and ventral T12V body height are important morphologic parameters in the prediction of LVF. Patients and methods: In total, 80 osteoporotic patients with LVF (LVF group) and 80 osteoporotic patients without LVF (control group) were examined by MRI at the lumbothoracic level. Sagittal T2-weighted MRI images in the T12 level were obtained from all subjects. We analyzed both the dorsal and ventral T12V body height. The difference in dorsal and ventral body heights of the control and LVF patients was calculated at the T12V level. Results: The average dorsal T12V body height was 21.25±1.64 mm in the control group and 20.11±1.49 mm in the LVF group. The average ventral T12V body heights were 19.51±1.54 mm and 17.62±1.95 mm, respectively. The LVF group had significantly lower dorsal and ventral T12V body heights (both P,0.001). ROC curve analysis showed the best cutoff value for dorsal T12V body height value of 20.74 mm, with 62.5% sensitivity and 60.0% specificity. The best cutoff point of ventral T12V body height was 18.76 mm, with 68.8% sensitivity and 67.5% specificity. Conclusion: This study confirmed the association between dorsal and ventral T12V body height and occurrence of LVF in postmenopausal women with osteoporosis. Dorsal and ventral T12V body height were both significantly associated with LVF, with ventral T12V body height being a more sensitive measurement parameter. Thus, to predict risk of LVF in patients, the treating physician should carefully inspect the ventral T12V body height.

show abstract

Comparison of the clinical performance of airway management with the i-gel® and laryngeal mask airway SupremeTM in geriatric patients: a prospective and randomized study

Cited by 12 publications

References 25 publications

Intraoperative Laryngeal Mask Airway-Related Hiccup: An Overview

Intraoperative Laryngeal Mask Airway-Related Hiccup: An Overview

Comparison of Clinical Performance of Supraglottic Airway Devices in Elderly Patients: A Prospective Randomized Trial

<p>Dorsal and ventral thoracic 12 vertebra body height is associated with incident lumbar vertebral fracture in postmenopausal osteoporotic women</p>

Contact Info

Product

Resources

About